Patricia Duff-Fleming

Patricia Duff-Fleming is a Licensed Mental Health Counselor (LMHC) in Florida with 25 years of experience. She focuses on helping people manage stress, anxiety, relationship concerns, trauma, career challenges, and end-of-life questions. Patricia aims to create a steady, respectful space where people can tell their story and find what helps them most.

She believes each person knows their life best and brings strengths into the room. Patricia listens for those strengths and helps people use them to move forward. Her style is collaborative and straightforward, with practical steps people can try between sessions.

Patricia draws on therapies that help clarify values, manage thoughts and feelings, and rebuild connection. She uses Acceptance and Commitment Therapy and Cognitive Behavioral Therapy to address unhelpful thinking and to encourage actions that match what matters most. Attachment-based and emotionally-focused ideas guide work around relationship patterns and closeness.

Across many years in practice, Patricia has supported people facing grief, caregiver stress, chronic illness, and major life changes. She also works with issues such as abandonment, codependency, dissociation, and isolation. Her approach balances emotional work with tools for everyday coping.

People who reach out can expect honest feedback and respectful listening. The first steps are simple: share what’s most pressing, identify small goals, and try practical skills that fit daily life.

Therapeutic approaches and online options that fit your life

Patricia uses Acceptance and Commitment Therapy to help people clarify what matters most and take steps that match those values, even when strong feelings get in the way. She also uses Cognitive Behavioral Therapy to spot and change unhelpful thinking patterns, which can reduce anxiety and improve daily functioning.

Choosing the right approach is part of the work. Patricia treats selection as a collaboration - she will listen to your goals and try approaches that suit your needs and preferences. Together you can adjust methods over time based on what helps most.

Session formats are not listed in the biography, so please confirm current online options before booking. Online therapy can make it easier to fit sessions into a busy life, such as scheduling shorter check-ins during a work break or avoiding travel time to an office. It can also make therapy more consistent when caregiving or health issues make in-person visits difficult. Licensed professionals can adapt ACT and CBT tools for virtual conversations, homework, and practical coping strategies to use between sessions.