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

Dr. Alexandra Duffy is a clinical psychologist who draws on Cognitive Behavioral Therapy to help people manage stress, anxiety, depression, ADHD, and related concerns. She brings 15 years of experience and a practical, down-to-earth approach that aims to make therapy useful in everyday life.

She focuses on clear strategies people can use between sessions, such as breaking tasks into smaller steps, improving sleep and routine, and practicing new ways of responding to difficult thoughts. Sessions are collaborative and tailored to each person's goals. Dr. Duffy also addresses body image, eating and sleeping problems, and mood conditions such as bipolar disorder.

Her training includes a Doctor of Clinical Psychology degree and a postdoctoral Master of Science in Clinical Psychopharmacology. She has worked in inpatient and residential settings, university counseling centers, and private practice, which informs both short-term strategies and longer-term therapy work.

Dr. Duffy integrates other approaches when helpful, including Acceptance and Commitment Therapy, Dialectical Behavior Therapy skills, mindfulness techniques, and psychodynamic ideas about patterns that repeat across relationships. She also helps people with attention and learning challenges by teaching time management, planning, and emotion regulation strategies.

People seeking practical tools often find value in her focus on routine, attention regulation, and coping skills. She has run workshops and groups on focus, public speaking, and self-esteem that translate directly into individual sessions. Her style aims to be warm, interactive, and focused on usable change.

How CBT, ACT and DBT skills work online

Dr. Duffy uses Cognitive Behavioral Therapy to help people notice unhelpful thoughts and try different behaviors. CBT sessions often include setting clear goals, practicing new skills, and reviewing homework between meetings to make progress on stress, anxiety, or mood concerns.

She also brings in Acceptance and Commitment Therapy techniques that focus on values and willing action, helping people make choices that matter even when feelings are uncomfortable. Dialectical Behavior Therapy skills are used when emotional regulation, distress tolerance, or interpersonal effectiveness are priorities; these are practical skill sets people can practice in daily life.

Finding the right mix of approaches is part of the work. Dr. Duffy collaborates with each person to decide which methods fit their goals and preferences, adjusting the plan as progress is made.

Online formats include video calls, phone sessions, live chat, and text-based messaging to provide flexibility. Video works well for skill teaching and face-to-face conversation, phone can be easier when bandwidth is limited, and chat or messaging can suit shorter check-ins or when someone prefers not to be on camera. These options make it easier to fit therapy around school, work, or caregiving responsibilities and to keep momentum between sessions.