About Patricia
Patricia Duff-Fleming uses a practical, person-focused approach to help people manage stress, anxiety, relationship struggles, trauma, career shifts, and major life changes. She is a licensed mental health counselor in Florida with 25 years of experience. Patricia talks plainly and meets people where they are to build a plan that fits their life.
Patricia emphasizes that the client is the expert on their own story. She listens first and then helps people notice patterns that get in the way.
Background and approach
From there she works collaboratively to set realistic goals and try small changes that can add up over time. Her work draws on evidence-based methods such as cognitive behavioral techniques and acceptance and commitment ideas to manage difficult thoughts and emotions. She also uses attachment-based and emotionally focused approaches when relationship patterns and connection are central concerns.
Patricia has supported people through grief, end-of-life issues, caregiving stress, chronic illness and disability, and the effects of trauma and abuse. She also helps with practical life challenges like career transitions, isolation, and codependency. Sessions are conversational and straightforward.
Patricia aims to create a steady, respectful space where people can try different ways of coping, practice new skills, and reflect on what matters most to them.
Therapeutic approaches and online care
Patricia draws on cognitive behavioral therapy to help identify unhelpful thought and behavior patterns and then practice changes that reduce anxiety and improve daily functioning. She also uses acceptance and commitment therapy, which helps people clarify their values and take action even when difficult feelings are present. Emotionally focused and attachment-based ideas guide work on relationship patterns and deepening emotional connection when those issues matter most.Deciding which approach to use is a collaborative process. Patricia will listen to your goals and preferences, then suggest techniques to try. Together you can adjust the plan as you learn what fits and what helps you reach your goals.
Online sessions are offered by video call, phone, live chat, or text-based messaging to provide flexibility. Video works well for deeper conversations and working on emotional expression. Phone can be easier when bandwidth is limited or for a simpler check-in. Live chat or text messaging may suit short updates, brief problem-solving, or people who prefer not to be on camera. These options make it easier to fit therapy into a busy life and keep progress moving between sessions.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also works with
- Abandonment
- Aging and geriatric issues
- Attachment issues
- Autism and Asperger Syndrome
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Coping with life changes
- 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
- Post-traumatic stress
- Postpartum depression
- 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
Therapeutic approaches
- Experience
- 25 years
- Licensed
- Florida
- Languages
- English