About Alexandra
Alexandra Tuck uses practical, goal-focused therapy to help people facing stress and anxiety. She is a licensed clinical social worker, LCSW, with 11 years of experience and practices in North Carolina. Her approach is straightforward and respectful.
She works to make sessions feel safe and useful from the first visit. She helps people dealing with depression, trauma and abuse, and struggles with self-esteem. Relationship and intimacy-related issues are part of her focus, along with grief and parenting concerns.
How Alexandra works
She also supports people navigating career questions, ADHD, and major life changes. Alexandra adapts her work to each person's needs. She uses techniques from cognitive behavioral therapy and solution-focused methods to set clear, manageable goals.
For trauma-related concerns she incorporates EMDR where appropriate. She also draws on motivational interviewing to help people find and keep momentum toward change. Sessions usually include straightforward talk, small skills to practice between visits, and steps that move problems toward resolution.
She emphasizes respect, sensitivity, and compassion in every conversation. Her plan is practical: identify what matters most, pick a few concrete changes, and track progress over time. People who come to Alexandra often want tools they can use day to day.
She helps build those tools while honoring each person’s values and pace. The focus is on steady progress rather than quick fixes.
Alexandra lists 4 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
- Relationship issues
- Trauma and abuse
Also listed
- Abandonment
- ADHD
- Adoption and foster care
- Attachment issues
- Autism and Asperger Syndrome
- Body image
- Career difficulties
- Caregiver issues and stress
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Divorce and separation
- Domestic violence
- Eating and food-related issues
- Family conflicts
- Family problems
- First responder issues
- Forgiveness
- Grief
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Life purpose
- Money and financial issues
- Mood disorders
- Narcissism
- Panic disorder and panic attacks
- Parenting issues
- Post-traumatic stress
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Social anxiety and phobia
- Women's issues
- Workplace issues
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 11 |
| 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
Using practical approaches online to address stress and trauma
Alexandra commonly uses cognitive behavioral therapy and EMDR to help people make tangible changes. Cognitive behavioral therapy focuses on identifying unhelpful thoughts and testing new behaviors to reduce symptoms like anxiety and depression. EMDR is a trauma-focused method that works through distressing memories and the emotions tied to them to reduce their intensity.Choosing the right approach is part of the work. Alexandra will talk with each person about goals, symptoms, and preferences, then recommend a path forward. She treats this as a collaborative process and adjusts methods over time based on what helps most.
Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to increase flexibility. Video calls allow face-to-face conversation and visual cues, phone sessions can fit into a short break or require less bandwidth, and chat or messaging can work for quick check-ins or ongoing support between longer sessions. These options make it easier to fit therapy into a busy life while keeping the focus on practical progress and consistent follow-through.
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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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