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Alexa St. Martin

Alexa St. Martin, LCSW

Hawaii

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LCSW - Relationships and Guilt

  • Attachment work
  • Narrative therapy
  • Guilt and shame focus

About Alexa

Alexa St. Martin is a Licensed Clinical Social Worker (LCSW) practicing in Hawaii with three years of experience. She works with adults on concerns such as relationship problems, trauma and abuse, anxiety, depression, grief, self-esteem, ADHD, and guilt and shame.

Alexa uses an approach that centers on relationships and personal stories. She draws on attachment-based ideas to look at how early bonds shape current patterns. She also uses client-centered techniques to focus on each person's experience and narrative therapy to help people reframe the stories they tell about themselves.

Sessions are conversational and practical. Alexa listens to the specific situation, identifies patterns that fuel distress, and helps people try different ways of relating and coping. She pays attention to how attachment and communication affect intimacy, including work with non-monogamous arrangements and kink when those topics arise.

Her background includes practice across Hawaii in multiple settings with individuals and couples. That range informs how she approaches problems like infidelity, divorce, family of origin issues, and fertility-related stress. She keeps a focus on clear communication and behavior that supports better relationships.

People come to Alexa for help with messy feelings left over from family, faith, and relationships. She works to build a practical plan for day-to-day coping while also addressing deeper patterns that keep people stuck. To begin, readers should confirm the current session options before scheduling.

How her methods translate to online work

Attachment-Based Therapy looks at how early bonds shape how people relate now. Online sessions using attachment ideas help people notice patterns in relationships and practice new ways of connecting. Client-Centered Therapy focuses on the person's experience and perspective. In remote conversations this approach means the therapist listens closely and follows the client's concerns to set the pace and goals.

Finding the right approach is part of the work. The therapist will talk with each person about their needs, goals, and preferences and will adjust methods together. That collaborative planning helps decide whether attachment work, narrative reframing, or client-centered conversations fit best for a particular issue like guilt or relationship strain.

The biography does not list specific session formats, so confirm current options before booking. Online sessions can make it easier to fit therapy into a busy week, avoid travel time, and allow shorter check-ins when needed. They also let people include partners for relationship work when that is helpful. Alexa aims to match approach and timing to everyday life while addressing the patterns behind guilt and shame.

Areas of expertise

Primary focus

LGBTRelationship issuesFamily conflictsTrauma and abuseIntimacy-related issues

Additional focus areas

AbandonmentAttachment issuesBDSM, kink, and alternative sex cultureBody imageCommunication problemsCoping with natural or human-caused disasterDivorce and separationFamily of origin issuesFertility issuesGender dysphoriaGuilt and shameInfidelityIsolation / lonelinessPanic disorder and panic attacksPolyamory / non-monogamous relationshipsPost-traumatic stressPrejudice and discriminationSexual assault and abuseSexualityWomen's issues

Therapeutic approaches

Attachment-Based TherapyClient-Centered TherapyGottman MethodJungian TherapyNarrative TherapyPsychodynamic TherapyTrauma-Focused TherapyInternal Family Systems

Experience

3+ years

Listed in

Hawaii

Languages

English

Frequently asked questions

What kinds of issues does she work with?

She works with relationship strain, trauma and abuse, anxiety, depression, grief, self-esteem, ADHD, and guilt and shame among other concerns.

How would she approach feelings of shame from the past?

She uses narrative and attachment-based ideas to examine how past experiences shape current shame and to help reframe unhelpful stories about the self.

What is her clinical background?

She is a Licensed Clinical Social Worker (LCSW) with three years of experience working in multiple settings across Hawaii.

Where is she based and what credential does she hold?

She practices in Hawaii and holds the HI LCSW credential.

Does she work in other languages or with international clients?

Sessions are offered in English and she is not currently accepting international clients.

What session formats are offered?

The original biography does not specify session formats; please confirm current session options before booking.

How are sessions paid for?

Cost varies with location and sessions use a subscription that can be canceled at any time.

How do I get started with her?

Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.

Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.

Alexa St. MartinLCSW

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