Gabrielle Fleming, MD, LCSW-C

Gabrielle Fleming is a licensed clinical social worker in Maryland who helps adults facing stress, anxiety, depression, grief, trauma, and challenges related to ADHD. She writes plainly and listens closely, aiming to make it easier for someone overwhelmed by life changes to talk through what matters most. Gabrielle emphasizes a respectful, nonjudgmental space where people can name difficult thoughts and try small steps toward feeling better.

With seven years of clinical experience, Gabrielle brings practical tools and steady support to sessions. She uses approaches such as cognitive behavioral therapy, client-centered work, and dialectical behavior therapy to match strategies to each person’s needs. That can mean learning new ways to manage anxious thoughts, building routines to reduce overwhelm, or practicing skills to cope after a loss.

Sessions focus on clear goals and skills people can use between appointments. She also draws on motivational interviewing and solution-focused techniques to help clients identify values and take realistic next steps. The work is collaborative and paced to each person’s comfort.

Gabrielle also addresses related concerns like caregiver stress, communication problems, anger, isolation, and financial worries that often affect mental health. She supports people through transitions, aging and geriatric issues, and recovery from domestic violence or past abuse.

All sessions are conducted in English and offered through video calls, phone, live chat, or text-based messaging. Gabrielle holds an MD and the Licensed Certified Social Worker-Credential, LCSW-C, and practices in Maryland.

Evidence-informed approaches you can use online

Gabrielle commonly uses cognitive behavioral therapy and client-centered methods when working with adults. Cognitive behavioral therapy focuses on identifying unhelpful thoughts and testing small behavior changes to reduce symptoms like anxiety and low mood. Client-centered work emphasizes listening, empathy, and helping people find their own solutions to everyday problems.

She also draws on dialectical behavior therapy skills for emotion regulation and distress tolerance when strong feelings or impulsivity get in the way of daily life. That approach teaches concrete techniques for managing intense emotions and improving interpersonal effectiveness.

Choosing the right approach is part of the work together. Gabrielle will talk with each person about goals, past attempts, and what feels useful, then try methods that fit those needs. The process is collaborative and adjusted over time based on how well strategies help.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video lets people practice skills together and use visual cues, while phone sessions can be a lower-bandwidth option or a short check-in. Live chat and messaging work well for quick coaching, ongoing prompts, or when writing out thoughts feels easier. These options make scheduling more flexible and can fit therapy into busy or changing routines.