Vivian Fleming
Experienced counselor for emotional challenges
- Credentials
- LPCC
- Experience
- 25 years
- Licensed in
- Kentucky, Ohio
- Languages
- English
- Format
- Online sessions
About Vivian
Vivian Fleming is a licensed professional clinical counselor (LPCC) based in Kentucky. She helps people facing stress, anxiety, depression, trauma, grief, addiction, bipolar mood concerns, ADHD, and challenges with relationships or family. Her work also addresses anger, coping with life changes, compassion fatigue, and feelings of isolation or low self-worth.
Vivian draws on 25 years of clinical experience to create clear, practical plans. She uses straightforward talk, step-by-step skills, and grounding techniques so people can manage symptoms day to day.
Background and approach
She adapts sessions to what each person needs rather than using a one-size-fits-all method. Her background includes training in cognitive behavioral techniques, dialectical behavior strategies, EMDR for trauma, mindfulness practices, and a client-centered stance. Those tools are used to reduce distress, improve coping, and rebuild a sense of control after setbacks.
Sessions often focus on communication, boundaries, and repairing trust where relationships have been strained. Vivian pays attention to how multiple concerns interact, such as co-morbid conditions, caregiver stress, impulsivity, and issues like abandonment or chronic shame. She also supports people working through divorce, separation, domestic violence, or disruptive mood presentations.
People who reach out can expect a collaborative process in which goals are set together. Vivian explains options plainly, checks in about progress, and adjusts approaches when needed to help clients move toward clearer choices and better daily functioning.
How Vivian’s Methods Translate to Online Care
Client-Centered Therapy focuses on listening and creating a safe space where the person guides the pace. It helps when someone needs validation, clearer goals, and a partner in sorting through emotions. Cognitive Behavioral Therapy, or CBT, helps identify unhelpful thoughts and change behavior through small experiments and practical homework. It is useful for anxiety, depression, and mood regulation. Eye Movement Desensitization and Reprocessing, EMDR, is a trauma-focused approach that uses structured processing to reduce the intensity of painful memories and associated reactions.Finding the right method is part of the work. Vivian collaborates with each person to choose which approaches to try first, and she adjusts plans based on how someone responds. That collaborative process helps tailor pacing, skills training, and trauma work to individual readiness and goals.
Online formats include video calls, phone sessions, live chat, and text-based messaging, which allow for flexible scheduling and different levels of interaction. Video sessions make it possible to use visual exercises and guided techniques, while phone or text options can help when someone needs shorter check-ins or prefers written reflection. These options make consistent care easier to fit into a busy life and help sustain progress between sessions.
Client-Centered Therapy
The direction comes from you rather than from a set programme. The therapist offers a warm, non-judgemental space to think out loud and work at your own pace. Online, this rests on the relationship rather than on being in the same room.
Cognitive Behavioral Therapy (CBT)
CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.
Dialectical Behavior Therapy (DBT)
Concrete skills for riding out strong emotion, tolerating distress, and handling relationships without things escalating. The skills are practised in daily life, so between-session support by message or phone fits naturally.
Frequently asked questions
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Specialties and expertise
Top specialties
Also works with
- Abandonment
- Addictions
- ADHD
- Anger management
- Bipolar disorder
- Caregiver issues and stress
- Co-morbidity
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Family conflicts
- Forgiveness
- Grief
- Guilt and shame
- Impulsivity
- Isolation / loneliness
- Life purpose
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Panic disorder and panic attacks
- Post-traumatic stress
- Postpartum depression
- Relationship issues
- Self-love
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 25 years
- Licensed
- Kentucky, Ohio
- Languages
- English
Next step
Talk to Vivian
- Takes a few minutes
- Nothing to set up just to look
- Stop at any point