Dr. Chriselda Fleming, MD

Dr. Chriselda Fleming, MD (Doctor of Medicine), is a licensed psychologist based in Maryland with 27 years of clinical experience supporting adults through a wide range of life challenges. She works with people facing stress, anxiety, depression, relationship and family conflicts, trauma and abuse, bipolar disorder, ADHD, addictions, grief, eating and parenting concerns, and the everyday struggles that sap confidence and energy. Her practice also addresses issues such as abandonment, body image, caregiver stress, chronic illness and pain, dissociation, domestic violence, and isolation.

Her approach combines practical, evidence-informed tools from Cognitive Behavioral Therapy with the reflective depth of brief psychodynamic work. That blend helps clients change daily habits and thought patterns while also exploring the earlier experiences that continue to shape feelings and relationships. Trauma-focused methods are available when past harm affects current functioning, and she can incorporate Dialectical Behavior Therapy skills when emotional regulation and impulse control are central concerns.

Dr. Fleming aims to create a steady, respectful, and useful therapeutic space where goals are set collaboratively, progress is tracked, and methods are adjusted as needed. Sessions emphasize skill-building, greater self-understanding, and decision-making that aligns with the life clients want to build. For those ready to begin, she manages scheduling to find appointment times that fit daytime availability.

Integrating Therapeutic Approaches into Online Care

Dr. Fleming uses Cognitive Behavioral Therapy to help clients identify and change unhelpful thoughts and behaviors that contribute to anxiety, depression, and stress. CBT offers practical exercises and coping strategies that are useful for problem-focused work and short-term goals.

She also draws on brief psychodynamic therapy to explore patterns rooted in earlier relationships and experiences. This approach helps uncover how past events influence current reactions and interpersonal difficulties, offering insight that can deepen lasting change.

When trauma is central to a person's struggles, trauma-focused methods are used to address the ways past harm continues to affect daily life, relationships, and emotional regulation. These approaches are selected thoughtfully based on each person’s needs.

Finding the right approach is part of the therapeutic process. Dr. Fleming works collaboratively with clients to determine which methods fit their goals, preferences, and circumstances, and will adapt the plan as progress unfolds.

Online therapy options - including video calls, phone sessions, live chat, and text-based messaging - make it easier to fit care into busy lives. These formats provide flexibility for scheduling, more opportunities for consistent contact between sessions, and access to licensed professionals from a range of locations.