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Patricia Duff-Fleming

Profile / United States

Patricia Duff-Fleming, LMHC

Florida

LMHC in Florida - Stress and Relationships

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  • Cognitive Behavioral Therapy
  • Acceptance and Commitment Therapy
  • Attachment-focused work

About Patricia

Patricia Duff-Fleming is a Licensed Mental Health Counselor (LMHC) in Florida with 25 years of experience. She works with stress, anxiety, relationship concerns, trauma and abuse, career questions, and coping with life changes. She also addresses issues such as abandonment, attachment concerns, chronic illness, caregiver stress, and end-of-life matters.

She uses practical, evidence-informed methods including Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT). Sessions focus on noticing unhelpful thought patterns and trying different ways of responding. Patricia keeps conversations straightforward and goal oriented so people can test small changes between meetings.

In sessions she often explores how past attachment patterns shape present relationships. She helps people recognize patterns like codependency, isolation, or avoidance and then practice new behaviors. Work can include short exercises in session and simple steps to try during the week.

Patricia also supports people facing physical illness, caregiving roles, or grief related to loss and end-of-life planning. These topics can bring complex emotions, and she aims to break them into manageable pieces to address one concern at a time.

Her style is client-centered and collaborative. She helps people set concrete goals and measures progress in ways that make sense for their daily life. Sessions are in English and take place in Florida.

How Patricia integrates CBT and related approaches in remote work

Patricia draws on Cognitive Behavioral Therapy to identify specific thought and behavior patterns that keep stress and anxiety active. CBT here means noticing thoughts, testing them with small experiments, and choosing different responses that fit daily life. Acceptance and Commitment Therapy (ACT) is used alongside CBT when values and committed action are important; ACT helps people clarify what matters and take steps toward those values despite difficult feelings. Attachment-Based Therapy looks at how early relationship patterns influence current connections and helps people practice new ways of relating.

Choosing an approach is collaborative. Patricia will review what is most relevant to the person’s goals and preferences and suggest a combination of methods. She works with clients to set clear short-term goals and adapts techniques as progress is seen or obstacles appear.

Session formats are not listed in the biography, so confirm current options before booking. Online work can make it easier to fit sessions around work, caregiving, or medical appointments and can reduce travel time. It also allows for shorter check-ins when days are busy and for exercises that can be practiced between meetings. Ask about the available session types and scheduling when you complete the matching questionnaire.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesTrauma and abuseCareer difficultiesCoping with life changes

Additional focus areas

AbandonmentAging and geriatric issuesAttachment issuesAutism and Asperger SyndromeCaregiver issues and stressChronic pain, illness, and disabilityCodependencyDissociationDivorce and separationDomestic violenceForgivenessGuilt and shameHospice and end-of-life counselingIntellectual disabilityIsolation / lonelinessLife purposeMidlife crisisNarcissismPostpartum depressionPost-traumatic stressPrejudice and discriminationSeasonal Affective Disorder (SAD)Self-harmSelf-loveSexual assault and abuseSmoking / vaping cessationSocial anxiety and phobiaSomatizationTraumatic brain injuryWomen's issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Emotionally-Focused Therapy (EFT)Existential TherapyMindfulness TherapyNarrative TherapyPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

25+ years

Listed in

Florida

Languages

English

Frequently asked questions

What concerns does she commonly help with?

She works with stress, anxiety, relationship problems, trauma and abuse, career issues, and coping with life changes. Additional focus areas include grief, caregiver stress, chronic illness, and isolation.

How does she use Cognitive Behavioral Therapy?

She uses CBT to help people notice unhelpful thoughts and test different responses. The work is practical, with exercises to try between sessions.

What is her professional background?

She has 25 years of professional experience working in mental health settings. That experience includes supporting people through relationship and trauma-related concerns.

What credentials does she hold and where does she practice?

She is a Licensed Mental Health Counselor (LMHC) licensed in Florida and practices in that state.

Which languages are supported for sessions?

Sessions are offered in English.

Can people outside the United States work with her?

International clients are not currently accepted. She works with clients located in Florida.

How are sessions paid for?

Cost varies with location and sessions use a subscription that can be canceled at any time. Specific pricing depends on the subscription tier chosen.

How do I begin working with her?

Start by selecting the See online therapy options button, complete a short matching questionnaire, and schedule a first session. That process connects you and sets up the initial appointment.

Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.

Online talk therapy is not emergency care. If you are not safe, use the crisis numbers.

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Patricia Duff-Fleming

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