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Alexa St. Martin

Alexa St. Martin

LCSW

Hawaii

Continue with Alexa

Collaborative therapist for anxiety and relationships

  • Focus on panic attacks
  • Attachment-informed care
  • Practical coping skills

About Alexa

Alexa St. Martin is a Licensed Clinical Social Worker (LCSW) who helps people navigate anxiety, relationship strain, and life changes. She can be a good fit for someone dealing with panic attacks or struggling to manage stress and grief. Her tone is straightforward and warm, aiming to make the first steps feel manageable.

She draws on several therapy approaches to match the needs of each person. Sessions focus on understanding patterns in relationships and emotions, and on building tools to handle intense moments. Work often includes talking through attachment history, improving communication, and examining the stories people tell about themselves.

Alexa has three years of clinical experience in therapeutic settings across Hawaii. Her background includes supporting people facing trauma, identity questions, sexual and relationship concerns, and issues like body image, infertility, and separation. She aims to form a collaborative relationship so clients feel heard and respected.

Practical work may include learning ways to reduce panic symptoms, improving connection with partners, and addressing shame or isolation. She uses gentle exploration of past experiences alongside concrete skills for managing tough moments. The goal is to help people make steady, manageable changes in daily life.

To begin, Alexa asks people to share their story and priorities so she can tailor sessions. She emphasizes a joint process - figuring out what helps and adjusting as needs evolve. That approach guides therapy whether addressing anxiety, relationship concerns, or coping after loss.

How attachment and narrative work translate to online therapy

Attachment-Based Therapy looks at how early relationship patterns shape current reactions and connections, and helps people change how they relate to others and themselves. Client-Centered Therapy focuses on listening closely and following the client's pace, creating space to name feelings and priorities. The Gottman Method brings practical skills for improving communication and resolving recurring conflicts in partnerships.

Choosing the right approach is part of the process. The therapist will work together with the client to decide which methods fit their needs, goals, and personal style. That shared plan can be adjusted as therapy progresses to keep it useful and relevant.

If you are considering online sessions, confirm the available session formats before booking since they are not listed here. Online work can help people fit therapy into busy lives by reducing travel time, allowing shorter check-ins when needed, and making it easier to schedule during breaks or between commitments. Many people find it simpler to maintain regular appointments and use session time to practice skills and reflect on progress.

Areas of expertise

Primary focus

LGBTRelationship issuesFamily conflictsTrauma and abuseIntimacy-related issues

Additional focus areas

AbandonmentAttachment issuesBDSM, kink, and alternative sex cultureBody imageCommunication problemsCoping with natural or human-caused disasterDivorce and separationFamily of origin issuesFertility issuesGender dysphoriaGuilt and shameInfidelityIsolation / lonelinessPanic disorder and panic attacksPolyamory / non-monogamous relationshipsPost-traumatic stressPrejudice and discriminationSexual assault and abuseSexualityWomen's issues

Therapeutic approaches

Attachment-Based TherapyClient-Centered TherapyGottman MethodJungian TherapyNarrative TherapyPsychodynamic TherapyTrauma-Focused TherapyInternal Family Systems

Experience

3+ years

Listed in

Hawaii

Languages

English

Frequently asked questions

What kinds of concerns does she help with?

She works with anxiety, relationship and family issues, trauma and abuse, grief, depression, self esteem and related challenges including panic disorder and panic attacks.

What is her general therapy style?

She blends client-centered listening with attachment-informed and narrative approaches to help people tell their story and find useful steps forward.

What experience does she bring?

She has three years of clinical experience working in therapeutic settings across Hawaii supporting a range of concerns.

What credentials and location should I know about?

She is a Licensed Clinical Social Worker, LCSW, practicing in Hawaii.

Which languages are supported and are international clients accepted?

Sessions are offered in English and international clients are not currently accepted.

What session formats are offered?

Please confirm current session options before booking, as formats are not specified here.

How does payment and cost work?

Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.

How do I get started with therapy?

Use the Start Therapy button, complete a short matching questionnaire, and then schedule according to therapist availability.

Whenever you are ready

Review online therapy options and next steps on BetterHelp, in your own time.

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Online talk therapy is not emergency or medical care. Chest pain, trouble breathing or new physical symptoms should be checked by a doctor. In immediate danger? Crisis numbers

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