- Guilt and shame
- ACT and CBT
- Attachment work
About Patricia
Patricia Duff-Fleming is a Florida LMHC with 25 years of clinical experience. She works with stress, anxiety, relationship concerns, trauma and abuse, career issues, and coping with life changes, including guilt and shame.
She approaches work with the view that each person knows their own story. Patricia helps people notice strengths they already have and use them to face difficult choices. She treats concerns such as abandonment, attachment issues, codependency, dissociation, and isolation alongside the primary issues above.
Her practice also addresses chronic illness and disability, caregiver stress, intellectual disability, and aging or end-of-life concerns. Patricia has experience supporting people through divorce and domestic violence matters and providing counseling around forgiveness and guilt.
In sessions she blends methods to fit what a person needs in the moment. She draws on Acceptance and Commitment Therapy and Cognitive Behavioral Therapy to help people name thoughts and try small, specific changes. Attachment-Based and Emotionally-Focused approaches are used when relationship patterns and emotional connection are central concerns.
Patricia expects the work to be collaborative. She asks questions, listens, and offers practical strategies people can try between sessions. The initial steps are the short matching questionnaire and scheduling a first session, which helps clarify goals and a straightforward plan for moving forward.
How therapeutic approaches are used in online sessions
Patricia commonly draws on Acceptance and Commitment Therapy and Cognitive Behavioral Therapy in her work. ACT focuses on noticing thoughts and values, then taking small actions toward what matters despite difficult feelings. CBT helps people identify unhelpful thinking patterns and try concrete behavior changes to shift mood and reactions.She also integrates Attachment-Based and Emotionally-Focused ideas when relationship patterns or emotional connection are central. Those approaches look at how early connection shapes current relationship responses and then practice new ways of relating and expressing needs.
Choosing the right approach is part of the work. Patricia collaborates with each person to decide which methods fit their goals and preferences. That can mean trying one approach for a few sessions and adjusting as needed based on how a person is responding.
Confirm the current session formats before booking since specific online options are not listed here. Online work can make scheduling easier, allow shorter check-ins during busy days, or remove the need to travel to an office. The practical aim is to fit sessions into everyday life so people can try new habits between meetings.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
25+ years
Listed in
Florida
Languages
English
Frequently asked questions
What kinds of concerns does she address?
She works with stress, anxiety, relationship issues, trauma and abuse, career problems, and coping with life changes. The practice also lists additional focuses such as guilt and shame, abandonment, and caregiver stress.
How would she approach feelings of shame or guilt?
Patricia uses a mix of approaches to help people name painful thoughts and experiment with different ways of responding. She often pairs acceptance strategies with cognitive techniques to reduce the hold of those feelings.
What is her background and experience?
She is a Florida LMHC with 25 years of experience working in clinical settings. Her work has included helping people with trauma, relationship struggles, and end-of-life concerns.
What credential does she hold and where is she located?
She holds the LMHC credential and is licensed in Florida. Sessions are provided from that state.
Which languages are supported?
Sessions are offered in English only.
Can international clients work with her?
She does not accept international clients at this time.
How are session costs handled?
Cost varies with location and sessions use a subscription that can be canceled at any time. Specific pricing details are provided during the sign-up process.
What do I do to begin?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session. That process starts the intake and helps set initial goals.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.