Alexander Guzman , LCSW

Alexander Guzman is a New York licensed clinical social worker with 20 years of practice. He focuses on stress, anxiety, self-esteem, career concerns, depression, and coping with life changes. He approaches therapy as a collaborative process and respects each person's knowledge of their own life.

He uses a client-centered stance that keeps the client's goals front and center. That means sessions often start by asking what matters most to the person and then shaping the work around those priorities. He also draws on existential ideas to help people face meaning, choice, and life transitions.

His work addresses practical struggles like communication problems, control issues, and feelings of emptiness. He supports people dealing with family problems, fatherhood concerns, divorce and separation, and immigration-related stress. Body image, guilt and shame, and living with HIV are also listed areas of focus.

In sessions he often uses motivational interviewing to bolster motivation and narrative or Jungian approaches to help people rewrite the stories they tell about themselves. Conversations tend to be direct, respectful, and paced to fit each person's readiness to change.

Alexander aims to help people build clearer goals and small, doable steps toward them. He encourages people to notice strengths they already have and to use those strengths when facing hard choices. Taking that first step is acknowledged as meaningful and courageous.

Approaches that guide online sessions

Alexander often blends client-centered work with existential ideas to shape online therapy. Client-centered Therapy focuses on listening closely to what matters to you and following your pace, which helps when dealing with anxiety, self-esteem, and decision-making. Existential Therapy brings attention to meaning, choice, and life purpose, which can be useful for people facing big transitions or feelings of emptiness.

He also uses Motivational Interviewing to support motivation and small behavior changes, especially around career shifts, coping, and practical goals. Finding the right mix of approaches is part of the work. The therapist will collaborate with each person to decide what feels most useful, adjusting methods as goals evolve.

Online formats include video calls, phone sessions, live chat, and text-based messaging, all chosen to fit daily life. Video calls are good for in-depth conversations and nonverbal cues. Phone sessions can be lighter on bandwidth and easier during a busy day. Live chat or text-based messaging lets people check in between sessions or use shorter, frequent touchpoints. These options aim to make therapy more flexible and easier to fit into a routine.