Vivian Fleming

Vivian Fleming is an LPCC who helps people manage stress, anger, anxiety, depression, trauma, and addictions. She draws on 25 years of practice to guide people through hard moments and life changes. Her work centers on practical steps people can use right away.

Clients describe starting by talking about what feels most urgent. Vivian focuses on problems like panic, shame, isolation, and relationship strain. She also supports people facing grief, caregiver stress, or the ripple effects of trauma and abuse.

Her approach blends skill-building and deeper processing. Vivian uses Cognitive Behavioral Therapy to change unhelpful thinking and Dialectical Behavior Therapy to teach emotion regulation skills. She also brings Client-Centered Therapy and mindfulness into sessions to help people feel heard and grounded.

When trauma is part of the picture, she incorporates EMDR to work on distressing memories alongside other methods. Sessions are collaborative and paced to each person’s needs, with attention to cultural and workplace concerns that can affect daily life.

Vivian works with people who want clear strategies and emotional insight. Her style is direct but compassionate, aiming to build coping tools and restore a sense of purpose. She is based in Kentucky and communicates in English, and she accepts international clients.

How therapeutic approaches translate to online care

Client-Centered Therapy focuses on listening and reflecting so people feel understood and can explore what matters most to them. This approach helps when someone needs empathy and a space to sort feelings and priorities. Cognitive Behavioral Therapy (CBT) looks at thoughts and behaviors and teaches concrete skills to reduce anxiety, manage mood, and change unhelpful patterns. Dialectical Behavior Therapy (DBT) adds emotion regulation, distress tolerance, and interpersonal skills that are useful for intense feelings and impulsive reactions.

Finding the right approach is part of the work together. The therapist will discuss goals, try strategies, and adjust methods based on what helps most. Clients are invited to give feedback so the plan stays practical and relevant.

The biography does not list specific session formats, so confirm the available online options before booking. Online therapy can make it easier to fit sessions into a busy week, reduce travel time, and allow shorter check-ins when schedules are tight. Some approaches translate well to remote sessions because they use taught skills, worksheets, and coaching that can be shared during or between meetings. Licensed professionals can coach emotion regulation and behavioral strategies effectively through an ongoing online process.