About Vivian
Vivian Fleming helps people cope with stress, anxiety, depression, trauma, addiction, grief, and relationship difficulties. She also supports those facing ADHD, bipolar mood concerns, anger, compassion fatigue, and major life changes. Vivian is introduced by name in this space to make it clear who will be guiding the work.
Vivian uses straightforward, person-focused care. She listens first to understand what is most pressing. Then she and the person work together to set clear, manageable goals.
Background and approach
Sessions aim to build practical skills and small, steady changes rather than quick fixes. Over a 25-year career, Vivian has worked with many common and complex struggles. She draws on approaches such as client-centered therapy, cognitive behavioral techniques, dialectical behavior tools, EMDR, and mindfulness practices.
These methods are mixed to match each person’s needs and preferences. Her work often focuses on practical problems like communication, commitment worries, caregiving stress, isolation, and impulsivity. She also addresses deeper themes such as abandonment, guilt, shame, forgiveness, and life purpose.
The goal is to reduce symptoms and improve daily functioning in ways that feel meaningful to the individual. Vivian holds the credential LPCC and practices from Kentucky. She speaks English and accepts international clients.
People can expect a calm, collaborative style that is grounded in real-world strategies and steady support.
How these approaches work online
Client-centered therapy focuses on listening and responding to the person’s experience. The therapist stays curious and follows what matters most to the client, helping them find their own solutions and build self-compassion.Cognitive Behavioral Therapy, or CBT, teaches practical skills to notice unhelpful thoughts and change behaviors that keep problems going. It is useful for anxiety, depression, and coping with life changes.
Dialectical Behavior Therapy, or DBT, adds specific tools for managing strong emotions, improving distress tolerance, and strengthening communication. It can help with impulsivity, anger, and relationship challenges.
Finding the right approach is part of the work. Vivian will discuss options and try methods that fit the person’s goals and preferences. Together they will adjust the plan as progress is made, keeping the process collaborative and focused on what helps most.
Online therapy offers flexibility through video calls, phone sessions, live chat, and text-based messaging. Video is useful for face-to-face conversation and practicing skills together. Phone sessions work well when bandwidth is limited or hands-free check-ins are needed. Live chat and messaging provide short, frequent support and let people share thoughts between sessions. These formats make it easier to fit therapy into busy schedules and to keep consistent momentum toward goals.
Questions people ask
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What this counselor works with
Also listed
- Abandonment
- Addictions
- ADHD
- Anger management
- Bipolar disorder
- Caregiver issues and stress
- Co-morbidity
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Family conflicts
- Forgiveness
- Grief
- Guilt and shame
- Impulsivity
- Isolation / loneliness
- Life purpose
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Panic disorder and panic attacks
- Post-traumatic stress
- Postpartum depression
- Relationship issues
- Self-love
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 25 years
- Licensed
- Kentucky, Ohio
- Languages
- English