Frequently asked questions about therapy with Alexa Buford, LCSW

How will I know if you are the right therapist for me?

The only way to know for sure is to come in for a session. Most people have a good sense of whether I am the right professional to help them within the first two sessions. 

Do you provide in-person or online counseling?

All counseling sessions are conducted via a secure and easy-to-use telehealth platform. Established clients can also hold some sessions by telephone, if needed. I am not providing any in-person counseling at this time.

Is online counseling right for me?

Although there are many advantages of online counseling (it’s convenient, effective, keeps us safe from infectious diseases such as COVID-19), it’s not right for everyone. Online counseling (teletherapy) works best for those with mild to moderate symptoms (not people who are suicidal or in crisis), are comfortable using technology, and have a quiet, private place to have their sessions.

Who do you work with?

I provide counseling for adolescents, teens, and adults who reside in Florida. My expertise is in anxiety and stress, codependency and people-pleasing, self-worth, life transitions, perfectionism, relational trauma and relationship issues, and eating disorders. I don’t provide counseling for children or couples.

What happens during the first session?

The initial session is the time for you to start to share your story, talk about your goals and what you would like to change. Another important aspect of the first session is deciding if we are a good fit. Do I seem like someone you can trust? We are establishing a relationship that will become the foundation for working together. You will begin to figure out some goals; I will begin to figure out how to help you get there.

How long do appointments last?

Appointments are 50 minutes. This is the standard length of a counseling session. If you are interested in a longer session (75 minutes) please contact me regarding availability and pricing.

How often will we meet?


To begin, we will meet once a week. I find it’s important to gain some momentum in the beginning by meeting weekly or progress can stall out. Once some or all of your goals are met, meeting less often will make sense.

How much do you charge?


I charge $125 per 50-minute session for self-paying clients. I offer lowered rates in some circumstances.

Do you accept insurance?


Yes, I accept Cigna, Aetna, United Healthcare, Oscar Health, and Oxford. I will be accepting BCBS soon.

What is your cancellation policy?


I require 24 hours notice of cancellation or you will need to pay for the appointment. An occasional exception may be made in the case of an emergency. It’s important that we meet consistently in order to make progress.

What theoretical approach do you use?

I pull from a variety of modalities including CBT, DBT, Internal Family Systems, Acceptance and Commitment Therapy, EMDR, and Experiential therapies. My practice is heavily informed by Relational Psychodynamic theory, Humanistic Psychology and Polyvagal theory.

Are there any issues or types of clients that you DON’T work with?


I only work children 12+. I do not conduct child custody evaluations nor do I  provide custody recommendations. I also don’t provide treatment for psychotic disorders (schizophrenia, schizoaffective disorder, etc).. Due to state licensing laws, I can only provide therapy and counseling to individuals residing in Florida.