Vivian Fleming is a licensed counselor (LPCC) who helps people manage stress, anxiety, trauma, depression, mood disorders, and addiction.
01About Vivian
Vivian Fleming is a licensed counselor (LPCC) who helps people manage stress, anxiety, trauma, depression, mood disorders, and addiction. She focuses on rebuilding self-esteem, coping with grief and anger, and navigating major life changes. Her work also covers relationship and family concerns, caregiver strain, ADHD, and compassion fatigue.
With 25 years of experience, Vivian uses straightforward, practical methods in sessions. She listens first, then helps clients set clear goals. Sessions often include skill practice, problem-solving, and tools to reduce overwhelm.
Background and approach
Her approach is collaborative and strengths-based. She draws on client-centered therapy to follow each person’s pace and priorities. Cognitive Behavioral Therapy techniques are used to identify and shift thoughts and behaviors that keep problems going.
Vivian also integrates Dialectical Behavior Therapy skills for emotion regulation and distress tolerance. For people impacted by traumatic memories, she offers EMDR-informed methods alongside mindfulness practices to reduce reactivity and increase focus. Clients can expect a steady, respectful tone and practical homework between sessions when it helps.
She pays attention to cultural and workplace pressures that shape people’s choices. Vivian works with adults in Kentucky and accepts English-speaking clients from other places as well. Practical matters such as session format and scheduling are handled up front.
Therapy uses a subscription that can be canceled at any time, and sessions are offered by video call, phone, live chat, or text-based messaging.
02Credentials
- LPCC (Kentucky)
- License 172653 · expires December 2026
- LPCC (Ohio)
- License E.2404360 · expires May 2028
- NPI
- 1558506311 · national provider identifier
Both are public records. A state board register will confirm a license and its standing, and the national registry will confirm an NPI. This directory copies what the counselor lists and checks neither.
03Focus areas and approaches
Everything Vivian lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Trauma and abuse
- Self esteem
- Bipolar disorder
- Depression
- Addictions
- Relationship issues
- Family conflicts
- Grief
- Anger management
- Coping with life changes
- Compassion fatigue
- ADHD
- Abandonment
- Caregiver issues and stress
- Co-morbidity
- Commitment issues
- Communication problems
- Control issues
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Forgiveness
- Guilt and shame
- Impulsivity
- Isolation / loneliness
- Life purpose
- Veteran and Armed Forces Issues
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Panic disorder and panic attacks
- Postpartum depression
- Post-traumatic stress
- Self-love
- Women's issues
- Workplace issues
Methods Vivian names
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Eye Movement Desensitization and Reprocessing (EMDR)
- Mindfulness Therapy
- Motivational Interviewing
- Psychodynamic Therapy
- Solution-Focused Therapy
These are the methods Vivian names on their own professional profile. Naming an approach is not evidence of training or certification in it, and this directory checks no training records. Ask directly if it matters to you.
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04Online support
How approach and online therapy fit together
Client-centered therapy focuses on listening and following each person's priorities. It helps when someone needs time to feel understood and to set their own goals. Cognitive Behavioral Therapy (CBT) looks at unhelpful thoughts and behaviors and teaches concrete steps to change them, which is useful for anxiety, depression, and stress. Dialectical Behavior Therapy (DBT) introduces skills for managing intense emotions, tolerating distress, and improving communication during conflict.Picking the right approach is part of the work. The therapist will talk with the client about goals, preferences, and what has or hasn't helped before. Together they decide whether to emphasize client-centered work, CBT skills, DBT techniques, or a mix based on needs and comfort with the methods.
Online sessions make it easier to fit therapy into a busy life. Video calls allow face-to-face conversation and skill practice. Phone sessions use less bandwidth and can be a good shorter check-in. Live chat and text-based messaging let people send thoughts between sessions, share updates, or use brief check-ins when time is limited. These options increase flexibility and make ongoing support more practical for many people.
05Questions people ask
What kinds of problems does this therapist address?
Vivian supports people facing stress, anxiety, depression, bipolar symptoms, trauma and abuse, addiction, grief, anger, and life transitions. She also works on relationship and family issues, caregiver stress, ADHD, and related concerns.
How would you describe the therapeutic style used?
Sessions are collaborative and practical. Vivian listens closely, helps set goals, and teaches skills like emotion regulation and problem-solving to apply between meetings.
How much experience does the therapist have?
She brings 25 years of clinical experience working with adults across a range of mental health and life concerns.
What credentials and region are associated with this clinician?
The profile lists LPCC credentials and identifies Kentucky as the therapist's location. Specific state license details are OH LPCC and KY LPCC.
Are services available in other languages or internationally?
Sessions are offered in English. International clients are accepted.
Which session formats are offered?
Therapy is available by video calls, phone sessions, live chat, or text-based messaging to fit different schedules and needs.
How does pricing work for sessions?
Cost varies with location and therapist availability. Sessions are delivered through a subscription model that can be canceled at any time.
What steps do I take to begin therapy?
Start by selecting the Start Therapy button and completing a short matching questionnaire. After that, schedule sessions according to the therapist's availability.
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