At a glance
- Credentials
- LPCC
- License
- LPCC, Kentucky / 172653 ; LPCC, Ohio / E.2404360
- NPI
- 1558506311
- Experience
- 25 years
- Languages
- English
- Location
- Kentucky
Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.
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- Motivational support
- Skill building
- Trauma-informed care
About Vivian
Vivian Fleming is a licensed professional clinical counselor with 25 years of experience supporting people through stress, anxiety, depression, trauma, and life changes. She helps clients manage mood disorders, addictions, relationship and family concerns, grief, anger, and issues related to attention and impulse control. Her work often focuses on rebuilding self-esteem, coping with caregiver strain, and finding a clearer sense of life purpose.
Vivian uses a collaborative, person-centered style that encourages people to set their own goals. She draws on Motivational Interviewing to support change, and uses Cognitive Behavioral Therapy and Dialectical Behavior Therapy techniques to teach practical skills for emotion regulation and problem solving. Eye Movement Desensitization and Reprocessing is also part of her toolkit for people healing from traumatic memories.
Sessions are straightforward and goal oriented. Clients talk through what matters most, learn coping strategies, and practice new ways of thinking and acting between sessions. Vivian pays attention to cultural factors and the stresses of work and caregiving in shaping treatment plans.
Over the years she has helped people address complex, overlapping problems such as co-morbidity, dissociation, and disruptive mood patterns. She also supports those dealing with abandonment, communication or commitment concerns, divorce and domestic violence recovery, and the fallout of guilt or shame.
Vivian holds an LPCC license in Ohio and Kentucky and works from Kentucky. She meets people where they are and helps them take the next steps toward clearer goals and steadier day-to-day functioning.
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Approaches for change in online sessions
Vivian blends Motivational Interviewing, Client-Centered Therapy, and Cognitive Behavioral Therapy to help people make and sustain changes. Motivational Interviewing focuses on a person’s own reasons for change and builds motivation without pressure. Client-Centered Therapy emphasizes listening, empathy, and supporting clients to find their own solutions. Cognitive Behavioral Therapy teaches concrete skills to challenge unhelpful thoughts and test new behaviors, which can reduce symptoms like anxiety and low mood.
Choosing an approach is a team effort. Vivian will talk with each person about goals, preferences, and what has or hasn’t helped in the past. Together they decide which methods to try and adjust the plan over time based on how things are going.
The therapist’s biography does not list specific online session formats, so confirm current options before booking. Online work can make it easier to fit therapy into a busy week, reduce travel time, and allow regular check-ins between appointments. Some clients find shorter or phone-based conversations useful for quick support, while others prefer longer sessions for deeper work; these practical choices are discussed collaboratively to match everyday life and therapeutic goals. -
Areas of expertise
Primary focus
Also works with
AddictionsRelationship issuesFamily conflictsGriefAnger managementCoping with life changesCompassion fatigueADHDAdditional focus areas
AbandonmentCaregiver issues and stressCo-morbidityCommitment issuesCommunication problemsControl issuesDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationDomestic violenceForgivenessGuilt and shameImpulsivityIsolation / lonelinessLife purposeVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsPanic disorder and panic attacksPostpartum depressionPost-traumatic stressSelf-loveWomen's issuesWorkplace issuesTherapeutic approaches
Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Eye Movement Desensitization and Reprocessing (EMDR)Mindfulness TherapyMotivational InterviewingPsychodynamic TherapySolution-Focused TherapyExperience
25+ years
Listed in
Kentucky, Ohio
Languages
English
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Frequently asked questions
What issues does Vivian help with?
She helps people facing stress, anxiety, depression, trauma and mood concerns like bipolar and DMDD, plus addiction, grief, anger, relationship and family challenges.
What is her therapeutic style like?
Her style is collaborative and person-centered. She works with clients to set goals and uses practical skills to manage emotions and behavior.
How much experience does she have?
Vivian has 25 years of clinical experience working with a wide range of emotional and behavioral concerns.
What credentials and location are listed?
She holds an LPCC credential and maintains licensure in Ohio and Kentucky; she practices from Kentucky.
Can sessions be conducted in other languages or internationally?
Sessions are offered in English and she does accept international clients.
Which session formats are available?
The original biography does not list specific session formats; please confirm current session options before booking.
How is cost handled?
Cost varies with location and therapist scheduling; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Use the Start Therapy button, complete the short matching questionnaire, and schedule according to therapist availability.
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Online talk therapy is not emergency or medical care. Stopping or cutting down alcohol or other drugs can be unsafe without medical advice. In immediate danger? Crisis numbers