About Patricia
Patricia Duff-Fleming is a Licensed Mental Health Counselor (LMHC) based in Florida. She brings 25 years of experience helping people facing stress, anxiety, relationship strain, trauma and abuse, career uncertainty, and life transitions. She frames therapy as a collaboration where the person in therapy knows their own story best.
Sessions focus on practical steps that build on a person’s strengths. The aim is to reduce overwhelm and increase day-to-day coping skills.
Background and approach
Patricia draws from approaches such as acceptance and commitment therapy, cognitive behavioral techniques, attachment-based work, emotionally-focused methods, and a client-centered stance. That mix allows her to shift between thinking-oriented tools and emotion-focused work depending on the need. She has worked across a wide range of concerns including abandonment, caregiver stress, chronic illness and pain, grief and end-of-life issues, codependency, dissociation, and isolation.
Her background gives her experience with both short-term problem solving and longer, deeper work. In sessions she listens for what matters most and then suggests doable exercises and perspectives. People can expect straightforward language, steady support, and practical skills to try between meetings.
Patricia offers therapy in English and conducts sessions from Florida.
Therapeutic approaches that translate well to online care
Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck in them and then commit to actions that match their values. ACT can help with anxiety, stress, and decisions during life changes. Cognitive Behavioral Therapy (CBT) focuses on identifying and shifting unhelpful thought patterns and testing new behaviors to reduce anxiety and improve mood. CBT is useful for managing stress, worry, and practical problems.Finding the right approach is part of the work together. The therapist will talk with the client about goals and preferences, and then recommend a mix of methods that fits. That decision is collaborative and can change as needs evolve.
Online sessions are offered via video calls, phone sessions, live chat, or text-based messaging to make therapy more flexible. Video calls work well for deeper conversational work and exercises that benefit from seeing one another. Phone sessions use less bandwidth and can fit into a shorter break during a busy day. Live chat and text-based messaging are useful for quick check-ins, journaling-style reflection, and ongoing support between sessions. These options make it easier to fit therapy into daily life while still working toward meaningful change.
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also listed
- Abandonment
- Aging and geriatric issues
- Attachment issues
- Autism and Asperger Syndrome
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Coping with life changes
- Dissociation
- Divorce and separation
- Domestic violence
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Intellectual disability
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Narcissism
- Post-traumatic stress
- Postpartum depression
- Prejudice and discrimination
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sexual assault and abuse
- Smoking / vaping cessation
- Social anxiety and phobia
- Somatization
- Traumatic brain injury
- Women's issues
- Young adult issues
Therapeutic approaches
- Experience
- 25 years
- Licensed
- Florida
- Languages
- English
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