01 · Who Alexander works with

Alexander works with stress, Anxiety, LGBT and trauma and abuse

Alexander lists 6 specialisms and 16 further focus areas. Specialisms are the subjects Alexander chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Alexander's own words

What Alexander says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

I am a bilingual (English, Spanish) licensed professional (LCSW) with more than 25 years of experience helping individuals navigate life’s challenges and create meaningful change. My approach is compassionate, nonjudgmental and collaborative. I work with adults experiencing depression, anxiety, trauma, stress, grief and loss, relationship concerns and issues related to identity and LGBTQIA+ experiences. I believe therapy should be a safe space where you can be heard, understood and accepted without judgement. I draw from several evidence-based approaches, Psychodynamic Therapy, Cognitive Behavioral Therapy and Dialectical Behavioral Therapy. I tailor therapy to your individual needs, goals, and personality rather than one size fits all approach. Working with more than two decades of clinical experience I’ve worked with people facing a wide range of emotional and life circumstances. My goal is to better help you understand yourself developing practical coping skills, work through difficult experiences, and build greater confidence and emotional wellbeing. Whether you are struggling with someone who is affecting you right now or dealing with a difficult situation right know you don’t have to navigate it alone. I would be honored to work with you.

Alexander Pitaluga, on the BetterHelp listing · read 9 Oct 2026

03 · What happens next

From this page to a first session

Alexander practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Alexander's own practice, and not a promise about how quickly anything happens.

1. A questionnaire, not a booking form

   BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Alexander at this point.

2. Naming Alexander specifically

   BetterHelp matches algorithmically by default, so asking for Alexander is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Alexander.

3. If the caseload is full

   You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

4. The first conversation

   A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

5. If the fit is wrong

   Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

04 · Before you commit

4 questions worth asking Alexander

Built from what Alexander actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Alexander's - Alexander has not seen them and is under no obligation to answer any of them.

• “How do you decide when someone is ready to work on a traumatic memory itself?”

  Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

• “With 25 years in, what has changed most in how you work?”

  Long experience is only an advantage if it has been examined. This tends to surface whether it has.

• “How do you handle the gap between sessions if something comes up?”

  On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

• “You offer sessions in English and Spanish. Does the work change depending on which we use?”

  People often reach different material in a first language than in a second. Worth naming before you choose.

05 · Practical details

Credentials and licensing

Credential

LCSW

Licensed in

Florida

Licence

FL LCSW SW3641

Licence number

SW3641

Licence expires

31 Mar 2027

NPI

1871844811

Years in practice

25

Gender

Male

Languages

English, Spanish

International clients

Accepted

Listed since

30 Sep 2026

06 · Provenance

Where every line on this page came from

Alexander's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 9 Oct 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Alexander. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

Something on this page wrong or out of date? Report it and it will be checked against the source.