Services offered
Video
Messaging
Alexandra C Ernst, LCSW
Stress, Anxiety
Grief
Self esteem, Motivation
Career difficulties
Coping with life changes
Video
Messaging
About me
Hello, I’m a Licensed Clinical Social Worker (LCSW) in Pennsylvania with over 30 years of experience helping individuals who feel anxious, overwhelmed, burned out, stuck, or uncertain during major life transitions. I support clients managing anxiety, chronic stress, overthinking, emotional overwhelm, grief, low self-esteem, burnout, and work- and relationship-related stress.
My approach is collaborative, evidence-based, and tailored to each client’s specific needs—not a one-size-fits-all model. Therapy focuses on emotional regulation, anxiety management, communication skills, boundary-setting, reducing control-based stress patterns, and building self-acceptance, confidence, and personal agency.
I frequently work with clients navigating social anxiety, workplace stress, career challenges, caregiver stress, family dynamics, midlife transitions, identity shifts, and questions related to purpose or direction. With extensive experience supporting diverse populations, I am particularly attuned to the needs of middle-aged and older adults, LGBTQ+ individuals, and those experiencing complex life and relationship transitions.
I offer affirming, non-religious counseling in a supportive, non-judgmental space where you can feel heard, respected, and empowered to develop meaningful coping strategies and move toward sustainable, positive change—at a pace that feels right for you.
Professional experience
30 yrs in practice
Stress, Anxiety
Grief
Self esteem, Motivation
Career difficulties
Coping with life changes
Additional areas of focus: LGBT, Relationship issues, Family conflicts, Parenting issues, Coaching, Compassion fatigue, ADHD, Aging and geriatric issues, Cancer, Caregiver issues and stress, Commitment issues, Communication problems, Control issues, Coping with natural or human-caused disaster, Divorce and separation, Emptiness, Family problems, First responder issues, Hospice and end-of-life counseling, Infidelity, Life purpose, Midlife crisis, Money and financial issues, Panic disorder and panic attacks, Self-love, Social anxiety and phobia, Women's issues, Workplace issues
Clinical approaches: Client-Centered Therapy, Mindfulness Therapy, Motivational Interviewing, Solution-Focused Therapy
License information
PA LCSW CW025361
Reviews
These quotes represent just a few of the many positive reviews that we have received for Alexandra C Ernst. We don't pay anyone to provide their review and they are all made voluntarily. Some people's experience receiving therapy with BetterHelp might be different.
I have tried therapy a dozen times throughout my life. Although, I have been matched with some therapists who were not a fit and some that were an okay fit, Alex is the first therapist who I have felt fully confident and comfortable with. One of the best things about Alex is how she is able to challenge my way of thinking, in a respectful and empathetic manner. I am so grateful to have been matched with Alex!
Written on Dec 05, 2025 after therapy with Alexandra C for 3 weeks on issues concerning stress, anxiety, trauma and abuse, coping with life changes, and adhd
Alex has been such a beacon of light on my journey! She is amazing and consciously listens, which is so appreciated!!
Written on Sep 08, 2025 after therapy with Alexandra C for 3 weeks on issues concerning lgbt, and relationship issues
Only had one session,but so far feel very comfortable with Alexandra
Written on Sep 05, 2025 after therapy with Alexandra C for 2 weeks on issues concerning depression, stress, anxiety, grief, and coping with life changes