Patricia Duff-Fleming

Patricia Duff-Fleming is a Licensed Mental Health Counselor (LMHC) based in Florida. She brings 25 years of clinical experience helping people cope with stress, anxiety, relationship struggles, trauma, career challenges, and major life changes.

Patricia believes each person knows their own story and carries strengths that can help them move forward. She offers steady support while clients name what matters and set realistic next steps. Taking the first step can feel risky, and she aims to make that process clearer and more manageable.

Her work draws on practical methods like Cognitive Behavioral Therapy and Acceptance and Commitment Therapy to help people notice unhelpful patterns and try new actions. She also uses Attachment-Based and Emotionally-Focused approaches when relationship patterns and emotional bonds are central to the concern.

Patricia has worked with many related issues over the years. These include abandonment, attachment concerns, codependency, coping with chronic illness or disability, caregiving stress, grief and end-of-life matters, and the emotional effects of divorce or domestic violence.

Sessions focus on straightforward conversation, skill-building, and real-world steps clients can practice between meetings. She emphasizes collaboration, gradual change, and helping people find routines and choices that fit their lives.

Therapeutic approaches you can use online

Acceptance and Commitment Therapy, or ACT, helps people notice unhelpful thoughts and commit to actions that match their values. It focuses on taking small steps toward a life you want, which can help with anxiety, stress, and life changes. Cognitive Behavioral Therapy, or CBT, looks at thinking and behavior patterns and teaches practical skills to change them. CBT is useful for anxiety, mood challenges, and building coping tools. Attachment-Based Therapy focuses on how early relationships shape current bonds and reactions; it helps when relationship patterns, trust, or emotional closeness are central concerns.

Finding the right approach is part of the work together. Patricia will listen to your situation, goals, and preferences and help decide which methods to try. The plan can change over time as needs change, so decisions are collaborative and paced to what feels manageable.

Please confirm current session options before booking, as formats are not listed here. Online therapy can make it easier to fit sessions into a busy life, reduce travel time, and allow a shorter check-in when needed. Licensed professionals can offer the same conversation, skill practice, and planning as in-person work, adapted to your schedule and daily routines.