Therapy isn’t just talking. It’s an act of resistance in how showing up for it means we want more for ourselves. To be able to think and behave in ways that enrich our lives, our communities, and our sense of purpose. Whatever you’re going through, you’re not going through it alone.

Let’s begin.

Not accepting new clients. Please check back in December 2026.

Hi, I’m Alej Perez-Kohl, MS, LMFT, a psychotherapist in Madison, WI.

  • Wisconsin License: 2315 - 124
    AAMFT Member: ID 246361, since 2022
    AAMFT Approved Supervisor Candidate 2025
    AAMFT Clinical Fellow     2025s here

  • Edgewood University - MS, Marriage and Family Therapy 2023
    Milwaukee Institute of Art and Design - BFA, Painting 2011

    AAMFT Approved Supervisor Training: 30 hours - 2025, AAMFT
    EMDR Training: 5-day Intensive - Trained 2024, EMDR Consulting, EMDRIA Approved
    Trauma Focused Cognitive Behavioral Therapy - Trained 2022-2023, UW-Green Bay
    Grief Support Specialist Certification - UW-Madison Continuing Studies, 2020

I’m also an interdisciplinary creative, committed observer, a Madisonian, the child of an immigrant, a multiracial and queer adult. My pronouns are they/them.

From community mental health (CMH) to private practice, I’ve worked in diverse settings supporting primarily culturally, racially, &/+ gender diverse clients in South Central Wisconsin.

My practice is founded on a goal to continue specific work wit seeking affirming care. From my time in CMH, my values and commitment to the community are unwavering: I vow to continue to keep my services accessible, accommodating, informed by relevant findings, and with cultural sensitivity and humility at the forefront.

In all of the roles that I inhabit, I am committed to the lifelong work of unlearning and undoing what I can that stems from patriarchy, White supremacy, and capitalism. I believe that my clients have a right to know my ethics and values, as those cannot be separated from our work. I invite prospective clients to ask questions that may enhance their comfort in attending services.

My practice focuses on providing care for individuals who have or are experiencing anxiety, depression, trauma, acute and chronic stress, systemic oppression, grief, loss, relational distress/conflict, and neurodivergence.

My approach to therapy honors your autonomy and safety. We’ll work together to establish a sense of security in the relationship and work collaboratively to determine your preferred ways to create change.

As a systemic therapist, I consider you among all of the systems you’re apart of. My therapeutic beliefs are rooted in feminism, restorative and non-disposability practices, harm reduction, and anti-punitive/anti-oppressive approaches.

My clients are interested in exploring possibilities for change in their worlds. While therapy cannot solve the external stressors that are ever present (e.g. political, racial, social, financial, environmental, and medical stress), it is my hope that our work helps us be better relational beings.

    • Trauma-informed

    • Narrative therapy

    • Collaborative therapy

    • Eye Movement Desensitization and Reprocessing (EMDR) therapy

    • Somatic and mindfulness tools, approaches, and practices

  • While I am available to work with. all who are interested in my approach and skills, my practice may best suit:

    • Individuals 16+ years of age

    • Multiracial / Multicultural

    • LGBQIA2S+

    • Multiply marginalized identities

    • Students & educators

    • Caregivers

    • Parents

    • Counselors / Therapists

    • Service industry workers

    • Creatives; artists, musicians, writers

    • Activists

I aim to create a space that is welcoming, anti-punitive/anti-oppressive, and affirming of all of the identities you arrive with.

I offer in-person and virtual psychotherapy services for Wisconsin residents. Sessions are 50 minutes unless we have agreed otherwise.Session are $150 per clinical hour (50 minutes). Sliding scale slots are currently full.

I offer individual therapy, assessment and letter writing for gender affirming care (completed collaboratively in 1 session, following WPATH Standards of Care), Eye Movement Desensitizing and Reprocessing (EMDR) (read about EMDR here and here), and Dane County Comprehensive Community Services (CCS): Psychotherapy and ISDE Services.

For more information about fees, insurances, and availability, please visit Forward Counseling and Consultation or reach out to their administrative intake coordinator at info@forward-counseling.com.

  • Forward Counseling & Consultation
    2000 Fordem Ave., Madison, WI 53704

    Mon-Wed: 1 p.m. to 5:30 p.m. in person or virtual
    Thursday: 1 p.m. - 5:30 p.m. virtual

  • Insurance & Payment

    INSURANCE ACCEPTED:

    • Quartz

    • Dean Health Plan

    • Group Health Cooperative

    • The Alliance

    • UMR

    • UHC / Optum

    • Medicare & Medicaid

    • GEHA

    Self-pay via credit / debit / HSA / FSA accepted.

If you are in need of crisis support, a list of non-carceral resources and phone numbers is available here.

Please note that clients are responsible for full payment at the time of service. Sessions cancelled in less than 24 hours notice or no-shows are subject to a fee of the total cost of the session.