About Vivian
Vivian Fleming is a licensed professional clinical counselor with 25 years of experience. She helps people facing stress, anxiety, depression, bipolar mood concerns, grief, addiction, ADHD, and major life changes. Her manner is direct and compassionate, aimed at helping someone feel steadier one step at a time.
She focuses on practical skills for daily life. Sessions often include learning coping strategies, improving communication, and managing intense emotions. Vivian also helps people work through trauma-related symptoms and patterns that keep them stuck, such as avoidance, impulsivity, or shame.
Background and approach
Her approach blends several well-known therapy styles to match each person's needs. She uses client-centered methods to build a respectful, understanding relationship. Cognitive Behavioral Therapy tools are used to notice and change unhelpful thinking and behavior patterns.
For people dealing with trauma, she can incorporate eye movement desensitization and reprocessing techniques alongside mindfulness practices to reduce reactivity and build tolerance for distress. Dialectical Behavior Therapy elements are used to teach emotional regulation and effective interpersonal skills when needed. Vivian pays attention to workplace stress, caregiver strain, and cultural factors that shape how problems show up.
She supports people aiming to rebuild self-worth, repair communication, or find clearer life purpose. Her work is collaborative and focused on small, manageable changes that add up over time.
Therapeutic approaches and how they work online
Client-Centered Therapy focuses on building a respectful, nonjudgmental relationship. The therapist listens closely and helps people clarify goals and values so they can make choices that fit their life. Cognitive Behavioral Therapy, or CBT, teaches practical skills to identify and change unhelpful thoughts and behaviors that contribute to anxiety, depression, and impulsivity.Finding the right approach is part of the work. Vivian collaborates with each person to choose methods that match their needs and preferences. That means trying different tools together, reviewing what helps, and adjusting the plan so it fits daily routines and goals.
Online therapy makes these approaches more reachable. Video calls allow real-time conversation and visual cues for deeper connection. Phone sessions can work when bandwidth is limited or when someone prefers not to be on camera. Live chat and text-based messaging support shorter check-ins, skill practice between sessions, and flexible communication during busy schedules. These formats help people keep therapy consistent while fitting it into work, caregiving, and travel demands.
Questions people ask
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What this therapist works with
Also listed
- Abandonment
- Addictions
- ADHD
- Anger management
- Bipolar disorder
- Caregiver issues and stress
- Co-morbidity
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Family conflicts
- Forgiveness
- Grief
- Guilt and shame
- Impulsivity
- Isolation / loneliness
- Life purpose
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Panic disorder and panic attacks
- Post-traumatic stress
- Postpartum depression
- Relationship issues
- Self-love
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 25 years
- Licensed
- Kentucky, Ohio
- Languages
- English
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