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Dr. Alexandra Duffy

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

Therapist in North Carolina

Practical therapy for self-esteem and life stressors

Continue with Alexandra

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15 years of experience listed

CA Psychologist 20193, NC Psychologist 3202 professional credentials

English languages

  • Warm collaborative style
  • Focus on daily skills
  • Evidence informed methods

About Alexandra

Dr. Alexandra Duffy uses a blend of practical, evidence-informed approaches to help people strengthen self-esteem and manage stress. She is a clinical psychologist with licenses as a CA Psychologist 20193 and NC Psychologist 3202 and brings 15 years of experience to her work. She writes plainly, listens closely, and builds plans with each person’s daily life in mind.

Her sessions focus on skills that make day-to-day life easier. That can include strategies from cognitive behavioral therapy for unhelpful thinking, mindfulness practices to reduce reactivity, and tools from dialectical behavior therapy to manage strong emotions. She also draws on psychodynamic ideas to notice patterns that started earlier in life.

Dr. Duffy helps people facing anxiety, depression, bipolar symptoms, ADHD, addictions, and self-esteem struggles. She also supports those coping with grief, career stress, parenting strain, eating and sleep issues, and relationship or intimacy concerns. Additional interests include attachment and abandonment issues, body image, and working with people who take part in BDSM, kink, or alternative sex culture.

Her background includes a Doctor of Clinical Psychology degree (Psy.D) from George Washington University and a Postdoctoral Master of Science in Clinical Psychopharmacology from the California School of Professional Psychology. She completed a postdoctoral fellowship at Harvard University’s Bureau of Study Counsel and has worked in inpatient settings, university clinics, and independent practice.

In sessions she offers a warm, interactive, and collaborative style. She will map practical steps you can use between meetings, such as sleep and exercise habits, ways to manage media consumption, and focused strategies for attention and academic or work tasks. People often come for help with confidence, focus, and coping with life changes.

How therapy approaches translate to online care

Acceptance and Commitment Therapy (ACT) focuses on clarifying values and taking small, meaningful steps toward them while learning to live with difficult thoughts and feelings. It can help people who feel stuck, low in self-worth, or unsure about life changes. Cognitive Behavioral Therapy (CBT) teaches concrete techniques to change unhelpful thinking and behavior patterns, which is useful for anxiety, depression, and sleep or eating concerns. Dialectical Behavior Therapy (DBT) emphasizes emotion regulation, distress tolerance, and better communication skills to handle intense feelings and relationship stress.

Choosing the right approach is part of the work together. The therapist will talk with each person about goals, past experiences with counseling, and daily life constraints, and then recommend a mix of methods to try. That plan can be adjusted over time so the approach fits the person rather than the other way around.

Confirm the current session options before booking since formats are not listed here. Online sessions can make it easier to fit therapy into busy schedules, allow shorter check-ins when needed, and reduce commute time. They also let people practice new skills between meetings in real-life settings and bring actual daily challenges into discussion for practical problem-solving.

Areas of expertise

Primary focus

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

Credentials

North Carolina, California, Massachusetts

Languages

English

Frequently asked questions

What kinds of concerns does she help with?

She works with anxiety, depression, bipolar symptoms, ADHD, addictions, and self-esteem problems, along with grief, career stress, eating and sleep issues, and intimacy-related concerns.

What is her therapy style like?

Her approach is warm, interactive, and collaborative, using practical skills and discussion to help people apply tools between sessions.

How much clinical experience does she have?

She has 15 years of clinical experience across inpatient care, university settings, and independent practice.

What are her credentials and where is she based?

She is listed as CA Psychologist 20193 and NC Psychologist 3202 and practices from North Carolina.

Does she offer sessions in languages other than English?

Sessions are offered in English.

Can international clients work with her?

She accepts international clients.

How are session costs handled?

Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.

What do I do to begin sessions?

Click the continue button on this profile, complete a short matching questionnaire, and then schedule according to therapist availability.

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