Patricia Duff-Fleming, LMHC

Florida | Online sessions in Florida | English | Book with Patricia »

Narrative-focused counselor with practical tools

Details

Name	Patricia Duff-Fleming
Credentials	LMHC
Based in	Florida
Licensed in	Florida
Session format	Online
Languages	English
Years in practice	25

About Patricia

Patricia Duff-Fleming is a Florida-licensed mental health counselor with 25 years of clinical experience. She centers the person telling their story and helps people name the problems that cause stress and anxiety. Patricia works in straightforward language and offers steady support as people consider changes in their life.

She draws on Narrative approaches so people can separate themselves from the problems they face. That helps clients see patterns and find different ways to respond.

Background and approach

She also uses Acceptance and Commitment Therapy and Cognitive Behavioral Therapy to build practical tools for managing difficult thoughts and feelings. Patricia pays attention to relationships and attachment patterns. She helps people sort through the effects of trauma, abuse, abandonment, separation, and grief.

She also supports those coping with chronic illness, caregiving strain, aging and end-of-life concerns when these issues come up in a person’s story. Sessions focus on clear goals and small steps people can try between meetings. Patricia aims to make therapy a collaborative process where the client’s knowledge about their life guides the work.

She listens for strengths and possibilities while offering ideas that fit each person’s situation. People who want a direct, respectful approach find her practical and calm. She offers phone, video, chat, and text options to fit different schedules.

Patricia works in English and practices in Florida as an LMHC.

What this therapist works with

Her listing names Stress, Anxiety, Relationship issues, Trauma and abuse among the things Patricia works with, alongside the areas below.

Approaches listed

Narrative Therapy: Named in her listing among her approaches.
Acceptance and Commitment Therapy (ACT): Listed by Patricia among the ways she works.
Attachment-Based Therapy: Listed by Patricia among the ways she works.
Client-Centered Therapy: Listed by Patricia among the ways she works.
Cognitive Behavioral Therapy (CBT): Listed by Patricia among the ways she works.
Emotionally-Focused Therapy (EFT): Listed by Patricia among the ways she works.
Existential Therapy: Listed by Patricia among the ways she works.
Mindfulness Therapy: Listed by Patricia among the ways she works.
Psychodynamic Therapy: Listed by Patricia among the ways she works.
Solution-Focused Therapy: Listed by Patricia among the ways she works.
Trauma-Focused Therapy: Listed by Patricia among the ways she works.
Training stated: This directory copies the approaches a therapist names and does not check training records. Ask Patricia directly how much of the work is narrative and what a session usually looks like.

Narrative Therapy in this listing

Narrative Therapy appears in this therapist's own list of approaches. That tells you it is part of how she works. It does not tell you how much of a session it shapes, and this directory does not check or rate training.

If a narrative approach is what you are looking for, it is worth asking Patricia directly how she uses it and what a session usually looks like.

Online session options

Approaches for online therapy and practical change

Patricia combines Narrative therapy with Acceptance and Commitment Therapy to help people reshape their relationship to difficult experiences. Narrative work focuses on the stories people tell about themselves so they can spot unhelpful patterns and consider alternative ways of living. ACT teaches skills to accept uncomfortable thoughts and commit to actions that reflect personal values, which can help with anxiety, stress, and life transitions.

She views finding the right approach as a team effort. The therapist listens to each person’s goals and preferences and then suggests techniques to try. Clients and therapist check in together about what helps and adjust the plan as needed so the work stays practical and relevant.

Online sessions are offered through video calls, phone sessions, live chat, or text-based messaging to make scheduling easier. Video is useful for a fuller face-to-face conversation, while phone calls work well when bandwidth is limited. Live chat or text can be a quick way to check in between sessions or for brief reflections when writing feels helpful. These options support flexibility so people can fit therapy into busy or changing lives.

Common questions about this listing

What kinds of concerns does Patricia address?

She works with stress, anxiety, relationship problems, trauma and abuse, career challenges, and coping with life changes. Her practice also includes issues like abandonment, caregiving stress, chronic illness, grief, and isolation.

What is her therapeutic style like?

Her approach is collaborative and narrative-oriented, helping people separate themselves from their problems. She combines that with Acceptance and Commitment Therapy and Cognitive Behavioral Therapy to teach concrete skills.

How much experience does she have?

Patricia has 25 years of professional experience working in mental health settings. That background informs her practical, straightforward style in sessions.

Where is she licensed and located?

She is licensed in Florida as an LMHC and practices from that state. Sessions are provided by a licensed professional based in Florida.

What languages are supported for sessions?

Sessions are offered in English.

What session formats are available?

Therapy can be conducted via video calls, phone sessions, live chat, or text-based messaging. Multiple formats allow people to choose what fits their schedule and needs.

How much do sessions cost?

Cost varies with location and therapist availability. Sessions use a subscription model that can be canceled at any time.

How do I begin working with her?

Start by selecting the Start Therapy button and completing a short matching questionnaire. Then schedule sessions according to therapist availability.

Contacting this therapist

Sessions with Patricia are arranged through our partner platform. It asks a few questions about what you are looking for, then shows you the therapists available to you, including Patricia where she has space. Ask about fees, and whether she holds a licence or registration where you live.

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