Vivian Fleming, LPCC

Vivian Fleming is a licensed professional clinical counselor with 25 years of experience. She helps people who are facing stress, anxiety, depression, trauma, and problems with relationships or addiction. Her work includes support for mood disorders like bipolar, coping with life changes, grief, anger, and struggles with self-esteem and ADHD.

Vivian uses practical, clear approaches in sessions. She listens first and then helps people set small, manageable goals. She draws on Cognitive Behavioral Therapy to look at thoughts and behaviors, and on client-centered methods to follow each person’s pace.

Her practice also includes techniques from Dialectical Behavior Therapy for emotional regulation and from EMDR when trauma processing is needed. Mindfulness strategies are used to help people stay grounded and reduce reactivity in daily life. She describes therapy as a collaborative process tailored to individual needs.

Vivian pays attention to cultural and workplace dynamics and the effects they can have on wellbeing. She supports people dealing with caregiver stress, abandonment issues, communication problems, and the complicated emotions that follow divorce or domestic violence. Sessions aim to build skills people can use outside the therapy room.

Located in Kentucky, Vivian offers a straightforward, steady style. She helps clients break big problems into doable steps and work toward clearer thinking, better coping, and a renewed sense of purpose.

Practical approaches for online care

Vivian commonly uses Cognitive Behavioral Therapy to help people notice and change unhelpful thought and behavior patterns. CBT sessions often focus on setting clear goals and practicing new skills between appointments to reduce anxiety, depression, and problematic behaviors.

She also draws on Client-Centered Therapy, which means sessions follow the person's lead and emphasize empathy and respect. That approach helps people feel heard while they explore values, life purpose, and relationship concerns.

Finding the right approach is part of the work together. Vivian collaborates with each person to choose methods that match their goals, symptoms, and comfort level, and she adjusts strategies as progress is made.

Online sessions are offered by video calls, phone, live chat, or text-based messaging to make therapy more flexible. Video works well for face-to-face conversation and skill practice. Phone sessions use less bandwidth and can fit a break at work. Live chat and text offer brief check-ins or ongoing support when typing feels easier than speaking. These options help people fit therapy into busy lives and maintain continuity across locations.