Alexia D'Astous-Macdonald

She/Her

Population served

The primary areas this therapist specializes in and has focused experience working with in their clinical practice.

Additional concerns and challenges this therapist is able to support, depending on your needs, goals, and circumstances.

The therapeutic approaches and methods this therapist may draw from in their work, tailored to each individual.

Finding the right fit matters. You can explore each therapist’s areas of expertise, approaches, and experience to see who feels aligned with your needs. If you’re unsure, scheduling a consultation can help you ask questions and get a sense of whether it feels like a good match.
That’s completely okay. Therapy can help clarify what’s feeling difficult and what you’d like support with. You don’t need a clear plan before starting — figuring that out together is part of the process.
The first session is a chance to talk about what brought you to therapy, ask questions, and get a feel for how sessions might look moving forward. There’s no pressure to share everything at once. The focus is on creating a comfortable, supportive starting point.
We offer direct billing with select insurance providers. If direct billing isn’t available for your plan, you’ll receive a receipt that can be submitted to your insurer for reimbursement.