About Alexandra
Alexandra Tuck is a licensed clinical social worker who uses practical, goal-focused methods to help people manage stress and anxiety. She works with people facing relationship strain, trauma and abuse, depression, and challenges with self-esteem. Alexandra writes treatment plans to fit each person's situation and values.
She brings 11 years of professional experience in settings that address a broad range of concerns. That includes parenting and caregiver stress, grief and loss, career transitions, and intimacy-related issues.
Background and approach
She also supports people coping with ADHD, adoption and foster care questions, and attachment difficulties. Her sessions focus on clear skills and steady progress. Alexandra uses tools from cognitive behavioral therapy to identify unhelpful thoughts and try new behaviors.
She also works with trauma-focused methods when past events are getting in the way of day-to-day functioning. Clients can expect conversations that are respectful and direct. Alexandra aims to tailor the pace and strategies to each person’s goals.
She emphasizes small, manageable steps and practical ways to test what helps. Alexandra practices in North Carolina and offers appointments through video calls, phone, live chat, and text-based messaging. She speaks English.
Her LCSW credential means she is a licensed clinical social worker in North Carolina.
How evidence-based approaches translate to online care
Alexandra uses cognitive behavioral therapy to help people spot and change thought and behavior patterns that keep anxiety or low mood active. CBT focuses on simple experiments and skills you can try between sessions to see what helps.She also uses EMDR, a trauma-focused method that helps people process distressing memories so they cause less emotional disruption. EMDR can be helpful when past events continue to affect current relationships and day-to-day functioning.
Choosing the right approach is a shared process. Alexandra will talk with each person about their goals, preferences, and how intense symptoms are, then suggest a plan and adjust it as needed. She works collaboratively to test what works and shifts strategies when progress stalls.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video calls allow face-to-face conversation and skill practice. Phone sessions can be easier when bandwidth is limited or when a camera would feel too taxing. Live chat or text-based messaging can support brief check-ins, homework prompts, and ongoing coaching between longer sessions. These options make it easier to fit therapy into work, family, and daily life.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also listed
- Abandonment
- ADHD
- Adoption and foster care
- Attachment issues
- Autism and Asperger Syndrome
- Body image
- Career difficulties
- Caregiver issues and stress
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Coping with life changes
- Coping with natural or human-caused disaster
- Depression
- Divorce and separation
- Domestic violence
- Eating and food-related issues
- Family conflicts
- Family problems
- First responder issues
- Forgiveness
- Grief
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Life purpose
- Money and financial issues
- Mood disorders
- Narcissism
- Panic disorder and panic attacks
- Parenting issues
- Post-traumatic stress
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Social anxiety and phobia
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 11 years
- Licensed
- North Carolina
- Languages
- English
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