Alexandra Tuck, LCSW

North Carolina · 11 years in practice

Alexandra Tuck is a licensed clinical social worker who draws on 11 years of experience to help people facing stress, anxiety, depression, trauma, and relationship concerns.

License and registration

LCSW, North Carolina: C010330 · expires August 2026
NPI: 1578979472 · national provider identifier
Years in practice: 11
Languages: English

Details are as listed on the therapist's public professional profile. You can check the license with the issuing state board, and the NPI with the national registry.

About Alexandra

Alexandra Tuck is a licensed clinical social worker who draws on 11 years of experience to help people facing stress, anxiety, depression, trauma, and relationship concerns. She works with adults who want practical support for self-esteem, motivation, career shifts, parenting strain, or intimacy-related issues. Sessions are geared toward clear goals and steady progress.

Alexandra uses straightforward talk and collaborative planning to shape each session. She combines cognitive behavioral strategies with solution-focused steps to help people spot patterns, try new behaviors, and make small, manageable changes.

Background and approach

She also incorporates EMDR when processing traumatic memories is part of the work. Her approach is warm and respectful. She listens first, then offers tools that fit the person’s life and values.

Treatment plans are adjusted over time based on what is helping and what is not. Alexandra has worked with a wide range of concerns including grief, family problems, adoption and foster care issues, attachment difficulties, caregiver stress, and eating or body-image challenges. She also supports people managing ADHD, first responder stress, domestic violence aftermath, and adjustment after divorce or separation.

People who prefer clear options and practical steps often find this style helpful. Sessions focus on concrete skills, short-term goals, and processing past hurt when needed. Alexandra invites people to start where they are and build toward a life that feels more manageable and meaningful.

Focus areas and approaches

Everything Alexandra lists on their public professional profile, in their own terms.

Stress, Anxiety
Relationship issues
Trauma and abuse
Self esteem
Depression
Family conflicts
Grief
Intimacy-related issues
Parenting issues
Career difficulties
Coping with life changes
Coaching
ADHD
Abandonment
Adoption and foster care
Attachment issues
Autism and Asperger Syndrome
Body image
Caregiver issues and stress
Codependency
Commitment issues
Communication problems
Coping with natural or human-caused disaster
Divorce and separation
Domestic violence
Eating and food-related issues
Family problems
First responder issues
Forgiveness
Guilt and shame
Hospice and end-of-life counseling
Impulsivity
Infidelity
Isolation / loneliness
Life purpose
Money and financial issues
Mood disorders
Narcissism
Panic disorder and panic attacks
Post-traumatic stress
Self-harm
Self-love
Sexual assault and abuse
Social anxiety and phobia
Women's issues
Workplace issues

Approaches Alexandra names

Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.

Online support

Online approaches that fit your goals

Alexandra blends Cognitive Behavioral Therapy and EMDR into online work to address both current patterns and past hurt. CBT focuses on identifying unhelpful thoughts and testing new behaviors, which helps with anxiety, stress, and mood. EMDR is used to process troubling memories that continue to cause distress, often alongside other strategies to support stabilization.

She approaches treatment as a collaborative process. Together the therapist and client review goals, try an approach, and change course when needed. Decisions about methods are made jointly based on the person’s symptoms, life demands, and comfort with different techniques.

Online therapy offers flexibility through video calls, phone sessions, live chat, and text-based messaging. Video calls let people use visual cues and practice skills in real time. Phone sessions can be easier when bandwidth is limited or a shorter check-in is needed. Live chat and text messaging support brief updates, written reflections, and ongoing coaching between sessions. These options make it possible to fit therapy around work, caregiving, or other commitments while working toward clearer goals.

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Questions people ask

What kinds of concerns does Alexandra address?

She helps with stress, anxiety, depression, trauma and abuse, relationship and intimacy issues, self-esteem, grief, parenting strain, career transitions, and coping with life changes.

What is her therapy style like?

She uses practical, goal-focused methods that combine talk, behavioral strategies, and structured exercises to help people make changes over time.

What experience does she bring to sessions?

She has 11 years of professional experience working with a broad set of concerns and adapts treatment plans to each person’s needs.

What are her credentials and where does she practice?

She is an LCSW licensed in North Carolina and practices with those regional rules in mind.

Which languages are supported for sessions?

Sessions are offered in English.

What formats are available for online sessions?

Sessions can be held via video calls, phone sessions, live chat, or text-based messaging to suit different schedules and communication preferences.

How is cost handled for sessions?

Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.

How do I begin working together?

Use the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to therapist availability.

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