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Dr. Alexandra Duffy

Therapist profile

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

North Carolina

Psychologist - Anxiety and Codependency

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Where Alexandra stands

Credentials
CA Psychologist 20193, NC Psychologist 3202
License
Psychologist, North Carolina / 3202; Psychologist, California / 20193; Psychologist, Massachusetts / PSY5000163
NPI
1891856571
Experience
15 years
Languages
English
Location
North Carolina

About

  • ACT
  • CBT
  • Mindfulness

About Alexandra

Dr. Alexandra Duffy is a psychologist licensed in California and North Carolina with 15 years of clinical experience. She works with people coping with anxiety, depression, ADHD, bipolar disorder, addictions, relationship and intimacy concerns, and codependency-related issues. She also supports those dealing with sleep and eating problems, grief, career stress, and compassion fatigue.

Her practice emphasizes practical steps alongside reflective work. She uses cognitive behavioral techniques to change unhelpful thoughts and behaviors. She brings in mindfulness skills and acceptance-based exercises to manage strong emotions and reduce reactivity.

She also draws on psychodynamic ideas to help people recognize long-standing patterns such as abandonment, attachment struggles, and dependent tendencies. Sessions often include talk about how past relationships influence current choices and boundaries. She works with people who struggle with people-pleasing, trouble saying no, or losing themselves in relationships.

Dr. Duffy has experience in assessment as well. That includes evaluation related to ADHD and learning issues that affect organization, time management, and academic performance. She uses that background when coping with attention challenges or planning supports for work and school demands.

Her clinical background includes a Doctor of Clinical Psychology (Psy.D.) and postdoctoral study in clinical psychopharmacology. She has worked in inpatient and residential settings, university-based counseling services, and private practice. Those roles shape a practical, skills-focused approach to everyday problems.

How sessions work

How her approaches guide online sessions

Acceptance and Commitment Therapy (ACT) focuses on helping people notice difficult thoughts and feelings without getting stuck in them, and then choose actions that align with their values. It can help when people feel driven to please others or avoid conflict. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and behavior, and teaches concrete strategies to change patterns like worry, avoidance, or rumination. Dialectical Behavior Therapy (DBT) offers skills for emotion regulation, distress tolerance, and clearer communication, useful for strong mood swings or relationship reactivity.

Finding the right mix of these methods is part of the work. The therapist will collaborate with the client to identify goals and try approaches that fit those goals and personal preferences. That may mean practicing new skills between sessions and adjusting the plan based on what helps most.

Session formats are not listed in the biography, so confirm current options before booking. Online sessions can make it easier to fit therapy into a busy life by removing travel time, allowing shorter check-ins when needed, or letting people join from wherever they are without changing daily routines. Licensed professionals can still work through thoughts, practice coping skills, and set boundaries effectively in remote sessions, while keeping the focus on practical, usable tools that transfer to everyday situations.

Areas of focus

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

Listed in

North Carolina, California, Massachusetts

Languages

English

Questions

Frequently asked questions

What kinds of concerns does she help with?

She works with stress, anxiety, depression, bipolar disorder, ADHD, addictions, eating and sleeping issues, grief, relationship and intimacy concerns, and codependency-related patterns.

What is her approach in sessions?

She blends cognitive behavioral work, acceptance and commitment methods, mindfulness skills, DBT strategies, and psychodynamic thinking to address both symptoms and longer-term patterns.

How much clinical experience does she have?

She has practiced for 15 years in settings that include inpatient care, university counseling centers, and private practice.

What are her professional credentials and location?

She is listed as CA Psychologist 20193 and NC Psychologist 3202 and is based in North Carolina.

Can sessions be held in languages other than English?

Sessions are offered in English.

Does she work with international clients?

She does accept international clients.

How are sessions scheduled and what about session formats?

Confirm current session options before booking by checking the platform. The site asks you to complete a short matching questionnaire and then schedule your first session.

How is cost handled?

Fees vary with location and sessions use a subscription that can be canceled at any time.

Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.

Online talk therapy is not emergency care. If you are not safe at home, use the crisis and helpline numbers.

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Dr. Alexandra Duffy

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