Patricia Duff-Fleming, LMHC
Florida · 25 years in practice
Patricia Duff-Fleming is a licensed mental health counselor in Florida who uses Emotionally-Focused Therapy alongside practical, evidence-informed methods.
License and registration
- LMHC, Florida
- mh21322 · expires March 2027
- NPI
- 1194336586 · national provider identifier
- Years in practice
- 25
- Languages
- English
Details are as listed on the therapist's public professional profile. You can check the license with the issuing state board, and the NPI with the national registry.
About Patricia
Patricia Duff-Fleming is a licensed mental health counselor in Florida who uses Emotionally-Focused Therapy alongside practical, evidence-informed methods. She frames therapy as a collaborative process and treats each person as the expert on their own life. She helps people facing stress, anxiety, and relationship struggles.
She also supports those coping with trauma and abuse, major life changes, and career challenges. Short, focused conversations in sessions aim to clarify what matters most and find steps that actually fit a person’s life.
Background and approach
Her work draws on Acceptance and Commitment Therapy and Cognitive Behavioral Therapy to address thoughts, feelings, and behavior. Attachment-based ideas inform how she looks at close relationships and patterns that repeat over time. The approach is straightforward and practical rather than overly clinical.
Patricia brings twenty-five years of experience in mental health settings to her practice. She meets people where they are and helps them name what’s getting in the way. That often leads to small, manageable shifts that build toward bigger change.
Sessions are offered in English and are available by video call, phone, live chat, or text messaging. Therapy uses a subscription that can be canceled at any time, with costs varying by location and therapist availability. To begin, select the Start Therapy button, fill out a short matching questionnaire, and schedule according to therapist availability.
Focus areas and approaches
Everything Patricia lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
- Career difficulties
- Coping with life changes
- Abandonment
- Aging and geriatric issues
- Attachment issues
- Autism and Asperger Syndrome
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Dissociation
- Divorce and separation
- Domestic violence
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Intellectual disability
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Narcissism
- Postpartum depression
- Post-traumatic stress
- Prejudice and discrimination
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sexual assault and abuse
- Smoking / vaping cessation
- Social anxiety and phobia
- Somatization
- Traumatic brain injury
- Women's issues
- Young adult issues
Approaches Patricia names
- Emotionally-Focused Therapy (EFT)
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Existential Therapy
- Mindfulness Therapy
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.
Online support
Emotion and Action in Online Therapy
Patricia uses Emotionally-Focused Therapy to help people pay attention to the feelings that drive relationship patterns and personal distress. EFT focuses on identifying core emotions and shifting how they’re expressed so important connections change.She also draws on Acceptance and Commitment Therapy to help people notice thoughts and feelings without getting stuck, then take actions that match their values. Cognitive Behavioral Therapy is used to spot unhelpful thinking and try practical behavior changes that reduce symptoms and improve daily routines.
Choosing the right approach is a collaborative process. The therapist works with each person to weigh goals, preferences, and what has or hasn’t worked before. Together they may blend methods and adjust the plan over time so sessions feel relevant and doable.
Online therapy offers flexibility through video calls, phone sessions, live chat, and text-based messaging. Video sessions let people read facial cues and body language, phone sessions use less bandwidth and work well for short check-ins, and text or chat can fit quick updates between meetings. These options make it easier to keep therapy consistent around work, caregiving, or travel.
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Questions people ask
What kinds of issues does she help with?
She helps people manage stress, anxiety, relationship struggles, trauma and abuse, career worries, and coping with life changes. Additional focus areas include grief, codependency, chronic illness, and isolation.
What is her therapeutic style like?
Her style is collaborative and emotion-focused, combining Emotionally-Focused Therapy ideas with ACT and CBT tools. Sessions are practical and aim to help people identify workable next steps.
How much clinical experience does she have?
She has 25 years of professional experience in mental health settings. That background informs a steady, experienced approach to common life challenges.
Where is she licensed and based?
She is a licensed mental health counselor with a Florida LMHC credential and practices in Florida.
Which languages are supported for sessions?
Sessions are offered in English.
Can international clients work with her?
She does not accept international clients at this time.
What formats are available for sessions?
Sessions are offered via video calls, phone sessions, live chat, or text-based messaging to suit different needs and schedules.
How does billing and starting therapy work?
Costs vary with location and therapist availability and use a subscription model that can be canceled at any time. To start, click the Start Therapy button, complete a short matching questionnaire, and schedule a session.
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