Patricia Duff-Fleming, LMHC

Experienced Florida LMHC for life transitions

Anxiety and stress support
Relationship and trauma work
Video phone and text

About Patricia Duff-Fleming

Patricia Duff-Fleming is a Florida-licensed LMHC with 25 years of professional experience supporting adults facing stress, anxiety, relationship challenges, trauma and abuse, career concerns, and end-of-life matters. As a Licensed Mental Health Counselor - the LMHC credential recognizes training and clinical experience in counseling - she brings a calm, strengths-based focus to therapy and helps clients navigate complex emotions and life transitions.

Patricia emphasizes that each person is the expert on their own story and draws on clients' existing resources to build resilience and practical coping skills. Her work is tailored to an individual's needs, whether addressing abandonment and attachment issues, caregiver stress, chronic illness, grief and hospice concerns, or difficulties related to isolation and aging. She guides clients through change with empathy and clear, collaborative support.

Taking the first step toward a more fulfilling life often requires courage, and Patricia offers steady guidance during that process. She partners with clients to identify goals, explore meaningful choices, and develop strategies that fit daily life and long-term wellbeing.

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 Approach

Acceptance and Commitment Therapy (ACT) Attachment-Based Therapy Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Emotionally-Focused Therapy (EFT) Existential Therapy Mindfulness Therapy Narrative Therapy Psychodynamic Therapy Solution-Focused Therapy Trauma-Focused Therapy

Frequently Asked Questions

How much experience does Patricia Duff-Fleming have?

Patricia Duff-Fleming has 25 years of professional experience in the mental health field.

Is Patricia Duff-Fleming a licensed therapist?

Yes. She holds the LMHC credential, which stands for Licensed Mental Health Counselor. License details are FL LMHC mh21322.

In which languages does Patricia Duff-Fleming provide therapy?

Patricia provides therapy in English.

Where is Patricia Duff-Fleming located?

Patricia is located in Florida.

How can I work with Patricia Duff-Fleming as my therapist?

You can work with Patricia Duff-Fleming through video calls, phone sessions, live chat, or text-based messaging.

Does Patricia Duff-Fleming work with international clients?

Patricia Duff-Fleming does not currently work with international clients.

How much does therapy with Patricia Duff-Fleming cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started with therapy is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Therapeutic Approaches and Online Support

Patricia often integrates Acceptance and Commitment Therapy, Attachment-Based Therapy, and Cognitive Behavioral Therapy into her online practice. Acceptance and Commitment Therapy (ACT) helps clients clarify personal values and take committed action toward a meaningful life while learning to make space for difficult thoughts and emotions - it is useful for stress, anxiety, and life transitions. Attachment-Based Therapy explores patterns that developed in early relationships and how they affect current connections, making it helpful for relationship difficulties, abandonment concerns, and intimacy challenges. Cognitive Behavioral Therapy (CBT) focuses on identifying and adjusting unhelpful thoughts and behaviors to reduce symptoms of anxiety and improve day-to-day functioning.

Choosing the right approach is part of the therapeutic journey. Patricia collaborates with clients to assess needs, preferences, and goals, and she adjusts methods over time so therapy remains practical and relevant. This collaborative stance helps clients feel involved in shaping their care.

Online therapy options - including video calls, phone sessions, live chat, and text-based messaging - provide flexibility for scheduling and make it easier to receive support from home or work. These formats allow licensed professionals to offer consistent, goal-focused care that fits into busy lives and changing circumstances.

Ready to start therapy with Patricia Duff-Fleming?

Take the first step toward a better you.

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