Patricia Duff-Fleming

Patricia Duff-Fleming is a Licensed Mental Health Counselor (LMHC) practicing in Florida. She brings 25 years of experience helping people navigate stress, anxiety, relationship concerns, trauma and abuse, career questions, and major life changes. Patricia emphasizes the client’s own knowledge of their life and builds on existing strengths to move forward.

Her approach is collaborative and straightforward. She listens first, then helps people identify small, workable steps that match their goals. Sessions focus on real problems and practical strategies rather than jargon or complicated plans.

Patricia uses a mix of therapies to fit each person’s needs. She draws on Acceptance and Commitment Therapy to clarify values and create action. Cognitive Behavioral Therapy helps people notice and change unhelpful thinking and behavior. Attachment-based and emotionally-focused ideas inform work on relationship issues and patterns.

She also has experience addressing issues related to aging, caregiver stress, chronic illness and disability, dissociation, codependency, and intellectual disability. Patricia supports people dealing with grief, end-of-life questions, separation, and feelings of isolation.

Her style is warm and grounded. She tries to make sessions feel manageable and focused on what will help most. Taking the first step can feel hard, and she offers steady guidance while people find their way forward.

How these approaches translate to online therapy

Acceptance and Commitment Therapy helps people clarify what matters to them and take small steps toward those values. It’s useful for anxiety, life transitions, and finding direction when things feel stuck. Cognitive Behavioral Therapy focuses on noticing unhelpful thoughts and testing them with real-life experiments to change mood and behavior. That approach often helps with stress, worry, and relationship patterns. Attachment-Based Therapy pays attention to how past relationship patterns affect current connections and emotions, which can help when people feel stuck in repeating patterns.

Finding the right approach is part of the work. The therapist will talk with each person about goals, preferences, and what feels most useful. Together they decide which approaches to try and adjust the plan as needed so it fits real life.

Session formats are not specified in the biography, so confirm current options before booking. Online sessions can make it easier to fit therapy into a busy schedule, reduce travel time, and allow for shorter check-ins when needed. They also let people work from a quieter spot, use less bandwidth if video is difficult, or choose formats that match energy and routine. Licensed professionals can adapt exercises and homework for online work so therapeutic tools remain practical and usable.