Vivian Fleming , LPCC

Vivian Fleming is a licensed professional clinical counselor with 25 years of experience helping people cope with stress, anxiety, trauma, depression, and life changes. She focuses on practical steps that make daily life more manageable. Vivian listens closely and helps people find clearer ways to move forward.

She often works with issues common to women, including challenges around self-esteem, isolation, and balancing work and caregiving demands. She also supports people facing grief, addiction, bipolar disorder, ADHD, and relationship strain. Her practice includes attention to trauma, abuse, and the aftermath of separation or domestic violence.

Vivian draws on a mix of approaches to fit each person's needs. Sessions may include client-centered conversation, cognitive behavioral techniques to change unhelpful thinking and behavior, DBT skills for emotion regulation, EMDR for processing traumatic memories, and mindfulness practices to build calm. She explains methods plainly and helps people try them in small steps.

Her style is collaborative and respectful. She helps clients set realistic goals and practices skills between appointments. Vivian also attends to issues like caregiver stress, abandonment wounds, guilt and shame, and life purpose when those concerns come up.

Based in Kentucky, Vivian holds the LPCC credential in Ohio and Kentucky. She conducts therapy in English and accepts international clients. Sessions are offered in multiple online formats so people can choose what fits their day.

How Vivien's Methods Translate to Online Care

Client-Centered Therapy focuses on listening and building a trusting relationship. In online sessions this means the therapist follows the person's lead, reflects concerns, and helps pinpoint practical next steps for everyday problems.

Cognitive Behavioral Therapy, or CBT, teaches ways to notice and change thoughts and behaviors that keep problems going. It is often used for anxiety, depression, and stress and works well through video or text when homework and skill practice are assigned between sessions.

Dialectical Behavior Therapy, or DBT, offers concrete skills for managing strong emotions and improving communication. Online DBT work can include short coaching messages, skills practice during phone sessions, and structured check-ins to reinforce new habits.

Finding the right approach is a shared process. The therapist will discuss goals, try methods, and adjust plans based on what helps most. That collaborative stance helps clients test techniques and choose what fits their life and preferences.

Online formats give practical flexibility. Video calls allow face-to-face conversation and visual cues. Phone sessions use less bandwidth and can be easier when a camera is not wanted. Live chat and text-based messaging are useful for brief check-ins, skill coaching, or when someone needs a shorter touchpoint during a busy day. These options help people fit therapy into work, caregiving, and travel schedules.