Patricia Duff-Fleming, LMHC

Patricia Duff-Fleming is a licensed mental health counselor in Florida with 25 years of experience. She uses straightforward therapy methods to help people manage stress, anxiety, relationship strain, trauma and abuse, and career or life transitions. Patricia emphasizes practical steps and clear goals so clients can feel steadier day to day.

She centers sessions on what matters most to each person. Patricia treats clients as the experts in their own lives and helps them build on existing strengths. Conversations focus on current problems and on small changes that make a real difference.

Patricia often draws on Cognitive Behavioral Therapy to identify unhelpful thoughts and shift patterns that keep problems going. She also uses Acceptance and Commitment Therapy to help people clarify values and commit to meaningful actions. Attachment-based work and emotionally focused ideas appear when relationships and connection are the main concerns.

Over her career she has helped people facing a wide range of issues. These include abandonment, caregiving stress, chronic illness and pain, codependency, dissociation, divorce and domestic violence. She also supports people navigating aging, hospice and end-of-life concerns, and feelings of isolation or intellectual disability challenges.

Sessions are offered in English and delivered online via video calls, phone sessions, live chat, or text messaging. Patricia works with each person to set clear goals and practical steps, and she adjusts the approach as needs change.

How therapeutic approaches work online

Patricia often uses Cognitive Behavioral Therapy to help people notice patterns of thinking and behavior that keep problems active, then try practical experiments to change them. CBT is useful for anxiety, stress, and many everyday challenges.

She also draws on Acceptance and Commitment Therapy to help clients clarify what matters to them and take committed steps toward those values even when difficult thoughts or feelings come up. ACT can be helpful for people facing life transitions, chronic illness, or persistent worry.

Finding the right approach is part of the work. Patricia will discuss options and decide together which methods match the client's goals, needs, and preferences. That lets sessions stay flexible and focused on realistic next steps.

Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to fit different schedules. Video is useful for deeper conversations and visual connection, phone sessions can work when bandwidth is limited, and messaging supports brief check-ins or ongoing encouragement between sessions. These formats make it easier to fit therapy into a busy life and to try approaches that translate into everyday routines.