Patricia Duff-Fleming, LMHC
Florida · 25 years in practice
Patricia Duff-Fleming is a Licensed Mental Health Counselor (LMHC) in Florida with 25 years of clinical experience.
License and registration
- LMHC, Florida
- mh21322 · expires March 2027
- NPI
- 1194336586 · national provider identifier
- Years in practice
- 25
- Languages
- English
Details are as listed on the therapist's public professional profile. You can check the license with the issuing state board, and the NPI with the national registry.
About Patricia
Patricia Duff-Fleming is a Licensed Mental Health Counselor (LMHC) in Florida with 25 years of clinical experience. She centers conversations on what matters most to each person and helps them find workable ways forward. She aims to make the first step feel manageable and supportive rather than overwhelming.
She often uses Existential therapy to look at meaning, choice, and the big questions people face when life shifts. She also draws on Acceptance and Commitment Therapy and Cognitive Behavioral Therapy to build practical skills for managing stress and anxiety.
Background and approach
Sessions focus on what the client wants to change and what already works for them. Patricia has worked across a wide range of concerns. She helps people navigate relationship strain, trauma and abuse, career transitions, and coping with life changes.
She also supports people facing abandonment issues, caregiving stress, chronic illness, grief, and isolation. Her approach is collaborative and person-centered. She listens, reflects, and offers tools that match each person’s goals and daily life.
Clients can expect straightforward, calm guidance aimed at small, steady progress. Therapy sessions are offered in English and are available through video calls, phone sessions, live chat, or text-based messaging. Patricia practices in Florida as an LMHC and brings long experience to practical, everyday concerns.
Focus areas and approaches
Everything Patricia lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
- Career difficulties
- Coping with life changes
- Abandonment
- Aging and geriatric issues
- Attachment issues
- Autism and Asperger Syndrome
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Dissociation
- Divorce and separation
- Domestic violence
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Intellectual disability
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Narcissism
- Postpartum depression
- Post-traumatic stress
- Prejudice and discrimination
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sexual assault and abuse
- Smoking / vaping cessation
- Social anxiety and phobia
- Somatization
- Traumatic brain injury
- Women's issues
- Young adult issues
Approaches Patricia names
- Existential Therapy
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Emotionally-Focused Therapy (EFT)
- Mindfulness Therapy
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.
Online support
How therapeutic approaches translate to online sessions
Existential therapy looks at meaning, choice, and what matters most to a person. Online conversations can uncover values and life directions that feel stuck or unclear. Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and commit to actions that match their values; it offers simple exercises useful between sessions. Attachment-Based Therapy focuses on how relationships shape feelings and behavior and helps people build safer ways of relating to others.Finding the right approach is part of the work together. The therapist will listen to your goals, try different methods as needed, and help you decide which combination of approaches feels most helpful. This is a collaborative process shaped by your feedback and everyday priorities.
Online formats include video calls, phone sessions, live chat, and text-based messaging, offering flexibility for different routines. Video lets you see facial cues and work in depth. Phone sessions can be easier when bandwidth is limited. Live chat or text-based messaging can suit quick check-ins, brief skill practice, or times when scheduling shorter moments between obligations is best.
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Questions people ask
What issues does Patricia help with?
She helps people managing stress, anxiety, relationship difficulties, trauma and abuse, career concerns, and major life changes. Other focus areas include caregiving stress, chronic illness, grief, and isolation.
What is her therapeutic style like?
Her style is collaborative and person-centered. She blends questions about meaning with practical tools to reduce distress and improve daily functioning.
How much experience does she have?
She brings 25 years of professional experience working with people across many life challenges and transitions.
Where is she licensed and based?
She is a Licensed Mental Health Counselor (LMHC) practicing in Florida.
Which languages are supported?
Sessions are offered in English.
What session formats are available?
Sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging to fit different needs and routines.
How are sessions paid for?
Cost varies with location and therapist availability and uses a subscription model that can be canceled at any time.
How do I begin therapy?
Click the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to therapist availability.
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