Dr. Alexandra Duffy
Calm, practical therapy for everyday parenting challenges
- Credentials
- CA Psychologist 20193, NC Psychologist 3202
- Experience
- 15 years
- Licensed in
- North Carolina, California, Massachusetts
- Languages
- English
- Format
- Online sessions
About Alexandra
Dr. Alexandra Duffy offers a practical, experience-based approach that blends evidence-based methods with attention to everyday life. She uses clear, teachable techniques to help people manage stress, anxiety, mood swings, attention difficulties, and parenting concerns.
Her style is warm and interactive, focused on small changes that make daily life easier. Dr. Duffy holds psychology licenses in California and North Carolina and has 15 years of clinical work behind her.
She helps people break down problems into manageable steps.
Background and approach
Sessions often focus on skills for coping, improving sleep and routines, and strategies for attention and organization. For parents she addresses parenting stress and related challenges in simple, direct ways. Treatment plans are tailored to what the person needs right now and to their prior experience with therapy.
Dr. Duffy draws on cognitive behavioral techniques to identify unhelpful thoughts and habits and on acceptance and mindfulness strategies to reduce struggling with difficult emotions. She also uses elements of dialectical behavior therapy to teach emotion regulation and psychodynamic ideas to look at patterns that repeat over time.
These tools are picked to fit the issue at hand rather than used all at once. Her background includes work in inpatient and residential settings, university counseling centers, and independent practice. She has training in clinical psychopharmacology and a Doctor of Clinical Psychology degree.
That mix of settings informs a flexible, practical approach to care. People who meet with Dr. Duffy can expect collaborative sessions that build concrete skills.
The work often includes lifestyle changes like better sleep, exercise habits, and healthier media use to reduce overwhelm.
How therapeutic approaches translate to online care
Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take small steps toward those values while learning to live with difficult thoughts and feelings. It is useful for anxiety, stress, parenting challenges, and life transitions. Cognitive Behavioral Therapy (CBT) focuses on changing unhelpful thinking and behavior patterns through specific exercises and homework; it often helps with depression, anxiety, insomnia, and attention-related problems. Dialectical Behavior Therapy (DBT) teaches practical skills for emotion regulation, distress tolerance, and clearer communication, which can be helpful for intense emotions and relationship stress.Finding the right approach is part of the work. The therapist will talk with the person about goals, preferences, and what has or has not helped before. Together they choose methods that feel manageable and relevant, and they adjust the plan as needed over time.
Online therapy makes these methods easier to fit into busy lives. Video calls allow face-to-face work on skills and routines. Phone sessions, live chat, and text-based messaging provide flexible check-ins, brief coaching, and reminders between longer sessions. This range of formats supports ongoing skill practice, easier scheduling, and timely support when challenges arise.
Acceptance and Commitment Therapy (ACT)
Less about arguing with difficult thoughts, more about loosening their grip and acting on what matters to you anyway. Values and committed action carry the work, which suits conversation at a distance.
Cognitive Behavioral Therapy (CBT)
CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.
Dialectical Behavior Therapy (DBT)
Concrete skills for riding out strong emotion, tolerating distress, and handling relationships without things escalating. The skills are practised in daily life, so between-session support by message or phone fits naturally.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Self esteem
- Bipolar disorder
Also works with
- Abandonment
- Addictions
- ADHD
- Attachment issues
- BDSM, kink, and alternative sex culture
- Blended family issues
- Body image
- Career difficulties
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Divorce and separation
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family conflicts
- Family problems
- First responder issues
- Gender dysphoria
- Grief
- Guilt and shame
- Impulsivity
- Infidelity
- Intellectual disability
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Life purpose
- Midlife crisis
- Mood disorders
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Sleeping disorders
- Social anxiety and phobia
- Veteran and Armed Forces Issues
- Women's issues
- Young adult issues
Therapeutic approaches
- Experience
- 15 years
- Licensed
- North Carolina, California, Massachusetts
- Languages
- English
Next step
Talk to Alexandra
- Takes a few minutes
- Nothing to set up just to look
- Stop at any point