Patricia Duff-Fleming, LMHC

Patricia Duff-Fleming is a licensed mental health counselor (LMHC) practicing in Florida. She draws on 25 years of clinical experience to help people manage stress, anxiety, relationship strains, trauma and abuse, career concerns, and major life changes like midlife transitions. Patricia emphasizes the client’s own expertise and strengths when working together.

Her approach blends practical, evidence-informed methods with a warm, respectful stance. She uses Acceptance and Commitment Therapy and Cognitive Behavioral Therapy to help people notice unhelpful patterns and try new behaviors. Emotionally-Focused and Attachment-Based ideas guide work on closeness and trust in relationships.

Patricia listens for personal values and goals, then helps create small, doable steps toward change. Sessions focus on skills that can be used between meetings and on making sense of difficult emotions. The aim is clearer decision making and steadier day-to-day coping.

She also offers support around aging, caregiving stress, chronic illness, grief and end-of-life matters, and difficulties tied to abandonment or attachment. Patricia has worked with people experiencing isolation, codependency, dissociation, and challenges related to intellectual or developmental differences.

Patricia frames therapy as a collaborative process. She encourages honest conversation about what is and isn’t working, and adjusts the approach as needs shift. People who want practical tools and thoughtful listening often find this style helpful.

How her approaches guide online work

Acceptance and Commitment Therapy (ACT) focuses on clarifying personal values and taking committed steps toward them, helping with anxiety, stress, and life transitions. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and behavior and teaches practical skills to change unhelpful patterns. Attachment-Based Therapy emphasizes patterns of closeness and trust in relationships and can be useful for people dealing with abandonment, attachment issues, or relationship strain.

Finding the right approach is part of the work. Patricia listens to each person’s goals and preferences and then suggests which methods to try first. This is a collaborative process and adjustments are made over time based on what helps most.

Session format options are not listed in the biography, so confirm current session choices before booking. Online therapy can make it easier to fit sessions into a busy life - for example by saving commute time, allowing shorter check-ins around work breaks, or reducing the need to arrange childcare. Many people find that meeting with a licensed professional remotely helps them keep therapy consistent during periods of change.