Dr. Chriselda Fleming , MD

Dr. Chriselda Fleming works with adults who are feeling overwhelmed by stress, anxiety, mood shifts, or the fallout of trauma. She sees people struggling with relationship strain, addiction, grief, body image, parenting stress, attention differences, and the everyday weight of life changes. Many clients come for help with managing strong emotions, racing thoughts, or a sense of being stuck.

She uses practical steps from cognitive behavioral therapy to address present habits and thought patterns. She also draws on psychodynamic ideas to help people notice early experiences that still affect their choices today. Sessions mix immediate coping tools with chances to understand deeper patterns.

With 27 years of experience and an MD, Dr. Fleming aims to make therapy useful and down-to-earth. She sets clear, manageable goals with each person and checks progress as they go. The focus is on small, sustainable changes that make daily life easier.

Her work often looks at challenges common to women, including body image, caregiver stress, grief, and balancing career and family demands. She pays attention to how past wounds shape current relationships and self-image, while staying focused on what can change now.

Session options include video calls, phone sessions, live chat, and text-based messaging to fit different schedules. People new to therapy are guided through a step-by-step start so they can find a plan that feels doable.

How therapeutic approaches translate to online care

CBT focuses on identifying unhelpful thoughts and habits and replacing them with workable techniques for daily life. It is useful for anxiety, depression, stress, and patterns of avoidance. DBT - dialectical behavior therapy - emphasizes emotion regulation, distress tolerance, and interpersonal skills. It can help when emotions feel overwhelming or reactions are intense.

Finding the right approach is part of the work. The therapist will collaborate with each person to choose methods that fit their goals, symptoms, and preferences. Together they may try skill-focused tools first, then layer in deeper exploration if that feels helpful.

Online therapy with video calls, phone sessions, live chat, or text-based messaging offers flexibility for different routines. Video is good for full sessions and visual connection. Phone sessions can be easier when a shorter check-in is needed or bandwidth is limited. Live chat and messaging work for brief updates, skill practice between sessions, and when people prefer not to be on camera. These options make it easier to fit therapy into a busy life while still working steadily on change.