About Vivian
Vivian Fleming is a licensed professional clinical counselor (LPCC) with 25 years of experience helping people manage stress and anxiety. She focuses on practical ways to reduce overwhelming feelings and to rebuild everyday functioning. Vivian speaks plainly and works to make sessions easy to follow for someone juggling busy life demands.
Her practice addresses a broad range of concerns including trauma and abuse, depression, bipolar mood concerns, addictions, grief, and anger.
Background and approach
She also supports those facing major life changes, caregiver strain, and feelings of isolation or low self-worth. Vivian pays attention to how shame, guilt, and past abandonment can shape current choices. In sessions she favors straightforward, collaborative work.
She uses client-centered conversations to understand what matters most. Then she introduces tools from cognitive behavioral therapy to change unhelpful thinking and DBT skills for emotion regulation and distress tolerance. For people coping with traumatic memories, she incorporates EMDR techniques alongside mindfulness practices to help reduce the intensity of upsetting reactions.
She adapts methods based on each person’s needs and pace rather than using a one-size-fits-all plan. Vivian brings years of experience in Kentucky and works with individuals who want to improve communication, manage impulsivity, or find clearer life direction. Her style is warm and direct, aimed at helping people make small, manageable changes that add up over time.
Approaches you can try in online sessions
Vivian commonly uses client-centered work to create a respectful space where clients set the pace and goals. That approach focuses on listening, reflecting back what matters, and helping people feel heard as they sort through problems.She also uses cognitive behavioral therapy (CBT) to identify unhelpful thought patterns and to practice different behaviors that reduce anxiety and depression. CBT is practical and skill-focused, useful for stress, panic, worry, and mood issues. Dialectical behavior therapy (DBT) skills are another option she offers for managing intense emotions and impulsive reactions by teaching distress tolerance, emotion regulation, and clearer communication.
Finding the right approach is usually a team effort. The therapist will talk with the client about symptoms, goals, and personal preferences, then recommend methods to try. Plans are adjusted over time based on what helps and what feels workable for the person.
Online therapy with video, phone, live chat, or text-based messaging makes it easier to fit sessions into busy schedules. Video calls allow face-to-face conversation, phone sessions can be used when internet bandwidth is low, and chat or text sessions work well for brief check-ins or when someone prefers writing. These options give flexibility to continue therapy during life transitions, travel, or irregular work hours.
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What this therapist works with
Also listed
- Abandonment
- Addictions
- ADHD
- Anger management
- Bipolar disorder
- Caregiver issues and stress
- Co-morbidity
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Family conflicts
- Forgiveness
- Grief
- Guilt and shame
- Impulsivity
- Isolation / loneliness
- Life purpose
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Panic disorder and panic attacks
- Post-traumatic stress
- Postpartum depression
- Relationship issues
- Self-love
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 25 years
- Licensed
- Kentucky, Ohio
- Languages
- English
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