Patricia Duff-Fleming, LMHC

Patricia Duff-Fleming is a Florida-licensed mental health counselor who focuses on helping people move through stress, anxiety, relationship strain, trauma and abuse, career challenges, and major life changes. She approaches therapy as a partner in the work and recognizes each person as the expert on their own story. Patricia encourages small steps toward a more satisfying life and offers steady support along the way.

With 25 years of experience, she draws on a mix of approaches to match the needs of each person. Patricia uses Acceptance and Commitment Therapy to help people clarify values and take action. She applies Cognitive Behavioral Therapy to notice and shift unhelpful thinking and behavior patterns. Attachment-based ideas and Emotionally-Focused Therapy inform how she looks at relationship patterns and emotional responses.

Sessions typically focus on practical changes and emotional understanding. Patricia helps people name what is causing pain, build coping strategies, and practice new responses. She also supports those facing illness, caregiving stress, grief, and end-of-life concerns.

Her background includes long-term clinical experience working with issues such as abandonment, codependency, dissociation, and isolation. Patricia also offers help around divorce and separation, domestic violence, chronic illness, intellectual disability concerns, and caregiver burnout.

Therapy is collaborative and paced to each person. To begin, prospective clients complete a brief matching questionnaire and schedule a session according to availability. Sessions are conducted in English and follow Florida LMHC practice standards.

How therapeutic approaches shape online care

Acceptance and Commitment Therapy (ACT) helps people clarify what matters most to them and take small, meaningful steps toward those values despite difficult thoughts or feelings. Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thoughts and behaviors to reduce distress and improve daily functioning. Emotionally-Focused Therapy (EFT) looks at emotional patterns in relationships and helps people learn new ways to express needs and respond to others.

Finding the right approach is part of the work. Patricia will discuss these options with each person and collaborate on which methods best match their goals, preferences, and day-to-day needs. The plan can be adjusted as progress is made and priorities shift.

Because the specific session formats are not listed in the therapist biography, confirm current online session options before booking. Online care can make it easier to fit therapy into a busy life, reduce travel time, and allow shorter check-ins when needed. It also makes it possible to continue steady work during transitions like relocations or changes in routine, while the therapist and client focus on practical tools and emotional processing together.