- Anger management approaches
- Trauma processing methods
- Stress and relationship work
About Vivian
Vivian Fleming is an LPCC - Licensed Professional Clinical Counselor with 25 years of experience based in Kentucky. She works with people dealing with stress, anxiety, depression, trauma and abuse, anger, addictions, relationship and family concerns, grief, bipolar disorder, ADHD, and coping with life changes.
She focuses on practical ways to handle strong emotions and strained relationships. Sessions look at how thoughts, behaviors, and routines keep problems going. She uses straightforward tools to reduce overwhelm and manage outbursts of anger or frustration.
Vivian pays attention to workplace pressures, caregiving strain, and the particular challenges many women face. She also helps people facing abandonment, guilt, shame, isolation, and impulsivity. When trauma is present she draws on methods that help process painful memories while also teaching coping skills.
Her style centers on listening, clear feedback, and collaborative problem solving. Clients work on communication skills, distress tolerance, and steps to rebuild trust in themselves. She blends talk therapy with exercises that can be used between sessions.
Over years of practice she has supported people through divorce and separation, domestic violence aftermath, and complex grief. She also helps those sorting out life purpose and decisions about commitment and control. The aim is to create manageable, concrete changes rather than vague promises.
To begin, prospective clients complete a short matching questionnaire and schedule an initial session. Sessions use a subscription that can be canceled at any time, and Vivian works with international clients in English.
How her approaches are used for online work
Client-Centered Therapy focuses on listening and responding to what a person brings. It helps people feel heard as they sort out anger, grief, or self-doubt and guides decisions about what to change. Cognitive Behavioral Therapy, or CBT, looks at the links between thoughts, feelings, and actions. It gives concrete exercises to change unhelpful thinking patterns that fuel anger or anxiety. Dialectical Behavior Therapy, DBT, teaches skills for distress tolerance, emotion regulation, and clearer communication when feelings are intense.Deciding which approach to use is a collaborative process. The therapist will discuss goals, preferences, and what has or hasn't helped before. Together they pick techniques that match the issue at hand and adjust the plan as progress is made.
The biography does not specify which session formats are offered, so confirm available options before booking. In general, online work can make it easier to fit sessions into a busy week, allow shorter check-ins when needed, and reduce commute time. It also makes it possible to continue work with a consistent therapist even when life circumstances change. Licensed professionals can adapt CBT, DBT, and client-centered exercises to remote sessions so people can practice skills between meetings.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
25+ years
Listed in
Kentucky, Ohio
Languages
English
Frequently asked questions
What concerns does she commonly address?
She works with stress, anxiety, depression, trauma and abuse, anger, addictions, relationship and family issues, grief, bipolar disorder, ADHD, and coping with life changes.
How would you describe her therapeutic style?
Her style is collaborative and practical. She listens, offers clear feedback, and teaches skills to manage strong emotions and improve communication.
How much experience does she have?
She has 25 years of clinical experience supporting people with mood, trauma, and relationship challenges.
What credentials and location apply?
She is an LPCC with licensing in Ohio and Kentucky and practices from Kentucky.
Which languages and international options are supported?
Sessions are offered in English and she accepts international clients.
What session formats are offered?
The biography does not list specific session formats. Confirm current session options before booking.
How does cost and billing work?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
What are the steps to get started?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.