Patricia Duff-Fleming, LMHC

Patricia Duff-Fleming is a licensed mental health counselor who draws on 25 years of clinical experience to help people manage stress, anxiety, relationship strain, trauma, and career challenges. She works from the belief that each person knows their story best and already has strengths to build on. Patricia aims to support people taking the first step toward a more fulfilling life with steady, practical guidance.

Her approach blends several therapy styles to meet real-life needs. She uses Acceptance and Commitment Therapy to help clients notice difficult thoughts and focus on meaningful actions. Cognitive Behavioral Therapy is used to identify patterns of thinking that drive stress and to try new behaviors. Emotionally-Focused and Attachment-Based ideas guide work around relationships and connection.

Patricia has also supported people facing grief, hospice and end-of-life concerns, caregiver stress, chronic medical issues, and challenges tied to aging and geriatric issues. She helps clients talk through feelings of abandonment, shame, or isolation and to reduce the impact of past trauma and abuse.

Sessions are aimed at practical change. Patricia listens, reflects what she hears, and helps clients set small, doable goals. She encourages experiments between sessions so progress can be noticed and adjusted.

She practices in Florida as an LMHC - Licensed Mental Health Counselor. Therapy is collaborative and paced to match each person’s goals and comfort level. To begin, a short intake questionnaire and scheduling step are used to connect people with appropriate timing and next steps.

How therapeutic approaches translate to online work

Patricia often uses Acceptance and Commitment Therapy and Cognitive Behavioral Therapy when helping clients online. Acceptance and Commitment Therapy helps people notice painful thoughts and feelings without getting stuck in them, then choose actions that match their values. Cognitive Behavioral Therapy focuses on identifying unhelpful thinking patterns and trying new behaviors to reduce symptoms and increase functioning.

Finding the right approach is part of the process. Patricia will work with each person to decide which methods fit best for their goals, situation, and preferences. This is a collaborative conversation and can shift as progress is made.

If you are considering online therapy, confirm which session formats are currently offered before booking. Online work can make it easier to fit therapy into a busy week, reduce travel time, and allow for shorter check-ins when needed. It can also make it simpler to continue care while managing caregiving responsibilities or health-related limitations. Licensed professionals can adapt ACT and CBT tools to remote sessions so clients practice skills between meetings and track changes over time.