Vivian Fleming, LPCC

Vivian Fleming is a Licensed Professional Clinical Counselor (LPCC) with 25 years of experience helping people navigate complex emotional challenges. Based in Kentucky and working with English-speaking clients, she focuses on issues such as depression, anxiety, trauma and abuse, bipolar disorder, addictions, relationship and family concerns, grief, anger, and coping with life changes. Her practice also addresses ADHD, compassion fatigue, self-esteem, and a range of related concerns including abandonment, caregiver stress, dissociation, and communication or commitment difficulties.

Vivian combines a holistic, culturally sensitive approach with practical strategies to support healing and growth. She draws on client-centered therapy to create a collaborative, nonjudgmental space, and integrates cognitive behavioral techniques and dialectical behavior therapy to help clients develop skills for managing difficult thoughts and emotions. She is also trained in EMDR and mindfulness-based methods to address trauma and to foster present-moment awareness when appropriate.

Known for prioritizing empowerment and individualized care, Vivian works closely with each person to develop personalized plans that honor their history and goals. She has particular insight into women s experiences and workplace dynamics, and she aims to help clients move from isolation and shame toward clearer communication, renewed purpose, and greater emotional resilience. Vivian accepts international clients and offers multiple formats for therapy to accommodate different needs and schedules.

Therapeutic Approaches and Online Care with Vivian Fleming

Vivian Fleming integrates client-centered therapy, which emphasizes empathy and collaboration to help clients feel heard and to guide them toward their own solutions. This approach works well for people seeking a supportive space to explore identity, relationships, and life purpose.

She also uses Cognitive Behavioral Therapy (CBT) to identify and shift unhelpful thought patterns and behaviors, offering practical tools for managing anxiety, depression, and everyday stress. Dialectical Behavior Therapy (DBT) skills are incorporated when emotional regulation, distress tolerance, or relationship patterns are a primary concern, providing concrete strategies for stability and improved communication.

Choosing the right approach is a collaborative process. Vivian will work with each person to assess needs, goals, and preferences, and she adapts methods over time to find what fits best. Licensed professionals aim to tailor care rather than use a one-size-fits-all model.

Online therapy with Vivian is offered via video calls, phone sessions, live chat, or text-based messaging to increase flexibility and access. These formats allow clients to schedule sessions around work, caregiving, or geographic constraints, and to continue therapeutic work even when in-person appointments are not possible. The focus remains on effective, person-centered treatment that fits a client s life.