Alexa St. Martin
LCSW
Compassionate care for relationships and identity
- Attachment focused
- Relationship guidance
- Body image support
About Alexa
She offers a calm, steady presence in sessions and focuses on forming a strong therapeutic alliance. That means starting with what matters most to the person in front of her and shaping goals together. Sessions typically center on discussing patterns, memories, and current stressors to find practical steps forward.
Alexa draws on several therapy approaches to tailor care. She uses attachment-based ideas to look at how early relationships affect current connections. Narrative work helps people separate themselves from painful stories and try new ways of being. She also brings client-centered listening and psychodynamic perspectives to understand repeating patterns.
Her background includes work across Hawaii in settings serving youth, couples, and families, giving her exposure to many life situations and relationship dynamics. This variety informs how she helps people manage intimacy, body image, family of origin concerns, and challenges linked to gender and sexual identity.
Sessions aim to be collaborative and focused on the client’s goals. Alexa is comfortable talking about difficult topics like trauma, abandonment, kink and alternative sex culture, infertility and polyamory. She meets people where they are and helps them name what they want to change.
People who choose Alexa often want thoughtful listening paired with practical steps. She works to earn trust and respect while forging a path forward together.
How her approaches shape online work
A primary thread in Alexa's work is attachment-based thinking, which looks at how early bonds affect current relationships and intimacy. This approach helps when people struggle with trust, abandonment, or repeating relationship patterns.She also uses client-centered methods that emphasize listening and building shared goals. That style is helpful for people who want a therapist who follows their lead and reflects what they say without jumping to solutions.
Narrative therapy appears in sessions as a way to separate people from harmful stories they hold about themselves. It can be useful for body image, shame, or identity concerns by helping clients reframe their experiences.
Finding the right approach is part of the work. Alexa will collaborate with each person to decide which methods fit best based on needs, goals, and preferences. She adjusts plans as progress is made and stays open to trying different paths together.
Confirm current session options before booking, as formats are not listed here. One practical benefit of online sessions is fitting therapy into busy days, since remote work can make scheduling easier. Online visits can also let someone have a shorter check-in between commitments or use less bandwidth if video is difficult. Ask about available formats when scheduling to match sessions to everyday life.
License and NPI
| LCSW | Hawaii · No. LCSW-4890 |
|---|---|
| NPI | 1801345483 |
As shown on the therapist's profile. You can check a license with the state board and an NPI with the national registry.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
3+ years
Credentials
Hawaii
Languages
English
Frequently asked questions
What concerns does she address?
She works with people on relationship difficulties, eating and food-related issues, anxiety, depression, grief, and stress. Additional focuses include attachment, body image, infidelity, and non-monogamous relationship dynamics.
What is her therapeutic style like?
Her approach is collaborative and listening-focused, blending attachment-based and client-centered ideas with narrative and psychodynamic perspectives. Sessions explore patterns and stories while aiming for practical change.
How much clinical experience does she have?
She has three years of experience as a practicing clinician and prior work across Hawaii in settings serving youth, couples, and families.
What credential does she hold and where is she based?
She is a Licensed Clinical Social Worker, LCSW, licensed in Hawaii and practices from that state.
Which languages are supported for sessions?
Sessions are offered in English.
Can people outside the country work with her?
She is not accepting international clients at this time.
How are fees and billing handled?
Cost varies by location and therapist availability, and sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Start by selecting the Start Therapy button and completing a short matching questionnaire, then schedule according to therapist availability.