About Alexandra
Dr. Alexandra Duffy is a clinical psychologist who brings 15 years of experience to therapy. She uses a warm, interactive, and collaborative style to help people manage anxiety, depression, ADHD, bipolar disorder, and stress.
Dr. Duffy explains things simply and focuses on practical steps people can use right away. Her approach mixes evidence-based methods with psychodynamic ideas.
That means sessions may include talking about past patterns alongside exercises to change thinking and behavior.
How Alexandra works
She often works on sleep, exercise, and eating habits because daily routines shape mood and attention. Dr. Duffy also helps with body image, eating concerns, intimacy-related issues, addictions, grief, and career or parenting strain.
Additional focus areas include attachment and abandonment, blended family challenges, codependency, commitment and communication problems, and issues related to kink and alternative sex culture. She offers support for people coping with life changes or compassion fatigue. She holds psychologist credentials in California and North Carolina and practices from North Carolina.
Sessions are offered in English and she accepts international clients. Dr. Duffy uses a variety of tools to match the work to each person’s needs and goals.
Many people find it useful when therapy includes concrete skills - like attention strategies for ADHD or mindfulness exercises for stress - alongside space to talk about deeper feelings. Dr. Duffy helps people build those skills and put them into daily life.
Alexandra lists 5 ways of working on the entry:
What Alexandra works with
The areas below are the ones Alexandra selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Self esteem
- Bipolar disorder
Also listed
- Abandonment
- Addictions
- ADHD
- Attachment issues
- BDSM, kink, and alternative sex culture
- Blended family issues
- Body image
- Career difficulties
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Divorce and separation
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family conflicts
- Family problems
- First responder issues
- Gender dysphoria
- Grief
- Guilt and shame
- Impulsivity
- Infidelity
- Intellectual disability
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Life purpose
- Midlife crisis
- Mood disorders
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Sleeping disorders
- Social anxiety and phobia
- Veteran and Armed Forces Issues
- Women's issues
- Young adult issues
Training and background
| Register | CA Psychologist, NC Psychologist |
|---|---|
| Years in practice | 15 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | North Carolina |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Approaches that fit remote care
Dr. Duffy commonly uses Acceptance and Commitment Therapy and Cognitive Behavioral Therapy in online work. Acceptance and Commitment Therapy (ACT) focuses on noticing thoughts and feelings without getting stuck in them and clarifying personal values to guide action; it helps with anxiety, depression, and life changes. Cognitive Behavioral Therapy (CBT) looks at patterns of thinking and behavior and teaches concrete skills to reduce worry, improve sleep, and change unhelpful habits.She treats the choice of approach as a collaborative process. The therapist will discuss goals, try techniques, and adjust based on what helps most. Clients and the therapist decide together which methods to emphasize, combining skills practice with time to talk about personal history when needed.
Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to increase flexibility. Video is useful for fuller conversation and nonverbal cues. Phone can be easier when internet bandwidth is limited or for shorter check-ins. Live chat or messaging can work for quick reflections, written exercises, or when regular check-ins fit a busy schedule.
Start online instead of waiting
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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