Alexandra Cohen

You Understand the Pattern. Now Let’s Help You Change It. Maybe you’ve spent a lot of time trying to understand yourself. You know you overthink, people-please, procrastinate, shut down, or get overwhelmed. You may recognize that ADHD affects far more than focus, or that the way you grew up still shapes your relationships, confidence, and reactions today. You understand the pattern. You’re just tired of repeating it. I provide virtual therapy for adults throughout Massachusetts who are ready for things to feel different. Many of the people I work with are thoughtful, self-aware, and capable. On the outside, they may seem like they have things together. Underneath, they’re dealing with anxiety, emotional overwhelm, rejection sensitivity, perfectionism, procrastination, self-criticism, or the exhaustion of constantly trying to keep up. Sometimes ADHD or anxiety is part of the picture. Sometimes the patterns go back further. Growing up, you may have learned to keep the peace, anticipate other people’s needs, avoid disappointing anyone, stay in control, or push your own feelings aside. Maybe you became the responsible one, the easy one, or the person who learned to handle everything on your own. Those ways of coping may have made sense then, but they can show up in adulthood as anxiety, people-pleasing, difficulty setting boundaries, relationship struggles, or feeling disconnected from what you actually want. Areas I Commonly Work With Anxiety, overthinking, chronic worry, and perfectionism Adult ADHD, procrastination, executive functioning, and overwhelm Childhood experiences, trauma, and complicated family dynamics Rejection sensitivity and emotional regulation Depression, low motivation, and feeling stuck or disconnected People-pleasing, boundaries, self-esteem, and relationship patterns Breaking patterns that no longer fit the life you want What Therapy With Me Looks Like My approach is collaborative, engaged, direct, and practical. Therapy isn’t about endlessly analyzing everything that has happened to you. Understanding the past matters, but so does helping you create changes you can actually feel in your life. Together, we’ll look at what’s happening now, understand what may be underneath it, and identify the patterns that keep pulling you back into the same reactions or situations. From there, we’ll work on practical ways to respond differently, manage difficult emotions, communicate your needs, strengthen boundaries, and build a healthier relationship with yourself and the people around you. I draw from Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Motivational Interviewing, person-centered and solution-focused approaches, and trauma-informed care. I tailor our work to you rather than expecting you to fit into one particular type of therapy. As a Licensed Mental Health Counselor (LMHC) with a background in clinical mental health and special education, I also understand that the way someone thinks, processes emotions, and responds to the world isn’t one-size-fits-all. You don’t need another person telling you what you “should” be doing. You may already know. Therapy can help you understand what keeps getting in the way, and start doing something different. I offer virtual therapy for adults throughout Massachusetts. If this sounds like the kind of support you’ve been looking for, send me a message to schedule a brief consultation call. We can talk about what’s bringing you to therapy and see if working together feels like the right fit.