CBTTherapistsUSA

The therapist listings are provided by BetterHelp and we will earn a commission if you use our link - at no cost to you.

PD Portrait of Patricia Duff-Fleming

Patricia Duff-Fleming

Practical therapy focused on strengths and change

LMHC Florida

Experience
25 years in practice
Focus areas
Stress, Anxiety, Relationship, Trauma and abuse
Approaches
Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages
English
Continue with Patricia

About Patricia

Patricia Duff-Fleming is a licensed mental health counselor practicing in Florida who draws on 25 years of clinical experience to support people facing stress, anxiety, relationship difficulties, trauma and abuse, career challenges, and life transitions.

Background and approach

She works from a strengths-based perspective that honors each person's knowledge of their own story and builds on existing resources to address current struggles and improve day-to-day functioning. Patricia integrates several evidence-informed methods, including Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT), alongside attachment-focused and emotionally oriented approaches, to tailor care to individual needs.

Her practice also attends to a broad range of related concerns such as abandonment, caregiver stress, chronic illness and pain, codependency, dissociation, end-of-life matters, and issues connected to intellectual disability and autism. Clients who seek her help can expect collaborative exploration of goals and practical strategies aimed at increasing resilience, improving relationships, and navigating life changes.

Patricia emphasizes compassionate support while helping people identify meaningful steps forward and build coping options that fit their lives.

Evidence-Informed Approaches for Online Care

Patricia commonly uses Cognitive Behavioral Therapy (CBT) to help people identify and adjust unhelpful thinking and behavior patterns, which can reduce symptoms of anxiety and improve coping in daily life. She also uses Acceptance and Commitment Therapy (ACT) to help clients clarify personal values and develop mindful strategies for living with difficult thoughts and feelings rather than trying to eliminate them. Attachment-Based Therapy is used to explore relational patterns and emotional bonds that influence current relationships and self-understanding, which can be helpful for people facing repeated conflict or interpersonal distress.

Choosing the right approach is a collaborative process. The therapist will work with each person to assess needs, preferences, and goals, combining elements of different modalities when that best supports progress and practical change.

Online sessions are offered through video calls, phone sessions, live chat, or text-based messaging to increase flexibility and access. These options allow individuals to receive ongoing support from a licensed professional while balancing work, caregiving, mobility, or other scheduling needs, and make it easier to continue therapy during life transitions.

Frequently asked questions

What concerns does she commonly address?
Patricia works with stress, anxiety, relationship problems, trauma and abuse, career difficulties, and coping with life changes, as well as many related issues such as chronic illness, codependency, and end-of-life concerns.
What is her therapeutic approach and style?
Her approach blends Cognitive Behavioral Therapy (CBT) with Acceptance and Commitment Therapy (ACT), attachment-informed and emotionally-focused methods, and client-centered principles to create practical, collaborative care.
How long has she been practicing?
She brings 25 years of professional experience to her clinical work.
Where is she licensed and how is that listed?
She is licensed in Florida as an LMHC with licence FL LMHC mh21322 and practices from that state.
Does she offer services in other languages or to international clients?
Services are provided in English, and she is not accepting international clients at this time.
Which session formats are available?
Sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging to accommodate different preferences.
How are fees and payment handled?
Cost varies by location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the first steps to begin working together?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to therapist availability.

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

Licensed

Florida

Languages

English