Alexander Guzman
LCSW
Guide through change and meaning
- Client-centered approach
- Focus on life transitions
- Works with body image
About Alexander
He uses a client-centered way of working that puts the person's perspective first. Sessions are conversational and aim to clarify what matters most to the individual. He also draws on existential ideas to help people find meaning when life feels confusing or empty.
Over two decades of practice have included a range of concerns, from everyday overwhelm to major life transitions. He helps people tackle problems like attachment issues, body image, communication problems, control issues, and feelings of isolation. He also supports those dealing with immigration challenges, fatherhood issues, and the emotional effects of HIV/AIDS.
In sessions he often uses motivational interviewing to boost motivation and Jungian and narrative approaches to examine personal stories and patterns. The work tends to focus on clear, practical steps alongside reflection about deeper values and identity.
Alexander invites people to take the first step and recognizes that starting therapy takes courage. To begin, a visitor can use the Start Therapy button, fill out a short matching questionnaire, and schedule according to therapist availability.
How Client-Centered and Existential Approaches Work Online
Client-centered therapy focuses on listening closely and reflecting a person's experience back in a way that helps them feel understood. This approach helps clarify what matters to the person and supports practical changes they want to make. Existential therapy looks at questions of meaning, choice, and identity and can be helpful when life changes or feelings of emptiness come up.Motivational interviewing is often used alongside these approaches to help people strengthen their motivation for change. It uses gentle, focused conversation to identify goals and break down barriers to taking the next step. Together these approaches balance practical steps with deeper reflection about values and direction.
Finding the right approach is a collaborative process. The therapist will talk with the client about goals, needs, and preferences and suggest which methods to try. That decision is revisited as the work continues to make sure it still fits the client's situation.
Session formats are not listed here, so please confirm current options before booking. Many people find online sessions helpful because they can fit therapy into a busy schedule, reduce travel time, and allow for shorter check-ins when needed. Online work can also make it easier to keep momentum between appointments while still focusing on meaningful change.
License and NPI
| LCSW | New York · No. 085780 |
|---|---|
| NPI | 1104341593 |
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
20+ years
Credentials
New York
Languages
English
Frequently asked questions
What concerns does he address?
He focuses on stress, anxiety, self esteem, career challenges, depression, and coping with life changes. Additional areas include body image, attachment issues, and communication problems.
What is his therapeutic style like?
He practices in a client-centered way and uses conversational sessions to center the person's perspective. He also incorporates existential and narrative approaches to explore meaning and personal stories.
How much experience does he have?
He has 20 years of professional work experience supporting people with a range of emotional and life concerns.
What are his credentials and where is he located?
He is a licensed clinical social worker, LCSW, licensed in New York and practices from that region.
Which languages are supported?
Sessions are offered in English.
Can international clients work with him?
International clients are not currently accepted.
How are sessions structured and what about cost?
Session cost varies with location and therapist availability and uses a subscription that can be canceled at any time. Please confirm current session formats before booking.
What are the first steps to start therapy?
Use the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.