01 · Who Alexandra works with

Alexandra works with stress, Anxiety, family conflicts and parenting issues

Alexandra lists 5 specialisms and 11 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

What Alexandra says about the work

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

As a licensed therapist with 24 years of experience in California, I specialize in supporting late adolescents (16-19), young adults (20–30), and their parents through life’s transitions and challenges with clarity and confidence.

Please note: I do work with adults (35-64) on a case by case basis.

Becoming an adult is not easy. Whether you’re dealing with stress, anxiety, family conflicts, or issues with motivation, self-esteem, or confidence, I’m here to help.

With parents of emerging adults, I offer compassionate guidance to navigate relational shifts while fostering a stronger, more meaningful connection with your young adult.

My style is warm, direct, honest, and rooted in compassion. I believe in creating a safe, respectful space where we can collaborate to build a treatment plan tailored specifically to you. Your journey is unique, and I’m committed to meeting you exactly where you are.

Taking the first step toward change can feel overwhelming, but it’s also an act of courage and self-care. Together, we’ll work to identify your strengths, build your confidence, and help you create the life you want.

I'm ready to take this journey with you!

Alexandra "Lexy" Spett, on the BetterHelp listing · read 9 Oct 2026

03 · How Alexandra works

The 3 approaches Alexandra lists, in plain English

These are the clinical methods Alexandra lists. The descriptions are Maker Therapy's, not Alexandra's - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Alexandra runs a session.

Cognitive Behavioural TherapyCBT

Structured, present-focused work on the loop between what you think, how you feel and what you then do. Usually means noticing a thought pattern in the room, testing it against evidence, and practising something different between sessions. Among the most heavily researched talking therapies for depression and anxiety.

Psychodynamic Therapy

Works on the assumption that current patterns - in relationships, at work, in how you treat yourself - have a history, and that seeing the history loosens the pattern. Less structured than CBT, usually longer, and more interested in what comes up unbidden than in a weekly agenda.

Solution-Focused Brief TherapySFBT

Starts from where you want to end up rather than from how you got here. Sessions look for the times the problem is already smaller and work out what is different about those, so the number of sessions tends to be short and the work concrete.

04 · What happens next

From this page to a first session

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.

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 Alexandra at this point.

2. Naming Alexandra specifically

   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.

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.

05 · Before you commit

3 questions worth asking Alexandra

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.

• “You list both Cognitive Behavioural Therapy and Psychodynamic Therapy. Which do you lean on with someone like me?”

  Those two point in different directions - one structured and led by the therapist, the other led by you. The answer tells you what the sessions will actually feel like.

• “With 24 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.

06 · Practical details

Credentials and licensing

Credential

LMFT

Licensed in

California

Licence

CA LMFT 37465

Licence number

37465

Licence expires

30 Sep 2028

NPI

1801607247

Years in practice

24

Gender

Female

Languages

English

International clients

Not accepted

Listed since

9 Jun 2026

07 · Provenance

Where every line on this page came from

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.