Patricia Duff-Fleming, LMHC

Patricia Duff-Fleming is a licensed mental health counselor who helps people facing stress, anxiety, relationship concerns, trauma and abuse, career difficulties, and life transitions. She works from the belief that each person understands their own story and brings strengths that can be used to move forward. Taking the first step toward a more satisfying life can feel hard, and she offers steady support through that process.

With 25 years of experience, Patricia has spent much of her career guiding people through big life changes and hard feelings. She aims for practical conversations that identify what matters most to the client and what steps might make daily life easier. Sessions focus on clear goals, small experiments, and building on existing strengths.

Her approach draws on several evidence-informed therapies, including Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and Emotionally-Focused Therapy. She adapts tools from these methods to fit each person's needs rather than using a one-size-fits-all plan. Patricia emphasizes emotional connection, realistic problem solving, and actions that align with personal values.

She also brings attention to attachment patterns, caregiver stress, and issues like chronic illness, grief, and codependency when these affect wellbeing. Clients who are navigating separation, end-of-life concerns, or long-term caregiving find focused help to manage day-to-day strains and decisions.

Patricia practices in Florida as an LMHC and conducts sessions in English. To begin, prospective clients use the provider's matching process to complete a short matching questionnaire and schedule according to therapist availability.

How therapy approaches shape online care

Acceptance and Commitment Therapy (ACT) focuses on helping people notice what matters to them and take small, value-driven steps even when feelings are difficult. It can help with anxiety, stress, and getting unstuck from patterns that feel limiting. Cognitive Behavioral Therapy (CBT) targets unhelpful thoughts and behaviors with practical techniques and experiments to reduce distress and improve daily functioning. It is often used for anxiety, mood challenges, and coping skills. Emotionally-Focused Therapy (EFT) centers on identifying and processing emotions to improve connection and regulation; it can be helpful when strong feelings or relationship patterns cause repeated conflict.

Finding the right approach is part of the work. Patricia will talk with each person about goals, preferences, and what feels most useful. Together they decide which methods to try and adjust the plan as progress and needs change.

If you are considering online therapy, confirm the current session options before booking. This profile does not list specific formats, so checking available modes is important. Online sessions can make it easier to fit appointments into a busy week, allow shorter check-ins when needed, and reduce travel time. Many people find remote work helps maintain consistency during stressful periods while still focusing on real-life steps and emotional change.