Alexandra Kariyannis

Alexandra is a licensed psychotherapist based in New York City who holds a graduate degree from New York University. She works with adults and couples, helping clients navigate life’s ups and downs with empathy, honesty, and a touch of humor when it fits. Alexandra supports clients facing anxiety, depression, grief, work stress, relationship challenges, and major life transitions. In couples therapy, she helps partners improve communication, better understand each other’s perspectives, and work through patterns of conflict to build stronger, more connected relationships.

Alexandra views therapy as a space where you can show up exactly as you are, no pressure, no judgment. Her approach is collaborative and flexible, meaning you'll work together to figure out what actually helps you. Alexandra draws from different therapeutic methods depending on your needs, whether that’s building coping skills, processing past experiences, or making sense of patterns in your life. Above all, she aims to create a space where you feel supported, understood, and empowered to grow.

Starting therapy can feel intimidating, so the first session is designed to be a comfortable, low-pressure space. We’ll focus on what feels most important for you to share, and you’re always in control of how much you disclose. I’ll ask some questions to understand your background and goals, and we’ll begin to explore how I can best support you. There’s no expectation to have everything figured out, this is simply the beginning of the process.