Last edited 04/16/2026

Identifies As
She / Her / HersWomanWhiteHeterosexualMillennial
Get To Know Me
In what ways have your personal experiences influenced your work with your clients?
I know what it feels like to carry the weight of trauma, anxiety, and depression, and to have your body feel like it’s working against you. For years, I struggled not only with emotional and mental health challenges, but also with physical health imbalances that created a domino effect of symptoms. When I was exposed to toxic mold, my condition worsened, and I realized just how interconnected our mental and physical health truly are.
My own healing journey taught me so much about how trauma and physical health intersect, from hormones and gut health to nervous system regulation and emotional resilience. These experiences inspired me to change careers and dedicate my life to helping others find relief and empowerment. I went from working as a Food Scientist to earning my Master’s Degree in Social Work from Case Western Reserve University, becoming a therapist so I could guide others through their own journeys of healing.
Today, I bring both lived experience and professional training to my practice. I specialize in helping women trauma survivors uncover the root causes of their distress, whether emotional, physical, or a combination of both. I use an integrative approach that combines Acceptance and Commitment Therapy, somatic experiencing, and polyvagal-informed techniques. I often collaborate with functional medicine providers to address the underlying health factors contributing to symptoms. My goal is to help you move through life with more ease, presence, and freedom, so you can experience your emotions fully and engage in the life you want to live.
If there was one thing you wish people knew about the therapy experience who might be hesitant to try it, what would that be?
I wish people knew that therapy doesn’t have to feel like being analyzed, fixed, or told what to do. A good therapy experience is collaborative and human. It feels like coming home to yourself. It’s about building awareness, choice, and self-trust. It's not about forcing change or “thinking positive.”
How does collaboration with other providers play into your work?
As a Certified Integrative Mental Health Professional (CIMHP), I recognize that mental health doesn’t exist in a vacuum. Physical factors like hormones, inflammation, nutrient deficiencies, chronic stress, and nervous system strain can significantly impact mood, energy, and emotional resilience.
Because of this, when it’s helpful and with your consent, I often refer to and collaborate with functional medicine and integrative providers who focus on identifying root causes rather than just managing symptoms. My role is to support the emotional and nervous system side of the healing process while working alongside providers who address the physical pieces, so care feels more coordinated, grounded, and supportive of the whole person.
You are always in control of what collaboration looks like, and any communication with other providers is done thoughtfully, with your consent, and with your privacy in mind.
Location
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Specialties
Specializes in
DepressionAnxietySelf-EsteemPost-traumatic Stress Disorder (PTSD)Trauma
General Expertise
DepressionAnxietySelf-EsteemLife transitionsPost-traumatic Stress Disorder (PTSD)StressTraumaCoping SkillsHighly Sensitive Person
Treatment Approaches
Somatic TherapyCognitive Behavioral Therapy (CBT)Acceptance and Commitment Therapy (ACT)
Clientele
Types of Therapy
Individual Therapy
Serves Ages
Young Adults (18-24)Adults (25-65)
Languages
English
Professional Background
LicensureOhio, Licensed Independent Social Worker, I.2405869
Education
Case Western Reserve University, Master of Social Work, Mental Health in Adults, 2022
Work HistoryMy work as a therapist has grown out of sitting with people who felt overwhelmed in their bodies, confused by their emotions, and frustrated by systems that didn’t quite know how to help them.
I began my clinical work supporting adults who struggled with anxiety, mood swings, burnout, and chronic stress. Often, these were people who looked “high-functioning” on the outside but felt exhausted, disconnected, or stuck on the inside. Over time, I noticed a common thread: many of my clients didn’t just need insight or coping skills, they needed help understanding what their nervous system and body were trying to communicate.
This led me to deepen my training in Acceptance and Commitment Therapy (ACT), somatic-informed care, and polyvagal theory. Through this work, I’ve developed a specialty in helping people build a different relationship with their thoughts, emotions, and physical sensations. My approach is one rooted in compassion, flexibility, and trust in the body rather than self-criticism or pushing through.
Much of my experience has been with sensitive, thoughtful adults who have tried “talk therapy” before and found it helpful but incomplete. In sessions, we slow things down, notice patterns that show up in both the mind and body, and gently work toward more steadiness, clarity, and choice.
Frequently Asked Questions
It’s not uncommon to have questions before starting therapy.
Alexandra (Alex) O'Brien, LISW, has answered a few of the questions they receive most often from new clients.
Is Alexandra (Alex) O'Brien accepting new clients?
Yes, Alexandra (Alex) O'Brien is accepting new clients for online therapy in Ohio.
Does Alexandra (Alex) O'Brien accept insurance?
No, Alexandra (Alex) O'Brien does not accept insurance.
What types of therapy does Alexandra (Alex) O'Brien offer?
Alexandra (Alex) O'Brien offers therapy for individuals.
Does Alexandra (Alex) O'Brien offer in-person appointments?
No, but people in Ohio can book Alexandra (Alex) O'Brien for virtual appointments (teletherapy).
Does Alexandra (Alex) O'Brien offer online therapy?
Yes, Alexandra (Alex) O'Brien offers online therapy via video sessions to people in Ohio.
How quickly can I see Alexandra (Alex) O'Brien?
Alexandra (Alex) O'Brien typically can speak with new clients within 48 hours. You can see their current general office hours and request an appointment on their profile page.
What languages does Alexandra (Alex) O'Brien speak?
Alexandra (Alex) O'Brien conducts therapy sessions in English.
Can I book an appointment with Alexandra (Alex) O'Brien online?
Yes, you can easily book an appointment with Alexandra (Alex) O'Brien online using ChoosingTherapy.com’s directory.
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