- Attachment-based work
- CBT and DBT skills
- Guilt and shame focus
About Alexandrea
Alexandrea "Ally" DeFelice is a MA licensed mental health counselor (LMHC) with 14 years of professional experience. She works with people dealing with depression, stress, anxiety, relationship struggles, trauma and abuse, and low self-esteem. Ally approaches clients as the expert of their own story and builds on existing strengths.
Ally aims for straightforward, personal conversations. She listens for the patterns that keep problems repeating and helps people practice different choices. Sessions often include looking at how past relationships shape current reactions, and practicing skills to manage strong emotions and anxious thoughts.
Her work draws on attachment-based ideas to notice how early bonds affect trust and closeness. She also uses client-centered principles that emphasize the client's perspective and goals. Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) tools appear in sessions when people need concrete skills for mood, panic, or impulsivity.
Ally pays attention to concerns like abandonment, communication problems, control issues, and guilt and shame. She also addresses life-direction questions such as purpose, money worries, and isolation. Conversations combine practical steps with room to name difficult feelings without judgment.
People who reach out can expect a practical, conversational tone and a focus on usable skills. She guides planning for change while respecting each person’s pace. To begin, the site asks people to complete a short questionnaire and schedule a first session.
How Ally’s approaches translate to online work
Ally draws from attachment-based work, client-centered practice, and cognitive behavioral therapy. Attachment-based work looks at how early relationships shape present trust and closeness, which can help when guilt or shame comes from past bonds. Client-centered practice centers the person's own goals and perspective, letting sessions follow what matters most to the client. CBT focuses on identifying unhelpful thoughts and testing small behavior changes to reduce anxiety and low mood.Finding the right mix of approaches is part of the collaboration. Ally will talk with the client about goals, preferences, and what feels useful, and then choose techniques together rather than imposing a single method. That conversation may shift as therapy proceeds.
Session formats are not specified in the biography, so confirm current options before booking. Online work can make fitting sessions into everyday life easier by removing travel and allowing shorter check-ins when schedules are tight. It also lets people use tools like in-session skill practice and thought-recording worksheets while talking through what comes up in real time.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
14+ years
Listed in
Massachusetts
Languages
English
Frequently asked questions
What kinds of concerns does she address?
She works with depression, stress, anxiety, relationship struggles, trauma and abuse, and self-esteem. Additional focus areas include guilt and shame, abandonment, and panic attacks.
How does she approach feelings of guilt or shame?
She listens for how those feelings developed and uses conversational work plus skills practice to help people notice patterns. Practical exercises from CBT and DBT are used when helpful.
What experience does she bring?
She has 14 years of professional experience working with mood, anxiety, trauma, relationship issues, and confidence concerns.
What are her credentials and where is she based?
She holds an MA and practices as an LMHC in Massachusetts.
Can I work with her if I live outside the United States?
Sessions are offered in English and she does not accept international clients at this time.
What session formats are available?
Please confirm current session options before booking, as formats are not specified in the profile.
How are sessions priced?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I get started with therapy?
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.