Octave
Alexandra Spigelman avatar
LMFTshe/her

Alexandra Spigelman

VirtualHigh Satisfaction Rate

7 years of experience

Verified by Octave

Licensed

In California

In-Network

Accepting 8 Insurance providers

Meet Alexandra

In therapy, my focus is on helping you understand what’s been keeping you stuck and providing tools to move forward with clarity and confidence. I work with adults healing from difficult or narcissistic relationships, rebuilding self-worth, and creating empowering boundaries. Sessions are collaborative and practical, offering space to process and strategies you can use right away. My goal is for therapy to feel like a supportive reset—a place to untangle stress, reconnect with yourself, and build relationships and a life that feel lighter and healthier.

My goal is for therapy to feel like a supportive reset—a place to untangle stress, reconnect with yourself, and build relationships and a life that feel lighter and healthier.

Communication Style

  • Authentic
  • Direct
  • Engaging
  • Open-minded
  • Warm

Specialties & Approaches

Specialties

Focus Areas

  • Students

Approach

  • Interpersonal Psychotherapy
  • Motivational Interviewing
  • Psychodynamic
  • Relational
  • Solution-Focused
  • Strengths-Based

Licensed In

Locations

Virtual appointments available for California residents

Good to know

Session Details

Practices in

Languages

Additional

Interests

My interests outside of work include fitness, watching the Dodgers, Kings, and Detroit Lions, traveling, and baking.

Credentials & Verification

Verified by Octave

License number

#114595 • California • LMFT

Education

MA - Clinical Psychology, Antioch University

Alexandra Spigelman, Licensed Marriage and Family Therapist License #114595 (exp July 2027)

Calculate Cost & Insurance

$28

/ session on average with insurance

What insurance do you have?

Frequently asked questions

Alexandra Spigelman accepts Aetna, Centivo, Health Net, Prime Health, Anthem Blue Cross of CA, Out-of-State BlueCard PPO, Blue Shield of California, and Cigna Healthcare/Evernorth. Octave clients pay an average of $28 per session through insurance, and more than 95% pay less than $45 per session. Your exact cost depends on your plan’s copay or deductible. You can use the cost estimator to see what you would pay before your first session. If you would rather pay out of pocket, self-pay sessions in California are estimated at $205-250 per session.

Alexandra Spigelman is a Licensed Marriage and Family Therapist (LMFT). Alexandra is licensed to practice in California, so clients located in California can book sessions. Alexandra’s California license number is 114595, and you can look it up through the state licensing board. Octave verifies every therapist’s license before they begin seeing clients, and licenses are kept current as a condition of practicing with Octave.

Alexandra Spigelman has been practicing therapy for 7 years. Alexandra’s education and training include MA - Clinical Psychology, Antioch University. Over that time, Alexandra has worked closely with Students.

Alexandra Spigelman works with Students and specializes in Anxiety, Burnout, Cultural Issues/Racial Stress, Depression, Divorce, Family Conflict, IPV/DV, Life Transitions, Men's Issues, Relationship Concerns, Stress, Trauma, and Women's Issues. These are the areas where Alexandra spends most of their clinical time. If the concern you want help with isn’t listed here, a Care Navigator can tell you whether Alexandra is a good fit or match you with another Octave therapist who specializes in it.

Alexandra Spigelman draws on Interpersonal Psychotherapy, Motivational Interviewing, Psychodynamic, Relational, Solution-Focused, and Strengths-Based. In sessions, Alexandra’s style is authentic, direct, engaging, open-minded, and warm. In Alexandra’s words: “My goal is for therapy to feel like a supportive reset—a place to untangle stress, reconnect with yourself, and build relationships and a life that feel lighter and healthier.”

Alexandra Spigelman (she/her) offers therapy in English.

Alexandra Spigelman offers online sessions over secure video, so you can meet from home or any private space. Alexandra is licensed in California, and you need to be located in that state at the time of each session. All you need is a device with a camera and a stable internet connection.

Your first session with Alexandra Spigelman is a chance to talk through what brought you to therapy and what you want to work on. Alexandra will ask about your background, your current concerns, and your goals, and together you will start shaping a plan for your sessions. It is also a chance to see whether Alexandra’s style feels like a good fit for you. After their first session, 9 in 10 Octave clients say their therapy experience has been good or better.

Learn how ratings and reviews work

Octave regularly asks clients to select a rating based on their experience about their provider about their therapy sessions. Providers are prohibited from soliciting reviews from their clients.

Only clients who have completed a session with this provider can leave a rating for them.

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Most new clients have their first session within a week. You can change therapists at any time, at no cost.

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