Vivian Fleming

Compassionate, experienced therapy focused on skills and healing

LPCC Kentucky

Experience: 25 years in practice
Focus areas: Stress, Anxiety, Trauma and abuse, Self esteem
Approaches: Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
Languages: English

About Vivian

Vivian Fleming is an LPCC with 25 years of clinical experience who helps people work through depression, anxiety, trauma, grief, and life change.

Background and approach

She frames care around practical skills and emotional insight, drawing on cognitive behavioral tools alongside mindfulness and trauma-focused methods to reduce symptoms and build everyday coping strategies. Her practice also addresses concerns such as addiction, bipolar mood challenges, ADHD, anger, compassion fatigue, and the fallout of difficult relationship or family events.

Vivian emphasizes a respectful, client-centered stance that foregrounds cultural sensitivity and individual strengths. She prioritizes communication, self-compassion, and rebuilding purpose after painful experiences, and integrates evidence-informed techniques like DBT and EMDR when a situation calls for emotion regulation or trauma processing.

Her work balances skill teaching with reflective exploration so clients leave sessions with both understanding and usable tools. Vivian is based in Kentucky, licensed as an LPCC, and offers care informed by long-term clinical experience and a focus on personalized healing.

Therapeutic approaches delivered online for practical change

CBT helps people identify and change unhelpful thoughts and behaviors through structured exercises and skill-building, which is useful for anxiety, depression, stress, and many everyday problems. Client-centered therapy focuses on creating a supportive, nonjudgmental space where the therapist follows the client's lead, helping people explore values, self-compassion, and personal goals. Dialectical Behavior Therapy emphasizes emotion regulation, distress tolerance, and interpersonal effectiveness skills that can reduce intense emotions and improve relationships.

Finding the right method is a collaborative process; the therapist will work with each person to select and adjust approaches based on their needs, goals, and preferences. Sessions often combine practical skill teaching with reflective conversation so that techniques fit the client's life and values.

Online therapy with Vivian is available via video calls, phone sessions, live chat, or text-based messaging to provide flexibility for different schedules and comfort levels. These formats make it simpler to access ongoing support from licensed professionals without rearranging daily routines, allowing people to practice new skills and get timely guidance as life unfolds.

Frequently asked questions

What kinds of concerns does this therapist address?

Vivian supports a range of issues including stress, anxiety, depression, trauma and abuse, grief, addictions, bipolar disorder, ADHD, relationship and family struggles, and coping with life changes.

What is her therapeutic style and approach?

Her style is client-centered and collaborative, emphasizing empowerment and cultural sensitivity while using approaches such as CBT, DBT, EMDR, mindfulness, and motivational interviewing as appropriate.

How long has she been practicing?

She has 25 years of experience providing therapy and has built a practice that combines practical skills training with deeper reflective work.

Where is she licensed and based?

She is licensed as an LPCC and practices from Kentucky; licensure details include OH LPCC E.2404360 and KY LPCC 172653.

Does she work with clients who live outside the United States?

Yes, she accepts international clients and conducts sessions with people who are located outside the United States.

What session formats are offered?

Available formats include video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences and schedules.

How are fees and payment handled?

Cost varies with location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.

How do I begin working together?

To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Areas of expertise

Primary focus

Stress, Anxiety Trauma and abuse Self esteemBipolar disorderDepression

Also works with

AddictionsRelationship issuesFamily conflictsGriefAnger managementCoping with life changes Compassion fatigue ADHD

Additional focus areas

AbandonmentCaregiver issues and stressCo-morbidityCommitment issuesCommunication problemsControl issuesDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationDomestic violenceForgivenessGuilt and shame Impulsivity Isolation / lonelinessLife purposeVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsPanic disorder and panic attacksPostpartum depressionPost-traumatic stressSelf-loveWomen's issuesWorkplace issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Eye Movement Desensitization and Reprocessing (EMDR)Mindfulness TherapyMotivational InterviewingPsychodynamic TherapySolution-Focused Therapy

Experience

25+ years

Licensed

Kentucky, Ohio

Languages

English