Practitioner record · Checked 7 Oct 2026

Dr. Alexandra Duffy has been in practice 15 years and is licensed in North Carolina. Dr. lists stress, Anxiety, self esteem and bipolar disorder among 56 subjects on the BetterHelp roster.

Everything below is either quoted from Dr.'s own BetterHelp listing, taken from public licensing records, or written by Maker Therapy and labelled as such. Nothing here is an availability promise, a review, or a rating.

15years in practice
56subjects listed
5approaches listed

01 · Who Dr. works with

Dr. works with stress, Anxiety, self esteem and bipolar disorder

Dr. lists 18 specialisms and 38 further focus areas. Specialisms are the subjects Dr. chose to list first, which is the closest a listing gets to “this is my actual practice”.

Specialisms
  • Stress, Anxiety
  • Self esteem
  • Bipolar disorder
  • Depression
  • ADHD
  • Addictions
  • LGBT
  • Relationship issues
  • Family conflicts
  • Grief
  • Intimacy-related issues
  • Eating disorders
  • Sleeping disorders
  • Parenting issues
  • Career difficulties
  • Coping with life changes
  • Coaching
  • Compassion fatigue
Also experienced with
  • Abandonment
  • Attachment issues
  • BDSM, kink, and alternative sex culture
  • Blended family issues
  • Body image
  • Co-morbidity
  • Codependency
  • Commitment issues
  • Communication problems
  • Coping with natural or human-caused disaster
  • Dependent personality
  • Divorce and separation
  • Eating and food-related issues
  • Emptiness
  • Family problems
  • First responder issues
  • Gender dysphoria
  • Guilt and shame
  • Impulsivity
  • Infidelity
  • Intellectual disability
  • Isolation / loneliness
  • Life purpose
  • Midlife crisis
  • Veteran and Armed Forces Issues
  • Mood disorders
  • Narcissism
  • Obsessions, compulsions, and OCD
  • Panic disorder and panic attacks
  • Paranoia
  • Personality disorders
  • Phobias
  • Polyamory / non-monogamous relationships
  • Post-traumatic stress
  • Seasonal Affective Disorder (SAD)
  • Social anxiety and phobia
  • Women's issues
  • Young adult issues

02 · In Dr.'s own words

What Dr. says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

Hi there! I am Alexandra Duffy a clinical psychologist with licenses in California, Massachusetts, North Carolina, and Washington. Thanks for taking a moment to learn how my counseling and therapy can be a useful tool for yourself or someone you care about. Therapy is a way to invest in yourself, have support during difficult times and deal with past issues that impact your current life and relationships. Together, we discover healthy ways to help cope with the unknown and things outside of our control.

I specialize in treating depression, anxiety, panic disorder, ADHD, eating /body image issues and Bipolar Disorder. I also work with students of all ages (and even parents) to address issues with learning, such as dyslexia, ADHD, learning disabilities and executive functioning issues (e.g., time management, procrastination, prioritizing work, regulating emotions, etc.), which can be especially challenging right now with Online and Distance Learning. I have extensive experience with the evaluation and diagnosis of ADHD, dyslexia and learning disabilities to improve overall functioning and also provide documentation for academic and test accommodations.

My therapy style is warm, interactive and collaborative. I tailor our sessions and treatment plan based on your individual needs and take into consideration your prior experience with counseling. I utilize an eclectic style incorporating psychodynamic and evidence-based modalities including cognitive-behavioral, interpersonal, and mindfulness-based interventions. I integrate healthy lifestyle techniques to improve emotional health and overall well-being by addressing sleep habits, exercise and eating patterns. I also help manage electronic media usage to find a balance between being informed and feeling worried or overwhelmed by the 24-hour news cycle and uncertainty in our lives right now.

I earned my Doctor of Clinical Psychology degree (Psy.D) from the George Washington University and Postdoctoral Master of Science in Clinical Psychopharmacology from the California School of Professional Psychology. I completed a Post-Doctoral Fellowship at Harvard University’s Bureau of Study Counsel. I have worked in inpatient/residential treatment, private practice and as a Staff Psychologist at UCLA and the Georgetown University Law Center. Some of my clinical interests include identity development, perfectionism, mastering attention regulation concerns, and learning styles/strategies to improve academic performance.

I am also interested in helping actors and individuals in the creative arts to improve self-awareness, explore emotions and use relaxation techniques in the creative process, as well as to cope with rejection, criticism and stress. I have taught workshops to improve self-esteem and reduce anxiety for students, professional and healthcare workers, as well as during the audition and interview process. I have enjoyed leading Finding Focus groups and the Art of Public Speaking wellness group. These skills and techniques are beneficial during individual counseling sessions as well to increase personal effectiveness.

Dr. Alexandra Duffy, on the BetterHelp listing · read 7 Oct 2026

03 · How Dr. works

The 5 approaches Dr. lists, in plain English

These are the clinical methods Dr. lists. The descriptions are Maker Therapy's, not Dr.'s - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Dr. runs a session.

Acceptance and Commitment TherapyACT
Rather than trying to argue a painful thought away, ACT works on loosening its grip and getting on with what matters to you anyway. Sessions spend real time naming your values, then building action around them while difficult feelings are still present.
Cognitive Behavioural TherapyCBT
Structured, present-focused work on the loop between what you think, how you feel and what you then do. Usually means noticing a thought pattern in the room, testing it against evidence, and practising something different between sessions. Among the most heavily researched talking therapies for depression and anxiety.
Dialectical Behaviour TherapyDBT
A structured skills-led adaptation of CBT built around holding two things at once: accepting yourself as you are and working to change. Teaches concrete skills for distress tolerance, emotion regulation and relationships. Developed for people whose feelings arrive at overwhelming intensity, and strongest-evidenced there.
Mindfulness-Based TherapyMBCT
Trains attention on what is happening right now - body, breath, the thought as it arrives - so distress can be observed rather than automatically acted on. Strongest evidence is in preventing depression from recurring, and it is usually taught as a practice you keep doing outside the session.
Psychodynamic Therapy
Works on the assumption that current patterns - in relationships, at work, in how you treat yourself - have a history, and that seeing the history loosens the pattern. Less structured than CBT, usually longer, and more interested in what comes up unbidden than in a weekly agenda.

04 · What happens next

From this page to a first session

Dr. practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Dr.'s own practice, and not a promise about how quickly anything happens.

  1. A questionnaire, not a booking form

    BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Dr. at this point.

  2. Naming Dr. specifically

    BetterHelp matches algorithmically by default, so asking for Dr. is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Dr..

  3. If the caseload is full

    You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

  4. The first conversation

    A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

  5. If the fit is wrong

    Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

4 questions worth asking Dr.

Built from what Dr. actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Dr.'s - Dr. has not seen them and is under no obligation to answer any of them.

  • “You list both Cognitive Behavioural Therapy and Psychodynamic Therapy. Which do you lean on with someone like me?”

    Those two point in different directions - one structured and led by the therapist, the other led by you. The answer tells you what the sessions will actually feel like.

  • “How do you decide when someone is ready to work on a traumatic memory itself?”

    Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

  • “With 15 years in, what has changed most in how you work?”

    Long experience is only an advantage if it has been examined. This tends to surface whether it has.

  • “How do you handle the gap between sessions if something comes up?”

    On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

06 · Practical details

Credentials and licensing

Credential
Psychologist
Licensed in
North Carolina
Licence
NC Psychologist 3202, MA Psychologist PSY5000163
Licence number
3202
Licence expires
1 Oct 2028
NPI
1891856571
Years in practice
15
Gender
Female
Languages
English
International clients
Accepted
Listed since
15 May 2026

07 · Provenance

Where every line on this page came from

Dr.'s name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 7 Oct 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Dr.. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

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