LPCC
Vivian Fleming, LPCC
- Experience25 years
- LocationKentucky
- Focus areasADHD, Stress and Anxiety, and Trauma and abuse
- Therapy approachesClient-Centered Therapy and Cognitive Behavioral Therapy (CBT)
Check the available next steps for working with Vivian online.
About Vivian
Vivian Fleming is an LPCC with 25 years of clinical experience who supports people facing stress, anxiety, trauma and abuse, ADHD, mood disorders, addiction, grief, and challenges in relationships and life transitions.
Background and approach
She focuses on helping clients build self-esteem, manage impulsivity and anger, cope with caregiver strain, and work through issues such as abandonment, dissociation, and isolation. Her practice addresses a wide range of presenting concerns including bipolar disorder, depression, disruptive mood dysregulation, and co-morbid conditions.
Her therapeutic stance is collaborative and strengths-based, blending client-centered work with evidence-informed methods such as CBT, DBT, EMDR, and mindfulness. This combination allows her to tailor interventions for emotion regulation, trauma processing, and practical problem-solving while honoring each person’s values and life purpose.
With attention to communication patterns, forgiveness, and recovery from domestic violence or separation, she helps clients develop concrete skills alongside deeper healing. Practicing in Kentucky and offering services in English, Vivian guides clients through personalized treatment plans that consider cultural and workplace dynamics.
Her long experience supports a steady, empathetic approach aimed at restoring balance, reducing symptoms, and helping people reconnect with meaning and everyday functioning.
Approaches That Translate to Online Care
Client-centered therapy emphasizes the individual's perspective and personal goals, creating a collaborative space where the therapist reflects and supports the client’s own problem-solving and self-discovery. Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thoughts and behaviors, teaching practical skills for managing anxiety, depression, ADHD-related challenges, and mood symptoms. Dialectical Behavior Therapy (DBT) offers structured skills training in emotion regulation, distress tolerance, interpersonal effectiveness, and mindfulness, which can be especially useful for impulsivity, anger, and co-occurring mood instability.Finding the right approach is part of the work together; the therapist will discuss needs, goals, and preferences to shape a tailored plan that may integrate elements of these methods. This collaborative process helps ensure that interventions fit the client’s life circumstances and therapeutic goals rather than applying a one-size-fits-all model.
Online therapy with Vivian is offered through flexible formats including video calls, phone sessions, live chat, and text-based messaging, making it easier to schedule appointments around work, family, or caregiving responsibilities. These options support continuity of care and allow clients to practice skills between sessions, access timely support when coping with stress or relapse triggers, and maintain momentum in treatment regardless of geography.
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Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
25+ years
Licensed
Kentucky, Ohio
Languages
English
What Vivian can help with
Vivian Fleming works with clients on stress and anxiety, trauma and abuse, self esteem, bipolar disorder, and depression.
Vivian works with individuals.
Vivian works with clients navigating depression, anxiety, and trauma.
How Vivian approaches therapy
Vivian's clinical approaches include Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Eye Movement Desensitization and Reprocessing (EMDR), Mindfulness Therapy, Motivational Interviewing, Psychodynamic Therapy, and Solution-Focused Therapy.
Experience and training
Vivian is a Licensed Professional Clinical Counselor practicing in Kentucky, with 25 years of clinical experience.
Therapy style
Vivian aims to support their journey toward emotional wellness and self-discovery.