- Practical coping skills
- Collaborative goal setting
- Trauma-informed care
About Vivian
Vivian Fleming, LPCC, helps people facing stress, anxiety, depression, trauma, and many life disruptions. She focuses on practical steps that reduce overwhelm and restore a sense of control. Her work often addresses relationship strain, grief, addiction, ADHD-related difficulties, and questions of life purpose.
Vivian uses a straightforward, person-focused style. She listens first, then helps people set clear goals and try small changes. Sessions emphasize building coping skills, improving communication, and healing from painful past experiences. Techniques come from several evidence-informed approaches such as cognitive behavioral strategies, mindfulness, and EMDR when appropriate.
With 25 years of experience, Vivian draws on a wide clinical background to tailor support to each individual. She pays attention to cultural and workplace contexts, and to how shame, isolation, or caregiver stress show up in daily life. She encourages practical exercises people can use between sessions to manage symptoms and build resilience.
Clients can expect a collaborative relationship focused on concrete steps and self-understanding. Vivian aims to help people reconnect with their values and find clearer direction during difficult transitions. She works with commitment, communication, and control issues alongside mood and trauma-related concerns.
Vivian practices in Kentucky and holds LPCC licensure. Sessions are offered in English and she accepts international clients. Before scheduling, confirm current session options and logistics to ensure they match your needs.
How therapeutic approaches translate to online work
Client-Centered Therapy focuses on listening, empathy, and building a trusting relationship. It helps people feel heard and find their own solutions when they face stress, relationship problems, or major life changes.Cognitive Behavioral Therapy, or CBT, looks at the links between thoughts, feelings, and behaviors. It teaches practical tools for managing anxiety, depression, impulsivity, and unhelpful thinking patterns.
Dialectical Behavior Therapy, DBT, emphasizes emotional regulation, distress tolerance, and clearer communication. It can be useful for strong emotional reactions, impulsivity, and relationship difficulties.
Finding the right approach is part of the work. The therapist will collaborate with each person to decide which methods fit their goals, needs, and preferences. That choice can change as progress is made or new issues arise.
Online therapy can make it easier to fit sessions into busy lives by removing travel time and allowing appointments from different locations. It can also allow shorter check-ins when schedules are tight or audio-only options when bandwidth is limited; confirm available session formats before booking. Discuss timing, frequency, and any practical needs during the first sessions so therapy fits daily routines and supports steady progress.
Areas of focus
Frequently asked questions
What concerns does Vivian address related to money and stress?
She supports people dealing with stress, anxiety, depression, trauma, relationship strain, addiction, grief, caregiver stress, and money-related strain as part of broader life challenges.
How does she approach therapy and decision-making?
Her style is collaborative and person-focused. She listens carefully, helps set goals, and uses practical strategies drawn from several therapeutic approaches.
What kind of experience does she bring to sessions?
Vivian has 25 years of clinical experience and uses that background to tailor care to each person's needs and context.
What are her credentials and where does she practice?
She holds LPCC licensure and practices in Kentucky, with licensure noted for OH LPCC and KY LPCC as provided.
Which languages are supported for sessions?
Sessions are offered in English.
Can people from other countries work with her?
International clients are accepted; confirm scheduling details and time zone arrangements when you set up an appointment.
How are costs and billing handled?
Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.
What are the first steps to begin therapy?
Select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.