- ACT and CBT
- DBT and mindfulness
- ADHD and learning
About Alexandra
Dr. Alexandra Duffy is a psychologist licensed in California and North Carolina with 15 years of experience. She works with adults facing stress, anxiety, depression, ADHD, bipolar concerns, addictions, relationship and intimacy difficulties, grief, and self-esteem problems. She also addresses issues linked to family roles, parenting strain, career stress, and compassion fatigue.
Her approach mixes practical strategies with deeper exploration of patterns. She uses Cognitive Behavioral Therapy to identify unhelpful thoughts and try different behaviors. Acceptance and Commitment Therapy helps people notice what matters and take steps that fit their values. Dialectical Behavior Therapy and mindfulness practices are used for emotion regulation and building steadier routines.
She has clinical experience across inpatient and outpatient settings and in university roles. That background informs work with attention and learning challenges, including ADHD and academic functioning. She can assist with documentation needs related to learning differences when appropriate.
Sessions include discussion of daily habits that shape mood, like sleep, exercise, and media use. She pays attention to how past attachment and abandonment experiences influence current relationships. Topics such as body image, eating concerns, kink and alternative sexual cultures, and blended family challenges are also part of her practice.
People can expect an interactive, collaborative process where practical skill-building and reflective work are combined. Dr. Duffy also offers guidance for performers and creative professionals on managing anxiety, rejection, and performance stress. To begin, follow the site’s matching and scheduling steps to set up a first appointment.
How her approaches translate to online work
Acceptance and Commitment Therapy (ACT) is about noticing painful thoughts and feelings, clarifying what matters, and taking values-driven steps. It can help with guilt that keeps someone stuck by shifting focus to meaningful action. Cognitive Behavioral Therapy (CBT) looks at the link between thoughts, feelings, and behaviors and offers practical experiments to test unhelpful beliefs; this can be useful for shame-based self-criticism. Dialectical Behavior Therapy (DBT) includes skills for regulating strong emotions, tolerating distress, and improving interpersonal effectiveness. These skills are often used when shame or guilt lead to impulsive coping or intense mood swings. Dr. Duffy discusses and adapts these methods collaboratively, so the approach fits each person’s goals and preferences. Finding the right mix of methods is part of the work together. She will help figure out which approaches match a client’s needs, goals, and style. That collaboration guides choices about exercises, between-session practice, and how much focus goes to skill-building versus exploring past patterns. Confirm available session formats before booking since they are listed during scheduling on the site. Online work can make it easier to fit appointments into a busy week, reduce travel time, and allow brief check-ins when needed. Different formats also let people choose less or more structured sessions depending on day-to-day demands and energy levels.Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
15+ years
Listed in
North Carolina, California, Massachusetts
Languages
English
Frequently asked questions
What concerns does she address related to guilt or shame?
She works with issues that often involve guilt and shame such as depression, anxiety, body image and relationship problems.
How does she approach therapy for shame-related problems?
Her work combines cognitive behavioral techniques with Acceptance and Commitment Therapy and mindfulness to notice harsh self-judgments and try different responses.
What kind of clinical background does she bring?
She has 15 years of clinical experience across inpatient, university, and private practice settings, including work on attention and learning issues.
What are her credentials and where does she practice?
She is a CA Psychologist 20193 and NC Psychologist 3202 and practices from North Carolina.
Can I work with her if I live outside the United States?
Sessions are offered to international clients; consultations and scheduling are handled through the site process.
What session formats are used for therapy?
Please confirm current session options before booking by using the site matching tools, as specific formats are listed during scheduling.
How are fees and billing handled?
Cost varies with location; sessions use a subscription that can be canceled at any time.
What should I do to get started?
Select the See online therapy options button, complete the short matching questionnaire, and schedule your first session through the site.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.