Dr. Alexandra Duffy, CA Psychologist, NC Psychologist

North Carolina · 15 years in practice

Dr. Alexandra Duffy draws on practical, evidence-informed methods to help people manage stress, anxiety, mood changes, and attention challenges.

License and registration

Psychologist, North Carolina: 3202 · expires October 2026
Psychologist, California: 20193 · expires October 2026
Psychologist, Massachusetts: PSY5000163 · expires June 2026
NPI: 1891856571 · national provider identifier
Years in practice: 15
Languages: English

Details are as listed on the therapist's public professional profile. You can check the license with the issuing state board, and the NPI with the national registry.

About Alexandra

Dr. Alexandra Duffy draws on practical, evidence-informed methods to help people manage stress, anxiety, mood changes, and attention challenges. She is a clinical psychologist with license details listed for California and North Carolina and brings 15 years of clinical experience to her work.

Dr. Duffy writes and talks plainly about coping strategies so parents and individuals can use them between sessions. Her approach blends Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Dialectical Behavior Therapy, mindfulness, and psychodynamic ideas.

Background and approach

That mix lets her match treatment to a person's goals - whether that means improving sleep, reducing panic, or working on body image and eating concerns. Sessions are collaborative and focused on concrete skills as well as understanding patterns that keep problems going. Dr.

Duffy has treated mood disorders such as depression and bipolar, anxiety and panic, ADHD, and addiction-related problems. She also addresses concerns tied to identity, intimacy, communication, and compassion fatigue. Parents may find guidance for parenting stress, sleep and eating routines, and academic or executive function struggles.

She has experience in inpatient and residential settings, university counseling roles, and independent practice settings. That background informs her practical focus on daily routines, media use, sleep habits, and activity that support emotional stability. Her training includes a Doctor of Clinical Psychology degree and postdoctoral study in clinical psychopharmacology.

Dr. Duffy works with people in North Carolina and accepts international clients through online formats. Sessions use a subscription model that can be canceled at any time and are offered by video calls, phone, live chat, or text messaging.

Focus areas and approaches

Everything Alexandra lists on their public professional profile, in their own terms.

Stress, Anxiety
Self esteem
Bipolar disorder
Depression
ADHD
Addictions
LGBT
Relationship issues
Family conflicts
Grief
Intimacy-related issues
Eating disorders
Sleeping disorders
Parenting issues
Career difficulties
Coping with life changes
Coaching
Compassion fatigue
Abandonment
Attachment issues
BDSM, kink, and alternative sex culture
Blended family issues
Body image
Co-morbidity
Codependency
Commitment issues
Communication problems
Coping with natural or human-caused disaster
Dependent personality
Divorce and separation
Eating and food-related issues
Emptiness
Family problems
First responder issues
Gender dysphoria
Guilt and shame
Impulsivity
Infidelity
Intellectual disability
Isolation / loneliness
Life purpose
Midlife crisis
Veteran and Armed Forces Issues
Mood disorders
Narcissism
Obsessions, compulsions, and OCD
Panic disorder and panic attacks
Paranoia
Personality disorders
Phobias
Polyamory / non-monogamous relationships
Post-traumatic stress
Seasonal Affective Disorder (SAD)
Social anxiety and phobia
Women's issues
Young adult issues

Approaches Alexandra names

Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.

Online support

Approaches that translate well to online care

Acceptance and Commitment Therapy (ACT) focuses on helping people notice thoughts and feelings without getting stuck in them, and then acting toward what matters most. It can be useful for anxiety, low mood, and life transitions. Cognitive Behavioral Therapy (CBT) breaks problems into thoughts, feelings, and behaviors and teaches practical skills to change patterns that maintain distress; CBT is often used for panic, depression, and sleep or eating problems. Dialectical Behavior Therapy (DBT) teaches emotion regulation, distress tolerance, and interpersonal skills that help with intense emotions and relationship stress.

Choosing the right approach is part of the work. The therapist will review your goals, past experience with therapy, and current needs to decide which methods to try. This is a collaborative process and adjustments are made as you see what helps.

Online sessions are offered by video call, phone, live chat, or text-based messaging to make therapy fit into busy lives. Video calls allow face-to-face conversation for skills practice and emotional work. Phone sessions can be a good shorter check-in or an option when bandwidth is limited. Live chat and text-based messaging make it easier to get brief support between longer sessions and to keep momentum on homework and planning.

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Questions people ask

What kinds of concerns does she address?

She helps people with stress, anxiety, depression, bipolar disorder, ADHD, addictions, body image and eating concerns, and relationship or intimacy-related issues.

What is her therapeutic style like?

Her style is warm, interactive, and collaborative. She combines skills training with exploration of patterns that keep problems going.

How much clinical experience does she have?

She has 15 years of experience working in inpatient/residential settings, university clinics, and independent practice.

Where is she licensed and located?

She holds psychologist credentials listed for California and North Carolina and practices with a focus on clients in North Carolina.

Are sessions offered in other languages or internationally?

Sessions are offered in English and international clients are accepted.

What session formats does she use?

She provides video calls, phone sessions, live chat, and text-based messaging to accommodate different needs and schedules.

How does cost and billing work?

Sessions use a subscription model that varies with location and therapist availability and the subscription can be canceled at any time.

How do I begin working with her?

Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.

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