Dr. Chriselda Fleming, MD

Dr. Chriselda Fleming is a Maryland-based psychologist with 27 years of clinical experience. She helps adults who are feeling overwhelmed by anxiety, depression, stress, relationship problems, grief, addiction, or life changes. She also supports people dealing with ADHD, bipolar symptoms, eating and body-image concerns, and caregiver strain.

Her approach combines practical cognitive behavioral techniques with psychodynamic perspective. In sessions she looks at current habits and thoughts that get in the way, and also pays attention to earlier experiences that still influence feelings and reactions today. The work is aimed at clear, manageable change rather than vague promises.

Clients can expect goal-focused sessions where simple skills are practiced and progress is tracked. Conversations often include learning specific coping tools, trying small behavior changes between sessions, and reflecting on patterns that repeat in relationships or at work.

Dr. Fleming uses short-term strategies alongside deeper reflection when that fits the client’s needs. She aims to create a steady, respectful setting where people can talk honestly, try out new ways of handling stress, and make practical decisions that match their values.

To begin, she asks people to pick times that fit their schedule so the first appointment can be placed efficiently. Her practice offers a mix of session formats to fit different days and needs.

How therapeutic approaches fit into online care

Dr. Fleming commonly uses cognitive behavioral therapy and trauma-focused ideas in her online work. Cognitive behavioral therapy (CBT) focuses on identifying unhelpful thoughts and testing small behavior changes to reduce anxiety, depression, or stress. Trauma-focused therapy helps people notice how past painful experiences affect current reactions, and it uses paced steps to process difficult memories or triggers.

Choosing the right approach is a collaborative process. The therapist will talk with each person about their goals, symptoms, and day-to-day life, and together they will try methods that fit those needs. Plans are adjusted as progress is tracked and new priorities emerge.

Online formats include video calls, phone sessions, live chat, and text-based messaging to offer flexibility. Video calls let people work face-to-face from different locations. Phone sessions are useful when bandwidth is limited or for shorter check-ins. Live chat and text messaging allow brief, on-the-spot support and written exercises between sessions. These options make it easier to fit therapy into a busy life and to keep practicing skills between appointments.