About Alexandra
Dr. Alexandra Duffy is a clinical psychologist with 15 years of experience helping people manage stress, anxiety, depression, ADHD, and related struggles. She offers practical, down-to-earth support to people who are worried about attention, mood, body image, or life changes.
Her approach aims to help clients make small, useful changes that improve daily functioning and relationships. Her work blends evidence-based talk therapies with attention to daily habits like sleep, exercise, and media use.
Background and approach
She uses tools from cognitive behavioral therapy to challenge unhelpful thoughts and from mindfulness to help clients stay grounded. Dialectical behavior therapy skills are included when emotional regulation and distress tolerance are needed. Dr.
Duffy also draws on psychodynamic ideas to look at patterns that repeat across relationships and time. She helps people understand how past experiences shape current reactions, then builds practical steps to try something different. Sessions are collaborative and paced to each person’s needs and prior experience with counseling.
She has particular experience with attention regulation and learning-related challenges, and supports people working on executive functioning skills like time management and task prioritization. This can include strategies for study, work, and navigating academic accommodations when relevant. Therapy sessions include a mix of skill teaching, focused conversation, and planning small experiments to test changes in daily life.
The goal is clearer attention, steadier mood, and better coping with stress and change.
Therapeutic approaches for online attention and mood work
Dr. Duffy commonly uses cognitive behavioral therapy and mindfulness-based approaches in online work. Cognitive behavioral therapy focuses on identifying unhelpful thoughts and testing new ways of thinking and behaving to improve mood and daily functioning. Mindfulness therapy teaches simple attention and breathing practices to reduce reactivity and help manage stress and anxiety.She also uses elements of dialectical behavior therapy when stronger emotion regulation or distress tolerance skills are needed. DBT skills include grounding techniques, step-by-step ways to handle intense feelings, and communication strategies that help in heated moments. Together, these approaches aim to give concrete tools as well as a chance to understand patterns that get in the way of goals.
Finding the right approach is part of the work. The therapist will collaborate with each person to choose methods that match their goals, preferences, and daily demands. That decision is revisited over time as needs change.
Online sessions are offered via video calls, phone sessions, live chat, or text-based messaging, which makes it easier to fit therapy into busy days. Video is useful for more in-depth conversations and skill coaching, phone can be easier when bandwidth is limited, and messaging or live chat can work for brief check-ins or ongoing support between sessions.
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What this therapist works with
Most often
- Stress, Anxiety
- Self esteem
- Bipolar disorder
Also listed
- 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
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