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Dr. Alexandra Karydi is a Licensed Marriage and Family Therapist and behavioral-health executive based in New York City. She works with adults, couples, and professionals navigating trauma, grief, identity development, and major life transitions. Many of her clients are caregivers, clinicians, or leaders who excel in their work but struggle to find balance, connection, and peace in their personal lives.
Alexandra’s clinical work integrates attachment-based, trauma-informed, and dialectical behavior therapy (DBT) approaches. Grounded in compassion and science, she helps clients identify long-standing patterns, regulate emotions, and rebuild trust in themselves and others. Her style is collaborative, direct, and deeply attuned to the influence of early experiences, relationships, and culture on current challenges.
In addition to her private practice, Dr. Karydi directs national suicide-prevention and mental-health initiatives funded by the U.S. Department of Health and Human Services and the Department of Veterans Affairs. With two doctorates—in Marriage and Family Therapy and Clinical Sexology—she brings advanced training in trauma, grief, and LGBTQIA2S+ well-being to her clinical and consultation work.
Dr. Karydi provides secure online therapy exclusively via telehealth for clients located in New York, Virginia, and South Carolina.
Years of Experience: 17 years
Adolescent mental health - Working with adolescents, teenagers, and parents on social, academic, and/or emotional challenges throughout teenage years; addressing anxiety, family conflicts, peer relationships, school stress, transition to college, social media pressures, self-esteem, hopelessness about the future, emotional disregulation
Alcohol use disorder & addiction - Tolerating emotional discomfort; reducing or eliminating reliance on alcohol; development of new coping mechanisms for stress and suffering.
Anxiety - Coping with excessive worry, nervousness, or stress; intense discomfort in social settings (social anxiety); sudden and intense feelings of panic (panic disorder)
LGBTQIA, gender, & sexuality topics - Exploring topics of sexuality, gender, and identity; coping with discrimination and oppression; navigating relationship, family, and cultural challenges
Loss, grief, and bereavement - Emotionally preparing for the anticipated passing of a loved one; managing feelings and reactions to a death or loss of significance; support during the process of healing and acceptance
Trauma - Coping and healing after threatening or scary events, such as witnessing accidents or experiencing sexual, verbal, emotional, or physical abuse
Alexandra Karydi is not in-network with any insurances.
Read about the benefits of seeing an out-of-network provider here.
This provider can support you in getting reimbursement from your insurance company if you are seeking out-of-network reimbursement. Here are the out-of-network billing options they provide:
Frequency of sessions this provider offers to see clients once you are an established client.
I offer 55-minute individual therapy sessions at a rate of $235–$250.
Payment is due at the time of service and can be made by credit card, HSA/FSA card, or electronic payment through your client portal.
I am considered an out-of-network provider, which means I do not bill insurance directly. However, I can provide a superbill that you can submit to your insurance company for possible reimbursement, depending on your plan.
A limited number of sliding scale appointments are available for clients with financial need. Please reach out to discuss current availability.
The practice will call you for a free 10 minute phone call to discuss your needs and ensure a match!
This provider has no upcoming call times available.