- ACT and CBT methods
- ADHD assessment support
- Mindfulness and DBT skills
About Alexandra
Dr. Alexandra Duffy is a clinical psychologist licensed in California and North Carolina with 15 years of experience. She works with people facing stress, anxiety, depression, bipolar disorder, ADHD, addictions, relationship and family concerns, and issues around self-esteem and grief. Young adults navigating school, early careers, identity and relationship pressures are a common focus.
She uses a mix of practical, evidence-based methods alongside psychodynamic thinking. Sessions often include cognitive strategies to change unhelpful thinking, behavioral tools to manage symptoms, and techniques drawn from mindfulness to reduce reactivity. Therapy also looks at patterns from earlier relationships that shape current choices.
Dr. Duffy has experience evaluating ADHD, dyslexia, and learning differences, and has provided documentation for academic and test accommodations. She helps people work on time management, procrastination, emotion regulation and other executive functioning skills tied to study and work performance.
Her approach includes attention to daily routines. Clients talk through sleep, exercise and eating habits and how those affect mood and concentration. She also helps people manage media use and the overwhelm that constant news can create.
Her background includes a Doctor of Clinical Psychology degree and a Postdoctoral Master of Science in Clinical Psychopharmacology, plus a postdoctoral fellowship at Harvard’s Bureau of Study Counsel. She has worked in inpatient and residential settings, university clinics, and private practice, and has run workshops on self-esteem, audition anxiety, and focus skills.
How her approaches translate to online work
Acceptance and Commitment Therapy (ACT) focuses on clarifying values and taking committed action even when uncomfortable feelings are present. It helps with anxiety, avoidance and finding direction after major life changes. Cognitive Behavioral Therapy (CBT) targets unhelpful thoughts and behaviors with practical exercises and skill practice to reduce symptoms of depression and anxiety. Dialectical Behavior Therapy (DBT) offers concrete skills for emotion regulation, distress tolerance and interpersonal effectiveness that suit intense mood swings and relationship stress.Finding the right mix of approaches is part of therapy. The therapist works collaboratively to test methods and adjust them to fit the client’s goals, needs and day-to-day life. Sessions can include skill teaching, behavioral experiments to try between meetings, and reflective discussion about patterns and past experiences.
The biography does not list specific session formats, so confirm current online options before booking. Online sessions can make it easier to fit therapy into a busy week, allow shorter check-ins when time is limited, and remove travel time so people can schedule sessions between work or study commitments. Therapists and licensed professionals can adapt exercises like mindfulness practice, CBT worksheets and DBT skills training for remote work so clients can continue progress from wherever they are located.
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 kinds of problems does she help with?
She helps people with stress, anxiety, depression, bipolar disorder, ADHD, addictions, relationship and family concerns, self-esteem, grief, eating and sleeping issues, and career or school-related challenges.
How would she work with someone who feels lost after college?
She uses cognitive behavioral and mindfulness techniques alongside psychodynamic discussion to address worry, decision-making and identity questions that come after major life transitions.
How much clinical experience does she have?
She has 15 years of experience working in inpatient and residential settings, university clinics, and private practice.
What are her official credentials and where is she based?
She is listed as CA Psychologist 20193 and NC Psychologist 3202 and is based in North Carolina.
Does she work with people who live outside the United States?
International clients are accepted and sessions are offered in English.
What session formats are available?
Please confirm current session options before booking, as the biography does not specify which session formats are offered.
How much do sessions cost?
Cost varies with location; sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
Online talk therapy through BetterHelp is for adults aged 18 and over and is not emergency care. If you are in danger, use the emergency numbers. Find someone else by name.