Vivian Fleming, LPCC

Vivian Fleming is an LPCC with 25 years of experience helping people cope with stress, anxiety, depression, trauma, and life changes. She focuses on mood disorders, addiction concerns, relationship and family stress, grief, and struggles with self-esteem and purpose. People often seek her help for anger, compassion fatigue, ADHD, and the lasting effects of abuse or loss.

Her style is straightforward and collaborative. She listens first and helps people name what matters most. Sessions focus on practical steps people can try between meetings, such as new coping skills, communication tools, or ways to manage strong emotions.

Vivian uses approaches like client-centered work, cognitive behavioral techniques, dialectical behavior strategies, EMDR, and mindfulness. She adapts methods to each person rather than applying one fixed plan. The aim is to build useful skills and gently process painful memories over time.

She draws on long clinical experience and attention to cultural and workplace concerns. That experience informs how she helps people juggle caregiving roles, job stress, or complex grief. Vivian works from Kentucky and supports English-speaking and international clients.

To begin, people complete a short matching questionnaire and then schedule sessions based on therapist availability. The practice uses a subscription that can be canceled at any time, and cost varies with location and therapist factors.

Approaches you can use in online sessions

Client-centered therapy focuses on the person in the room. It means the therapist follows the client's pace, reflects what is said, and helps people identify their goals and values. This approach is useful when someone needs a listening space and help sorting priorities.

Cognitive behavioral therapy, or CBT, looks at how thoughts, feelings, and actions link together. It teaches practical techniques to change unhelpful thinking and behavior patterns, which can help with anxiety, depression, and impulse control.

Dialectical behavior therapy, or DBT, offers skills for managing intense emotions and improving relationships. It includes breathing and attention skills, emotion regulation strategies, and ways to handle conflict more effectively.

Finding the right approach is part of the work. The therapist will collaborate with each person to pick and adapt methods that match their needs, goals, and preferences. That might mean starting with skills work, then moving into trauma processing or mindfulness practices as trust builds.

If you prefer online sessions, confirm the available session formats before booking since specific formats were not listed in the biography. Many people find virtual options help fit therapy into a busy day, make scheduling easier, and allow shorter check-ins when needed. A therapist can also suggest which approaches adapt well to remote work and how to plan sessions that suit daily life.