Practitioner record · Checked 9 Oct 2026
Rome Alexander has been in practice 21 years and is licensed in Minnesota. Rome lists stress, Anxiety, trauma and abuse and grief among 18 subjects on the BetterHelp roster.
Everything below is either quoted from Rome'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 Rome works with
Rome lists 14 specialisms and 4 further focus areas. Specialisms are the subjects Rome chose to list first, which is the closest a listing gets to “this is my actual practice”.
02 · In Rome's own words
Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.
Hello - I am a licensed therapist in Minnesota, with over 20 years of professional experience in helping those that are struggling with anxiety, various depressions, situations of grief, PTSD, and other psychological traumas.
You have already experienced some, if not much of your life, and have experienced many times of change. So, regardless of the degree to which you feel that this life has been good or bad for you, you already have many internal strengths upon which to build in overcoming the obstacles that are currently challenging you, whether you may be aware of this or not at this moment. With these strengths, it is my work in your therapy to also help you find the missing information that you may need, and then help you use new or refined skills to then empower yourself to continue onward into achieving positive movement in your own personal journey. And, a personal journey it truly is!
While it is also true that any person, for their own part, does need at first to have at least some small individual wanting for the possible choices and changes that are needed in order to have a better life experience, so very, very often some shared good humor certainly also does help in the planning and implementing of all of the "getting there" that happens along the way. In my therapy I do try at times to find safe and appropriate humor in the moment, so that the whole process can be maybe more manageable, and also way less fearful.
So, what I am saying to you is this: while you must make your own good and informed choices in therapy, the steps you then take to make your life better do not have to necessarily always be perceived as grim as you learn to walk to a better place. Also, sometimes in a life, there is some baggage that has accumulated that needs to be dealt with first, before deeper, more lasting changes can be considered. The process of therapy may have some challenging moments for sure, but one does not have to expect to relive past pain (there's already been enough of that) as one moves toward psychological growth.
Rome Alexander, on the BetterHelp listing · read 9 Oct 2026
03 · What happens next
Rome 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 Rome'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 Rome at this point.
BetterHelp matches algorithmically by default, so asking for Rome 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 Rome.
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 Rome actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Rome's - Rome 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 21 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.
05 · Practical details
06 · Provenance
Rome'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 Rome. 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.
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