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Telehealth & Behavioral Health

Alexandra Milspaw PHD, M.ED., LPC, CST

Dr. Milspaw is a Certified 4-D Wheel Practitioner within the 4-D Network. The 4-D Wheel is a four-dimensional approach to understanding, exploring, and discovering all aspects of our human experience. This method is specifically helpful when addressing not only the effect of chronic pain and trauma on our lives, but also highlights the need for a comprehensive, interdisciplinary treatment approach.   She seeks to utilize evidence-based research to highlight the connection between mental, emotional, physical, and spiritual experiences as a way of empowering clinicians and clients alike to trust the healing potential within everyone. She joined the behavioral health team at Pelvic Rehabilitation Medicine in 2021. 

Get To Know Your Doctor

Dr. Alexandra T. Milspaw is a licensed professional counselor in the Commonwealth of Pennsylvania and an AASECT-Certified Sex Therapist who has been practicing counseling, as well as providing educational seminars and training sessions, since 2007. Dr. Milspaw is a Board-Certified Hypnotist and is also certified in Mindfulness-Based Stress Reduction and Neuro-Linguistic Programming. 

Dr. Milspaw is a Certified 4-D Wheel Practitioner within the 4-D Network www.4-dnetwork.com. The 4-D Wheel is a four-dimensional approach to understanding, exploring, and discovering all aspects of our human experience. This method is specifically helpful when addressing not only the effect of chronic pain and trauma on our lives, but also highlights the need for a comprehensive, interdisciplinary treatment approach.   She seeks to utilize evidence-based research to highlight the connection between mental, emotional, physical, and spiritual experiences as a way of empowering clinicians and clients alike to trust the healing potential within everyone. She joined the behavioral health team at Pelvic Rehabilitation Medicine in 2021. 

Dr. Milspaw earned her Master’s and Doctoral degree in Human Sexuality from Widener University and a Master’s degree in Counseling Psychology and Human Services from Lehigh University. She is also certified in Mindfulness-Based Stress Reduction, Neuro-Linguistic Programming, Consulting Hypnosis, and the Explain Pain educational program from the Neuro-Orthopedic Institute of Australia.

An active advocate for pelvic pain-related issues, Dr. Milspaw has been a member of the International Pelvic Pain Society since 2009. A strong believer in holistic, comprehensive healing, Dr. Milspaw is passionate about bridging the gap between the psychological and medical worlds.

As a member of the International Pelvic Pain Society, Dr. Milspaw serves on the Executive Board and provides international trainings on chronic pelvic pain and trauma since 2011. She has recently published a book titled “Hello Down There: A Guide to Healing Chronic and Sexual Pain,” and wrote her dissertation on the histories of females with pelvic and sexual pain.

She has been in this field since the beginning of her career, and she knows it well. Dr. Milspaw has attended more medical conferences than psych conferences, so she is well-versed in the intradisciplinary approach to chronic pain.

I start by hearing their story, then move into psychoeducation around pain science and the effect of stress and trauma on the nervous and immune system. I explain the interventions and how and why those interventions work, so they understand why I am suggesting specific things. I train them in various exercises that heal the brain and retrain the vagus nerve, how to support their immune system, and heal the gut to heal the brain. Once they feel confident, we go deeper into more mindfulness practices, and self-hypnosis. My goal is to increase their skill of interoception which is the ability to be aware of mental physical and emotional sensations without fear, as the observer.

I love teaching the workshops and I love the 1:1 connection and guidance. I love seeing the lightbulb go on in my clients when they realize how it’s all connected and how easy and effective these exercises can be. One of my favorite things to do is help women become pregnant that have had a history of fertility issues due to sexual pain, endometriosis, or a myriad of other variables. I feel so honored to be part of such a unique, special, personal experience! I love helping those who have been inundated with pain and struggle in their life. So often humans internalize their experience, which can lead to a sense of powerlessness and despair. I love being able to guide them towards discovering their path to recovery and healing…because there’s always a path.

To me, it means that PRM encourages and supports simultaneous interdisciplinary (seeing multiple providers) and intradisciplinary (seeing multiple providers actively communicating together) care. Our research verifies that a simultaneous intradisciplinary approach is what is necessary to get people better – long lasting and sustainably.

Throughout my entire career, I have worked with women with endometriosis, and I know many people and love many people suffering with endo. Western medicine says we don’t have a cure, but there is eastern medicine that is catching up (for example, with auto immune diseases). I tell people not to believe it (that they can’t cure it), that’s not true, and as with any disease, it takes commitment and discipline and work to heal, but it’s possible.

Counseling at PRM is more than just talking about your pain, stress, and history. We focus on education, so you’re equipped with the knowledge and tools you need to last a lifetime. We focus on an interdisciplinary approach to healing your brain, gut, nervous system, and everything connected to it. We teach specific brain exercises that heal and restore your brain’s hardware to its natural, healthy state of functioning. This healing allows your brain to “click save” with the software changes you gain through Mindfulness-Based Cognitive Therapy. It is my hope you will learn, experience, and realize the life that can be here for you.

MARYANNE A.

The meditations, techniques, references and information presented by Dr. Milspaw in the CBT class are invaluable. I have gained a better understanding of the brain/pelvic floor connection as well as the tools to take my recovery to a level I never thought possible after 26 years.

Sandra Y.

I have learned so much from the course and the kind and caring manner in which Dr. Milspaw presented the material. Her voice is so calming during the instruction videos. Highly recommend this class to anyone.

Anonymous

I have greatly enjoyed Dr. Milspaw’s course over the past 5 weeks and have learned so much from it, I wanted to thank Dr. Milspaw for her incredible help and am so grateful to have found her and this course. Wanted to again say thank you so much, Dr. Milspaw for really enlightening me on the science of pain perception and the mind-body connection, which has helped me greatly in my recent struggle with chronic pelvic/genital pain.

Patient Testimonials

Explore patient testimonials to learn more about Dr. Alexandra Milspaw and her outstanding care at Pelvic Rehabilitation Medicine.

Access to Care for Pelvic Pain Patients

We Provide In Network & Out of Network Options for Patients

At Pelvic Rehabilitation Medicine, we are on a mission to provide access to care to every patient. We believe the cost of comprehensive care should not be a burden for patients seeking diagnosis and treatment that ensures a full and complete, pain-free life. Learn more about our insurance coverage.