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Alexandra Guzman

23 years experience

Pronouns

She/Her

Languages

English

Location

Virtual

About Me

Alexandra Guzman is a seasoned Licensed Marriage and Family Therapist (LMFT) with 20 years of experience, specializing in treating clients who suffer from depression and anxiety. Her unique approach integrates psychodynamic, psychoanalytic, and somatic experiencing methodologies, focusing on working from the body up. Alexandra is deeply committed to helping her clients understand and regulate their nervous systems, facilitating their ability to navigate life’s transitions and address traumatic experiences effectively and regain their life force energy.

Our First Conversation

Our first session is a conversation, not an intake form. I'll ask what brought you in, what you've already tried, and what you're hoping changes. We'll figure out together whether we're a fit; if I think someone else on the team would serve you better, I'll say so. From there, weekly 50-minute sessions are typical for the first few months. We'll check in periodically on what's working and recalibrate if something isn't. I send no homework you didn't agree to, and I don't grade you on between-session work — but I'll often suggest small experiments that move things forward faster than talk alone.

What You Can Count On From Me

The clients who've stayed longest tell me three things stand out. I track the throughline across sessions and bring it back into the room so a pattern you couldn't quite name becomes hard to miss. I push back when I think you're circling something rather than landing on it. And I treat fit as my problem to solve, not yours — if I think someone else on our team would serve you better, I'll say so before you've invested weeks finding out.

Who I’m Here For

My strongest fit is with adults in their 20s through 40s who look like they're handling life from the outside but feel persistently anxious, depleted, or disconnected underneath. That includes professionals running hot from burnout, partners working through the long aftermath of a rupture, and people processing grief or family-of-origin patterns showing up uninvited in adult relationships.


My Therapeutic Approach

I draw primarily on Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT). With CBT, I'm less interested in worksheets and more interested in helping you notice the thoughts that drive the loop you're stuck in — and then experimenting with what changes when you respond differently. ACT adds the piece CBT alone can miss: defining what actually matters to you, and using that as the anchor when life pulls in other directions. For clients carrying trauma, I'm trained in EMDR and integrate it when it fits, with full transparency about what we're doing and why.

Treatment Methods

Relational

An evidence-informed therapeutic approach used by our providers. Ask your therapist how they integrate this method into your work together.

Mindfulness-Based Therapy

Mindfulness-based approaches build present-moment awareness and a kinder relationship with your own thoughts. Often integrated with CBT or used as a standalone practice for anxiety and depression.

Person/Client-Centered Counseling

An evidence-informed therapeutic approach used by our providers. Ask your therapist how they integrate this method into your work together.

Psychodynamic Therapy

Psychodynamic work explores how past experiences and unconscious patterns shape your current life. Useful when you want to understand the deeper roots of recurring patterns.

Note: Each session is 60 minutes, whether it’s your first consult or an ongoing visit.

Insurance Accepted

Out of PocketKaiser Permanente

Don’t see your plan? Call 909-295-5805 — we can verify your benefits.

Age Preferences

Young Adults (18-30)Middle Adulthood (30-64)

Clinical Focus

ADHDAdjustment IssuesAnxietyBehavioral ProblemsCoping SkillsGrief and LossLearning DisabilitiesLife TransitionParentingPTSDRelationship IssuesTraumaWomen's Issues

Location

Sessions are offered via secure video. Available statewide across California.

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