About Vivian
Vivian Fleming supports people dealing with stress, anxiety, trauma, mood disorders, addiction, grief, relationship strain, and the daily strains of life change. She is Vivian Fleming, LPCC, and she brings 25 years of clinical experience to her work. She speaks English and sees clients in Kentucky as well as internationally via online options.
Vivian keeps sessions straightforward and focused. She helps people name what feels wrong, learn coping skills, and try practical steps toward feeling better.
How Vivian works
Common topics include depression, bipolar mood swings, anger, ADHD, compassion fatigue, and trouble with self-esteem or loneliness. Her approach combines listening with hands-on tools. She uses client-centered methods to follow each person's goals.
She also draws on cognitive behavioral techniques to identify unhelpful thinking, dialectical behavior strategies for emotion regulation, and mindfulness practices to build calm and awareness. Vivian also has experience using EMDR for people who carry trauma or dissociation. She helps clients decide when that kind of work might fit into a treatment plan and pairs it with skills work when needed.
Her goal is to help people feel safer in their bodies and clearer about next steps. Clients can expect an approachable, practical therapist who values collaboration. Vivian focuses on skills people can use between sessions.
She supports those who need help with communication, boundary-setting, forgiveness work, caregiver stress, and rebuilding a sense of purpose.
Vivian lists 8 ways of working on the entry:
What Vivian works with
The areas below are the ones Vivian selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
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
Training and background
| Register | LPCC |
|---|---|
| Years in practice | 25 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Kentucky |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How Vivian uses structured approaches online
Client-Centered Therapy focuses on listening and following the client's lead; it helps people feel heard and clarify what they want from therapy. Cognitive Behavioral Therapy, or CBT, looks at patterns of thought and behavior and teaches practical exercises to reduce anxiety, depression, and impulsive reactions.Vivian tailors these approaches to each person. She talks with the client about goals and preferences, then suggests methods to try. Deciding on the right approach is collaborative and may change as therapy progresses, so people can experiment with skills-based work, mindfulness, or trauma-focused strategies as needed.
Online formats make this work flexible. Video calls allow face-to-face conversation and modeled skills practice. Phone sessions can be a good fit when bandwidth or camera time is limited. Live chat and text-based messaging offer short check-ins, moment-to-moment coaching, or ongoing support between longer sessions. These options let people fit therapy into work breaks, caregiving schedules, or travel without losing continuity of care.
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Common questions
What concerns does she address?
What is her therapeutic style?
How much experience does she have?
What credentials and location apply?
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How do I get started?
A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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