About
- CBT methods
- DBT skills
- EMDR work
About Vivian
Vivian Fleming is an LPCC with 25 years of clinical experience based in Kentucky. She helps people who are dealing with stress, anxiety, depression, trauma, relationship strain, and parenting and family concerns. She also works with issues such as grief, addiction, bipolar symptoms, ADHD, and anger.
Her approach is straightforward and person-focused. She uses client-centered work to listen and reflect what matters most to each person. She also uses Cognitive Behavioral Therapy to point out patterns of thought and behavior and Dialectical Behavior Therapy skills for managing intense emotions.
Vivian has long experience helping adults navigate difficult changes at home and at work. She pays attention to how shame, isolation, and past wounds affect current relationships. Conversations include practical ways to cope day to day and steps to rebuild trust in oneself.
Sessions look at communication problems, commitment worries, caregiving stress, and issues that follow separation or divorce. She also addresses trauma-related reactions such as dissociation and impulsivity, using EMDR where appropriate alongside mindfulness practices to reduce reactivity.
Her style is collaborative and direct. Clients can expect clear, evidence-based techniques mixed with listening and reflection. She accepts international clients and holds licensure as an Ohio LPCC and a Kentucky LPCC.
How sessions work
How her approaches are used in online sessions
Client-Centered Therapy focuses on listening and reflecting back what matters to the person. It helps clients clarify priorities, feel heard, and decide on next steps for home life or relationships.Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and actions link together. It is used to reduce anxiety, manage depression, and change unhelpful habits that affect everyday life.
Dialectical Behavior Therapy (DBT) teaches specific skills for managing strong emotions and improving communication. These skills can help with impulsivity, anger, and relationship conflict.
Finding the right approach is part of the work. Vivian will discuss goals, preferences, and practical needs and then recommend which methods to try first. That decision is collaborative and can change as progress is made.
The original profile does not list specific session formats, so confirm current options before booking. In general, online therapy can make it easier to fit sessions into a busy day, avoid travel, or choose a session length that fits a work break. Talk with the therapist about what will work best for schedules, camera use, and the pace of sessions.
Areas of focus
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
25+ years
Listed in
Kentucky, Ohio
Languages
English
Questions
Frequently asked questions
What kinds of home and family concerns does she help with?
She helps people facing relationship strain, communication problems, parenting stress, divorce or separation, and caregiver burden.
How would you describe her therapeutic style?
Her style is client-centered and collaborative, using clear techniques from CBT and DBT alongside mindfulness and EMDR when useful.
How much experience does she have?
She has 25 years of clinical experience working with adults on mood, trauma, and relationship concerns.
What are her credentials and where is she based?
She is an LPCC licensed in Ohio (OH LPCC) and Kentucky (KY LPCC) and practices from Kentucky.
Does she offer sessions in other languages or to international clients?
Sessions are offered in English and she accepts international clients.
What session formats are available?
The original biography does not list specific session formats. Confirm current session options before booking.
How does payment work and what does it cost?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I start working with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.
Online talk therapy is not emergency care. If anyone is in danger, use the crisis numbers.