Patricia Duff-Fleming, LMHC

Patricia Duff-Fleming is a Licensed Mental Health Counselor (LMHC) in Florida who uses a collaborative, person-focused approach. She centers sessions on what matters to each individual and helps people build on their strengths. Patricia talks plainly about stress, anxiety, relationship strain, trauma, career concerns, and coping with life changes.

With 25 years of experience, she brings long-term practice helping people navigate hard moments. She emphasizes that clients are experts in their own stories and that therapy is a shared effort. Sessions aim to make small, practical changes that reduce daily strain and improve functioning.

Patricia draws on approaches such as Acceptance and Commitment Therapy and Cognitive Behavioral Therapy to help people recognize unhelpful patterns and try new actions. She also uses Attachment-Based and Emotionally-Focused ways of working for relationship and connection issues. The goal is straightforward: find what helps and apply it to real-life situations.

Her experience includes supporting people facing chronic illness, caregiver stress, grief, aging and end-of-life concerns, and challenges related to isolation or disability. She also works with issues like abandonment, codependency, dissociation, and the fallout from domestic violence and separation.

Patricia keeps therapy simple and grounded. She listens, reflects, and helps set clear steps to try between sessions. Those steps are practical and aimed at making life easier day to day.

Therapeutic approaches and how they translate to online work

Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts without getting stuck in them and choose actions that match their values. It can be useful for anxiety, stress, chronic illness adjustment, and situations that call for making hard choices.

Cognitive Behavioral Therapy (CBT) focuses on identifying thought and behavior patterns that contribute to distress and testing new, practical skills. It often helps with anxiety, worry, and day-to-day coping strategies.

Attachment-Based and Emotionally-Focused ideas guide conversations about connection, safety in relationships, and recurring interaction patterns. These approaches are helpful when relationship pain, abandonment fears, or attachment issues are part of the concern.

Finding the right approach is part of the work. The therapist will collaborate with each person to pick methods that fit their goals and preferences. That may mean trying one way for a few sessions, then shifting if something else seems more helpful.

If you are considering online therapy, confirm the session formats available before booking. Online options can make it easier to fit sessions into a busy week, allow shorter check-ins when needed, and remove travel time. They also let people attend from wherever they are while keeping therapy focused on practical steps and real-life changes.