Patricia Duff-Fleming , LMHC

Patricia Duff-Fleming is a Licensed Mental Health Counselor (LMHC) in Florida with 25 years of experience. She focuses on practical support for people coping with stress, anxiety, relationship strain, trauma and abuse, career challenges, and major life changes. She approaches sessions with a calm, respectful manner and centers the client's own knowledge and strengths.

Patricia believes each person knows their story best and brings strengths to the work. She helps people name what matters, identify barriers, and take concrete steps toward goals. Sessions are straightforward and aimed at making daily life feel more manageable.

Her background includes long experience with grief, hospice and end-of-life issues, caregiver stress, and separation and divorce. She also supports people dealing with chronic illness, disability, aging concerns, and feelings of isolation or abandonment. These areas often come up alongside anxiety or past trauma.

Patricia uses a mix of proven approaches to fit each person’s needs. She draws on cognitive-behavioral tools to change unhelpful thoughts, emotionally-focused work to address relational pain, and acceptance-based methods to help with difficult feelings. She works in English and practices in Florida as an LMHC.

People who choose her tend to want clear steps, emotional understanding, and practical coping strategies. Patricia supports clients as they try new ways of handling stress and relationships. She aims to make progress understandable and doable, one step at a time.

Approach-focused online therapy that fits your life

Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck in them. It focuses on clarifying values and taking actions that matter, which can help with anxiety, stress, and life transitions.

Cognitive Behavioral Therapy (CBT) looks at the connections between thoughts, feelings, and behaviors. It teaches practical skills to reframe unhelpful thinking and build coping strategies for anxiety, panic, or low mood.

Emotionally-Focused Therapy (EFT) focuses on emotional patterns in close relationships. It helps people identify painful interaction cycles and work toward more secure emotional connections in important relationships.

Choosing the right approach is part of the work together. The therapist will ask about goals, preferences, and daily challenges and help decide which methods to try. The process is collaborative and can shift as needs change.

Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging. Video allows face-to-face conversation, phone can be easier when bandwidth is limited, chat and messaging work well for shorter check-ins or ongoing support. These options make it easier to fit therapy around work, caregiving, or mobility limitations while keeping treatment consistent.