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Dr. Alexandra Duffy

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

Therapist · North Carolina · 15+ years of experience

Practical, skills-based therapy for midlife challenges

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  • Collaborative style
  • Focus on attention
  • Mindfulness and skills

About Alexandra

Dr. Alexandra Duffy is a clinical psychologist with fifteen years of experience helping people manage depression, anxiety, ADHD, and related concerns. She focuses on practical steps that reduce daily stress and improve attention, mood, and sleep. Her approach is collaborative and interactive, aimed at finding strategies that fit each person's life and goals.

She combines several therapy styles so sessions match what a person needs. Common tools include cognitive-behavioral techniques to change unhelpful thinking and behavior, mindfulness practices to reduce reactivity, and psychodynamic ideas to understand recurring patterns. Dialectical behavior therapy skills are used when emotion regulation and interpersonal effectiveness are priorities.

Dr. Duffy also supports people dealing with body image and eating concerns, addictions, relationship and intimacy-related issues, grief, parenting stresses, career changes, and compassion fatigue. She has experience addressing attachment and abandonment concerns, blended family dynamics, codependency, and the emotional strain of major life changes.

Her background includes a Doctor of Clinical Psychology (Psy.D) and a postdoctoral Master of Science in Clinical Psychopharmacology. She has worked in inpatient settings, private practice, and academic clinics, and brings that variety into a practical, down-to-earth therapy style.

Sessions emphasize building concrete skills for attention regulation, sleep and self-care, and managing media exposure during stressful times. People can expect a warm, problem-solving collaboration that adapts to their needs and prior counseling experience.

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

How core approaches guide online work

Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and choose actions that match their values. It is useful for people stuck in cycles of avoidance or who want clearer priorities. Cognitive Behavioral Therapy (CBT) looks at how thoughts and behaviors keep problems going and teaches concrete skills to change them, which can help with anxiety, depression, and sleep problems. Dialectical Behavior Therapy (DBT) offers skills for emotion regulation, distress tolerance, and clearer communication when feelings run high.

Finding the right approach is part of the therapy process. The therapist will work together with each person to try methods, see what helps, and adjust the plan based on goals and what feels practical. That collaborative stance means techniques can shift over time as needs change.

The biography does not list specific session formats, so confirm current online options before booking. Online therapy can make it easier to fit sessions into busy schedules, shorten commute time, and let people use moments between obligations for check-ins or skill practice. It can also allow work on attention, sleep habits, and media use in the context of daily life, so strategies translate directly into routines.

Frequently asked questions

What concerns does she help with?

She works with stress, anxiety, depression, ADHD, bipolar disorder, addictions, body image, eating and sleeping issues, grief, career strain, and related life changes.

What is her general therapy style?

Her style is warm, interactive, and collaborative, combining practical skills work with exploration of recurring patterns to solve immediate problems and longer term issues.

How much clinical experience does she have?

She has 15 years of clinical experience across inpatient care, private practice, and academic clinics, bringing varied settings into her work.

What are her professional credentials and location?

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

Which languages are offered for sessions?

Sessions are offered in English, and international clients are accepted.

What session formats are available?

The original biography does not list specific session formats, so confirm current session options before scheduling.

How does pricing work?

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

How do I begin working with her?

Select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Dr. Alexandra Duffy Online therapy options on BetterHelp

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