About Me

Decorative border with a light green background and an outline of leaf patterns.
Line drawing of three open books, with one at the bottom, one in the middle, and one at the top, on a black background.

There’s a chance you felt prepared for the transition into motherhood.

You read all the books, followed the accounts, and tried to do pregnancy and parenting “right.” But you still feel anxious, overstimulated, and never quite at ease in your own skin.

I see you. Because, same.

Trying to check every box while secretly wondering if everyone else got a manual I didn’t.

Some Context

If you’re like me, understanding context can totally change your experience with something. So let me offer you some.

Multiple dark brown sticks or rods arranged in a loose pattern on a light background.
A beige textured background with a jagged edge, resembling a rough circular shape.
Sara Alexander, therapist in North Carolina, sitting in the Otherwise counseling office
Illustration of a beige leafy branch with multiple elongated leaves on a black background.
A beige, stylized illustration of a leafy branch on a black background.
Close-up of a tan, textured surface, possibly the underside of a round object.

Here’s Why I Do This Work

I became a therapist to create the space I desperately needed when I was pregnant and postpartum. A space where I didn’t have to mask or minimize my experience so it would be more palatable.

My own pregnancies cracked me open. I was hit with a level of anxiety and sensory overwhelm I didn’t expect. I spent so much energy trying to hide how hard it all was, trying to hold it together on the outside while feeling like I was unraveling inside.

Before I first reached out to my therapist, after trying to cope alone for too long, I had no language for what I was experiencing. All I knew was that I felt like every nerve in my body was frayed beyond repair, while I simultaneously didn’t have enough energy to sit upright for more than 10 minutes. I didn’t know why I felt this way, but I knew I needed help.

Autistic perinatal therapist in North Carolina, sitting in virtual therapy office

I also know now how powerful it can be to find someone who gets it. Who won’t pathologize your brain, who sees your sensitivity as a strength, and who can help you create a version of motherhood that actually works for you.

Line drawing of a moth with detailed wing patterns and antennae, on a black background.

My Approach to Therapy

Parenting and pregnancy can feel so lonely and disorienting, especially if your brain works differently. No one should have to go through that without support.

  • Untangle what’s anxiety, what’s sensory overload, and what’s just life.

  • Practice noticing what is happening in your body and learn ways to calm your system that don’t involve masking, pretending you’re fine, or checking out.

  • Build trust in your instincts and confidence in parenting your way.

  • Grow self-compassion so you can meet yourself with kindness, even on the messy days.

Line drawing of a moth with detailed wings, body, antennae, and forest elements on its thorax
Line drawing of a moth with detailed wing patterns and antennae on a black background.

Therapy with me isn’t about “fixing” you. It’s about helping your nervous system feel safe, learning to work with your brain and body instead of against them, and building a life that feels less like survival mode and more like something you can actually enjoy.

My sessions are collaborative, warm, and practical. Together we’ll:

Line drawing of a moth with detailed wings and antennae on a black background.
Learn more about what I can help with

Master of Social Work (MSW) University of Kentucky

Bachelor of Fine Art (BFA) University of North Carolina Asheville

Education

Advanced Perinatal Mental Health Training (Postpartum Support International)

Training in ACT, ERP, DBT-informed, and Polyvagal Theory-informed approaches

Neurodiversity-Affirming practice approaches

Training

Licensed Clinical Social Work Associate (LCSWA)

North Carolina

#P022285

License

A patterned wooden surface with a horizontal strip of woven material at the top.
Illustration of a tree branch with leaves on a black background.

A bit more context

Why “Otherwise Counseling”

I chose this name because it speaks to the other paths we can take.

The ones that don’t follow a prescribed script.

Otherwise also means wise-in-another-way, which is one of the ways I view neurodivergence; a different kind of wisdom.

For many of the women I work with, life has been full of messages about how they’re supposed to think, feel, or parent.

Otherwise Counseling is my way of saying there isn’t one right way. There’s always another way. A way that fits you.

Line drawing of a tree branch with multiple smaller branches and leaves on a black background.

Otherwise is a quiet kind of resistance. It’s a reminder that you don’t have to force yourself into the narrow version of motherhood our culture sells.

You can step outside of that, write your own story, and still be a good parent.

And it’s a word of hope. No matter how anxious, burned out, or overstimulated you feel, it doesn’t have to stay this way. Things can be otherwise.

Outline drawing of a plant branch with leaves on a black background.

What’s that? More context? You got it.

(If you’re still reading, you are probably my people)

The moth in my logo represents transformation and quiet resilience. Moths find light in the dark, even when the path isn’t clear; a perfect symbol for what we do in therapy. This is a space where your sensitivity, intensity, and need for something different aren’t just accepted, but honored. I like to think of the moth as a representation of neurodivergence in a neurotypical world of butterflies.

But of course, one type of moth wasn’t quite specific enough. Instead, I chose a blend of three moths: the Luna, the Atlas, and the White Ermine. Each one represents something I want this practice to embody.

Illustration of a moth with brown, beige, and cream-colored patterned wings and feathered antennae against a black background.
A large circular object with a textured, beige surface, possibly a close-up of a planet, moon, or a textured sphere.

The Luna moth symbolizes transformation and renewal. A reminder that even the most overwhelming seasons can be part of becoming

The Atlas moth, one of the largest in the world, represents strength, the courage to take up space, and the power of claiming your needs. It speaks to the expansive identity shifts in motherhood and self-discovery.

The White Ermine moth is a symbol of quiet resilience and protection. Surviving, adapting, and persisting even when the environment isn’t gentle.

Together, they create a symbol of what I hope therapy offers; the chance to transform, to take up space, and to trust your own quiet strength.

Line drawing of a tree branch with leaves against a black background.

“Let me keep my distance, always, from those who think they have the answers. Let me keep company always with those who say “Look!” and laugh in astonishment, and bow their heads.”

- Mary Oliver