01 · Who Madelaine works with

Madelaine works with stress, Anxiety, relationship issues and trauma and abuse

Madelaine lists 5 specialisms and 13 further focus areas. Specialisms are the subjects Madelaine chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Madelaine's own words

What Madelaine says about the work

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

Hi, I’m Maddie Alejandro, a licensed Clinical Social Worker (LCSW) with 7 years of experience supporting individuals through life’s ups and downs. Whether you're feeling overwhelmed by stress or anxiety, navigating a life transition, working through relationship challenges, or healing from past trauma, I’m here to help.

I approach therapy with warmth, compassion, and respect for your unique story. I draw from evidence-based practices like Cognitive Behavioral Therapy (CBT), Solution-Focused Therapy, and Trauma-Informed Care, but I believe the most important part of therapy is building a trusting, supportive relationship.

Together, we’ll create a space where you can feel safe, heard, and empowered to move toward the life you want. Taking the first step isn’t easy, but you don’t have to do it alone. I’m honored to walk alongside you on this journey.

Madelaine Alejandro, on the BetterHelp listing · read 9 Oct 2026

03 · What happens next

From this page to a first session

Madelaine 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 Madelaine'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 Madelaine at this point.

2. Naming Madelaine specifically

   BetterHelp matches algorithmically by default, so asking for Madelaine 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 Madelaine.

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

2 questions worth asking Madelaine

Built from what Madelaine actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Madelaine's - Madelaine 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

Credentials and licensing

Credential

LCSW

Licensed in

California

Licence

CA LCSW 115999

Licence number

115999

Licence expires

30 Jun 2027

NPI

1336663574

Years in practice

7

Gender

Female

Languages

English

International clients

Not accepted

Listed since

15 May 2026

06 · Provenance

Where every line on this page came from

Madelaine'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 Madelaine. 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.