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AD Portrait of Dr. Alexandra Duffy

Dr. Alexandra Duffy

Calm-focused CBT and integrative therapy

CA Psychologist 20193, NC Psychologist 3202 North Carolina

Experience
15 years in practice
Focus areas
Stress, Anxiety, Self esteem, Bipolar
Approaches
Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages
English
Continue with Alexandra

About Alexandra

Dr. Alexandra Duffy brings a Cognitive Behavioral Therapy-informed approach to her clinical work, blending evidence-based strategies with relational and psychodynamic understanding to address mood, attention, and life transitions.

Background and approach

Her practice emphasizes practical skills for coping with anxiety, depression, bipolar symptoms, ADHD-related challenges, and concerns about eating, body image, sleep, and addiction, while also attending to intimacy, identity, and relationship struggles. With 15 years of experience, Dr.

Duffy adapts interventions to each person’s needs, combining CBT techniques with Acceptance and Commitment Therapy, Dialectical Behavior Therapy, mindfulness practices, and psychodynamic reflection. She helps clients develop concrete tools for emotion regulation, attention and executive functioning, and healthier habits around sleep, exercise, and media use to support overall functioning.

Licensed as CA Psychologist 20193 and NC Psychologist 3202, she works from North Carolina and accepts international clients in English. Her background includes inpatient and residential settings, university staff psychologist roles, and independent practice, and she aims for a warm, collaborative style that aligns treatment plans with clients’ goals and past therapy experiences.

Evidence-Based Approaches and Online Care

Dr. Duffy commonly draws on Cognitive Behavioral Therapy and Acceptance and Commitment Therapy to guide online work. CBT focuses on identifying unhelpful thoughts and building practical skills for managing anxiety, mood, and attention challenges, while ACT emphasizes values-based action and learning to accept difficult feelings rather than getting stuck avoiding them. She also incorporates Dialectical Behavior Therapy strategies for emotion regulation and interpersonal effectiveness when those skills are needed.

Choosing the right approach is a collaborative process. She partners with clients to assess goals, preferences and presenting concerns and then tailors techniques from CBT, ACT, DBT or psychodynamic ideas to fit each person’s needs, adjusting as progress and challenges emerge.

Online therapy through video calls, phone sessions, live chat or text-based messaging offers flexibility for different schedules and communication styles. These options make it easier to maintain continuity of care during life transitions, manage busy routines, and access therapy while living outside North Carolina or internationally, all while allowing the therapist and client to practice skills in real-life contexts.

Frequently asked questions

What concerns does Dr. Duffy commonly address?
Her work covers stress, anxiety, depression, bipolar disorder, ADHD, addictions, eating and sleeping issues, self-esteem and intimacy-related problems, as well as grief, parenting and career transitions.
How would you describe her therapeutic style and approach?
She uses a blend of evidence-based methods and psychodynamic insight, including Cognitive Behavioral Therapy, ACT, DBT and mindfulness, delivered in a warm, interactive and collaborative manner.
What is her professional background and experience?
She has 15 years of clinical experience across inpatient and residential treatment, university staff roles, and independent practice, and has taught workshops and led groups on focus, public speaking, and self-esteem.
Where is she licensed and based?
She is licensed as CA Psychologist 20193 and NC Psychologist 3202 and practices from North Carolina.
Does she work with clients who live outside the United States?
Yes, she accepts international clients and conducts sessions in English.
What formats are available for sessions?
Sessions are offered via video calls, phone sessions, live chat, or text-based messaging to fit different scheduling and communication preferences.
How are fees and scheduling handled?
Cost varies with location and therapist availability; sessions are provided through a subscription that can be canceled at any time.
What are the first steps to begin working with her?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule according to her 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