Freedom and hope after family addiction or other toxic family dynamics with Family Systems Therapy
Online Therapy for Family Addiction and Boundaries Setting
Are you Struggling with a Loved One’s Addiction, Family Drama, Emotionally Immature Relationships, or Narcissistic Relationships?
I can teach you to finally hold boundaries, be confident in yourself, & heal toxic relationship patterns for good.
Serving Clients in Pennsylvania, New Jersey, & New York
Authenticity
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Self-Worth
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Healthy Boundaries
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Authenticity ‣ Self-Worth ‣ Healthy Boundaries ‣
Do you find yourself saying "yes" when you want to say "no," yet the thought of setting boundaries (or even knowing what “boundaries” are) feels overwhelming?
Do you dream of speaking up with clarity and confidence, but self-doubt, guilt, and fear hold you back?
Are the echoes of past experiences holding you hostage?
If you are a parent, partner, adult child, or sibling of someone (or a whole family) impacted by addiction, mental illness, or dysfunction, you likely have trouble trusting your own instincts.
Sound familiar?
You’ve spent so much time caring (read: obsessing) about what they need that you’ve lost sight of what you need.
Are you asking too much?
Constantly walking on eggshells?
Hi, I’m Ayla Fleming
You deserve to have clarity, and a strong, steady voice.
Whether you want to:
A. Remain in the relationship/ in contact with your family
B. End the relationship/ contact with your family
C. Explore and finally clarify what feels “right” to you
It is still key in all these situations that you learn the emotional skills to feel justified in your boundaries and let go of the anxiety or sense of over responsibility for other adults’ responses, reactions, or behaviors.
Therapy with me is a collaborative journey where we build a strong foundation of trust and mutual respect, creating a skills-based, safe, and accepting space for your transformation.
I specialize in helping people shift their anxiety from inwardly focused anxiety to calm, clarity, and confidence through “self-differentiation” (strengthening your “Self” so you can be your most authentic self in relationships).
I get it, because I have been there too.
How I can help
My services:
My specialties
Begin Healing Today
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Begin Healing Today ‣
Why choose
Ayla Fleming Psychotherapy?
I help people understand how, why, and how to overcome patterns that keep individuals and families stuck, including but not limited to:
Codependency or “relationship addiction”
Differing attachment styles
Trauma bonds
Childhood abuse/neglect
Rigid family roles/responsibilities
It can be deeply difficult to stop participating in old dynamics.
You may fear you’re abandoning your loved ones (called “Survivor’s Guilt”).
Therapy can help you finally let go of inappropriate guilt and shame.
Despite popular belief, research shows that if even one person in the system changes, it naturally has an impact.
Therapy can also help you learn to side-step previously automatic patterns such as responding with irritability, anxiety, trauma, immaturity, or reactive behaviors, and respond from a place of calm, confidence, and vulnerability (read: real love).
I cultivate a warm therapeutic relationship to help you achieve meaningful, lasting change both within yourself and your relationships.
Regardless of whether others want to change, you can learn to feel comfortable doing what is healthy and sustainable for you.
As a micro-boutique practice, I offer personalized attention and care far beyond what larger clinics can provide. I provide highly specialized, in-depth support to a small caseload of clients on a weekly basis.
How it works
Starting our work together is easy.
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Fill out my simple contact form in less than a minute.
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Share your story with me and what you hope to achieve in therapy.
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Begin your healing journey in individual, couples, or family therapy with me as your coach and guide.
Frequently asked questions
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I work with women, men, couples, and families who are struggling with anxiety, depression, and loss of self in their relationships.
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Sessions are via video through a secure, HIPAA-compliant platform.
I will also be offering in-person sessions in Center City, Philadelphia within the next year.
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Finances should not be a barrier to you getting help. Please inquire if this is a concern.
Individual Sessions:
53 min- $250Couples/Families Sessions:
53 min- $300Longer sessions or “intensives” (short term therapy for a specific goal) can be designed upon request. I offer this for clients with a hectic schedule or very specific clinical need.
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I do not want finances to be a barrier to you getting help. Reduced fee slots may be available.
I do not accept insurance nor communicate with insurance companies. However, I can educate you about “out-of-network” benefits if you have them. I am happy to provide you with a receipt you can submit to your insurance company for possible reimbursement.
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Submit a form on my Contact page.

