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Image by Mitch

 The Journey Within

Therapy for symptoms that make sense in context.

 

Your anxiety isn't a vibe.
Bipolar disorders don't fit neatly on a severity ladder.
And schizoaffective isn't bipolar disorder with some psychosis, sprinkled on top.

 

I'm Alexandria Steely, LCSW, offering virtual therapy across California and Washington for adults navigating bipolar, psychosis, personality disorders, anxiety, and complex mental health.

 

Therapy with me isn't about reducing you to a diagnosis or handing you coping skills, sending you on your way, and hoping for the best.

 

Therapy with me is about understanding the pattern, the context, the survival strategy, and the version of you that had to adapt.

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That’s the work.

Who I work with

Individual Psychotherapy

Teens + adults navigating

  • Anxiety

  • Bipolar I & II

  • Schizophrenia Spectrum Disorders

  • Borderline Personality Disorder

  • Complex Mental Health

 

Individuals in step-down care from inpatient, PHP, or IOP.
 

 Available via Telehealth in California and Washington

  • 60 minute sessions

  • $185/session

  • Out-of-network (I use Mentaya to help with reimbursement)

  • Free 15-minute consult

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Hey, I'm Alexandria!

My work is rooted in one belief: symptoms make sense in context.

 

Newly out of graduate school, I went straight to the work I wanted most. I was hired as the Intake Coordinator of a 24/7 residential program for adults living with psychosis, mood disorders, and the diagnoses society fears most. Five months later, I was promoted to Assistant Program Director.

 

My work there laid the foundation for how I practice now, and for where my private practice started. People are never just their diagnosis. Symptoms are not character flaws, and, "what's wrong with me?" is always the wrong question. The real questions are: "what are you struggling with?" and "how is it affecting you?"

 

In my practice, I work with teens and adults navigating complex mental health. This includes first-episode psychosis, schizophrenia spectrum disorders, bipolar disorders, as well as personality disorders. Sessions are held via telehealth across California and Washington when virtual therapy is clinically appropriate.

 

I'm honest, and I've been told I'm funny. I'm a slightly blunt millennial who's been through the hard stuff and seen it up close, and I'm rooted in research. But you're the expert in your story, and only you know what you've gone through.

 

I also provide forensic consultation for attorneys and courts.

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