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CA Psychologist 20193, NC Psychologist 3202

Dr. Alexandra Duffy, CA Psychologist 20193, NC Psychologist 3202

  • Experience15 years
  • LocationNorth Carolina
  • Focus areasADHD, Stress and Anxiety, and Self esteem
  • Therapy approachesAcceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT)
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About Alexandra

Dr. Alexandra Duffy brings an integrative, evidence-informed approach that blends cognitive, behavioral, and mindfulness-based tools with psychodynamic understanding.

Background and approach

With 15 years of clinical experience, she helps people address concerns such as stress, anxiety, depression, bipolar disorder, ADHD, addictions, and self-esteem by tailoring interventions to each individual’s needs and history. She emphasizes practical skills for attention regulation, emotion management, and lifestyle habits like sleep, exercise, and eating patterns to support overall functioning.

Her work also covers relationship and intimacy-related issues, grief, parenting and blended family challenges, body image and eating concerns, and a range of attachment and communication difficulties. Dr.

Duffy integrates Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, mindfulness therapy, and psychodynamic techniques to build coping strategies, reduce distress, and foster a clearer sense of priorities and values.

Licensed as a psychologist in California (CA Psychologist 20193) and North Carolina (NC Psychologist 3202), she accepts international clients and offers flexible session formats to fit varied schedules.

How evidence-based approaches translate to online care

Acceptance and Commitment Therapy (ACT) encourages identifying personal values and committing to action even when difficult thoughts or feelings are present; it is useful for people struggling with avoidance, motivation, or life transitions. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking patterns and building practical skills to change behaviors and reduce symptoms, often used for anxiety, depression, and attention-related challenges. Dialectical Behavior Therapy (DBT) teaches emotion regulation, distress tolerance and interpersonal effectiveness skills that help when intense emotions or relationship difficulties interfere with daily life.

Figuring out which approach fits best is a collaborative process. Dr. Duffy will work with clients to consider symptoms, goals and personal preferences, and may blend methods to match changing needs over time rather than relying on a single modality.

Online therapy offers flexibility through video calls, phone sessions, live chat, and text-based messaging, making it easier to access care from different locations and at varied times. These formats allow ongoing skill practice between sessions and make scheduling more manageable for people with busy or unpredictable routines.

Frequently asked questions

What types of concerns does she address?
She works with stress, anxiety, depression, bipolar disorder, ADHD, addictions, self-esteem and many related issues such as grief, parenting challenges, body image, and intimacy-related concerns.
What is her therapeutic approach and style?
Her style is warm, interactive and collaborative, combining psychodynamic insight with evidence-based methods like CBT, DBT, ACT and mindfulness to tailor treatment to each person.
How much clinical experience does she have?
She has 15 years of experience working across inpatient, residential, and academic settings as well as independent practice.
What credentials and location should I know about?
She is licensed as a psychologist in California (CA Psychologist 20193) and North Carolina (NC Psychologist 3202) and practices from North Carolina.
Can nonlocal or international clients work with her?
Yes, she accepts international clients and provides services across time zones when schedules align.
What session formats are offered?
Sessions are available by video calls, phone sessions, live chat, or text-based messaging to accommodate different preferences and schedules.
How are fees and subscriptions handled?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and schedule according to the therapist's availability.

Areas of expertise

Primary focus

Stress, AnxietySelf esteemBipolar disorderDepressionADHD

Also works with

AddictionsLGBTRelationship issuesFamily conflictsGriefIntimacy-related issuesEating disordersSleeping disordersParenting issuesCareer difficultiesCoping with life changesCoachingCompassion fatigue

Additional focus areas

AbandonmentAttachment issuesBDSM, kink, and alternative sex cultureBlended family issuesBody imageCo-morbidityCodependencyCommitment issuesCommunication problemsCoping with natural or human-caused disasterDependent personalityDivorce and separationEating and food-related issuesEmptinessFamily problemsFirst responder issuesGender dysphoriaGuilt and shameImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessLife purposeMidlife crisisVeteran and Armed Forces IssuesMood disordersNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPolyamory / non-monogamous relationshipsPost-traumatic stressSeasonal Affective Disorder (SAD)Social anxiety and phobiaWomen's issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Cognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyPsychodynamic Therapy

Experience

15+ years

Licensed

North Carolina, California, Massachusetts

Languages

English

What Alexandra can help with

Dr. Alexandra Duffy works with clients on stress and anxiety, self esteem, bipolar disorder, depression, and ADHD.

Alexandra works with depression, anxiety, panic disorder, and ADHD.

How Alexandra approaches therapy

Alexandra's clinical approaches include Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Mindfulness Therapy, and Psychodynamic Therapy.

Experience and training

Alexandra is a CA Psychologist 20193, NC Psychologist 3202 practicing in North Carolina, with 15 years of clinical experience.