Practitioner record · Checked 9 Oct 2026
Alexandra Castellaccio has been in practice 8 years and is licensed in New York. Alexandra lists stress, Anxiety, addictions and trauma and abuse among 20 subjects on the BetterHelp roster.
Everything below is either quoted from Alexandra's own BetterHelp listing, taken from public licensing records, or written by Maker Therapy and labelled as such. Nothing here is an availability promise, a review, or a rating.
01 · Who Alexandra works with
Alexandra lists 5 specialisms and 15 further focus areas. Specialisms are the subjects Alexandra chose to list first, which is the closest a listing gets to “this is my actual practice”.
02 · In Alexandra's own words
Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.
For over seven years, I have worked in an array of environments throughout New York City providing clinical services towards men and young adults from diverse backgrounds, cultures, and religions. I have supported individuals navigating major life transitions, struggling with depression, anxiety, who have endured significant trauma, substance use, and legal involvement.
My top priority is creating a nonjudgmental, safe, and comfortable environment where clients feel respected and supported. I believe in treating each individual with compassion and dignity while helping you become the best version of yourself. I utilize evidence-based approaches such as trauma informed care, motivational interviewing, strength based perspective to provide therapeutic support and psychoeducation. My goal is to foster resilience, self-efficacy, and meaningful personal growth tailored to your unique goals.
I look forward to meeting you, learning about you, and supporting you as you work toward becoming the best version of yourself.
Alexandra Castellaccio, on the BetterHelp listing · read 9 Oct 2026
03 · What happens next
Alexandra 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 Alexandra's own practice, and not a promise about how quickly anything happens.
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 Alexandra at this point.
BetterHelp matches algorithmically by default, so asking for Alexandra 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 Alexandra.
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.
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.
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
Built from what Alexandra actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Alexandra's - Alexandra 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.
“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.
05 · Practical details
06 · Provenance
Alexandra'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 Alexandra. 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.
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