Online Couples Therapy for Parents in New York, New Jersey, & Pennsylvania
Expert Couples Therapy for Parents Struggling with an Adult Child’s Addiction
Freedom, hope, & healing after experiencing extreme stress due to an adult child’s substance use and chronic relapses.
Parents cannot heal their relationships with their child in active addiction, each other, or themselves after decades of repeated, devastating trauma, with traditional therapy.
After couples experience the emotional fallout from chronic crises, emotional immaturity, narcissism, gaslighting, and dangerous situations, only specialized couples therapy can truly help you to:
Reconnect with your child & partner in an authentic way
Finally identify, set, & hold boundaries
Cope with being able to stop repeating yourself
End your regular, 2am anxiety spirals
Stop questioning if you've gone “crazy”
Stop swinging between cutting everyone off & enabling dangerous behaviors
Reconnect with your interests & intuition again
And stop switching between raging & drowning in confusion
Authenticity
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Self-Worth
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Healthy Boundaries
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Authenticity ‣ Self-Worth ‣ Healthy Boundaries ‣
You and/or your partner have spent so much time caring (read: obsessing) about what your addicted child needs that you’ve lost sight of what you (or your partner. Or the rest of your family) need.
Doubt creeps in: Are you asking too much of them?
Are you constantly walking on eggshells?
Wondering how can you can predict the next relapse?
Living in extreme fear that they survived the last relapse, but what about next time?
Do you and/or your partner find yourself saying "yes" when you want to say "no," yet the thought of setting boundaries (or even knowing what “boundaries” are) feels impossible?
Do you dream of setting limits with your addicted adult child with clarity and confidence, but self-doubt, guilt, and sheer terror of “what’s next” hold you back?
Are the echoes of past traumas (overdoses, hospitalizations, crises, & your own unhealthy habits) holding you hostage?
If you are a parent of an addicted or mentally ill adult child, it’s likely that have stopped trusting your own instincts and wonder if you're “going crazy”.
Sound familiar?
Transformative Relief with Family Systems Therapy for Couples
Hi, I’m Ayla Fleming
I have studied family addiction since 2013, worked with hundreds of families, and also experienced it myself. I believe that you can have clarity, and a strong, steady voice despite the chaos of your loved one's addiction.
Whether you want to:
A. Remain in contact with your adult child or partner
B. Distance from your adult child or partner
C. Or explore and finally clarify what decisions feel “right” to you
I believe it is still key in all these situations that you learn the emotional skills to feel justified to know and how your boundaries and release the anxiety and sense of over responsibility for other adults’ responses, reactions, or behaviors (even if they are influenced by addiction or mental illness).
These skills don't just benefit you, but make it exponentially more likely that your addicted loved one will recover, too.
Ultimately, I specialize in helping couples shift from over-functioning, avoidance, enabling, fantasizing, emotionally dissociating, and obsession with perfectionism, to authenticity, calm, and clarity by strengthening the Self.
I get it, because I have been there too.
Begin Healing Today
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Begin Healing Today ‣
Why patients claim they’ve never experienced therapy like this before:
I help couples understand the patterns that keep couples, addicted adult children, and the rest of their families stuck in the relapse/ guilt/ shame cycle.
What couples therapy with me will help you achieve:
You'll be able to get a full night's sleep without checking your phone or Life360.
Your addicted child will mention a problem and you won't immediately step in to fix it- because you know they need to start figuring things out for themselves to build confidence and feel the natural consequences of their actions (which helps motivate recovery).
You'll recognize it's possible to love your addicted adult child and hold hope that they can recover, while also responding rationally to their real-time behavior today.
Everyone around you will notice you seem calmer and ask how you did it. You'll become a role model for your partner, friends, and family (this may not come immediately but I promise, will happen in time).
How you’ll know couples therapy is working:
You’ll no longer just be identifying or setting boundaries- you'll actually be holding your boundaries with others.
You'll feel sad at times and uncomfortable others- but soon after or immediately (a week max), feel relieved, when you recognize some dangerous or incredibly overwhelming situations have been avoided.
You'll begin to think about your own goals, needs, hobbies and interests again (you might even realize what a mess your personal life has become, but you'll start to have the energy to do something about it, maybe for the first time in decades).
You'll start to divert the energy you put into fixing your AC's life into yourself, and they may even (shockingly!) be doing the same, with the energy they previously used to argue with you.
You’ll start encouraging them again, and being a consistent force of support in their life, instead of someone dragging them down (while they drag you down with them).
You'll have more patience with previously difficult relationships because you’ll simply develop more peace and subsequent “emotional bandwidth”.
You’ll finally feel confident that how you're handling this is the "right way", in your heart; no doubts anymore.
How we'll get you there:
We’ll discuss the ways your own family patterns have impacted the way you handle conflict and boundaries with your adult child, your partner, yourself, and the rest of your family.
We’ll identify where you’re overfunctioning, underfunctioning, or getting pulled into relationship triangles- and how to step out of those unhelpful and draining roles.
You’ll learn how to regulate your nervous system without relying on your child’s day-to-day behavior.
We’ll practice real-life boundary scenarios so you’re not figuring it out alone in the moment.
I’ll help you separate love from control- so your actions actually support change instead of unintentionally maintaining the cycle.
We’ll process the grief you’ve likely been avoiding- because unresolved grief is often what fuels overfunctioning, guilt, and control patterns.
You’ll build the capacity to stay emotionally present without collapsing, reacting, or shutting down.
We’ll focus on the concept of self-differentiation and strategies to build a stronger self- so you can stay connected to your child without losing yourself.
Important topics we’ll cover in-depth:
Codependency
Differing attachment styles
Over-functioning/under-functioning relationship dynamics and tendencies
Trauma bonding
Generational childhood abuse/neglect
Rigid family roles/responsibilities
It can be deeply frightening to experiment with showing up to disagreements or relapses differently.
You and your partner may fear if you do things differently, you’re abandoning your addicted adult child (called “Survivor’s Guilt”).
Therapy can help you finally let go of inappropriate guilt and shame.
Despite popular belief, research shows that if evenone 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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You or your partner 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 couples who are struggling in their marriage due to an adult child’s addiction. They often struggle to set boundaries in their own lives, with their adult child, and partner.
If you would like to understand and transform your challenges with avoidance, anxiety, depression, shame, guilt, people-pleasing, codependency, or break generational cycles (become “cycle breakers”), Family Systems Therapy can be an extremely impactful experience.
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Sessions are via video through a secure, HIPAA-compliant platform.
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Couples Sessions: $500/ 50 min
Longer Sessions or “Intensive Programs” are prorated. Upon request, an “Intensive” is short term therapy, intentionally designed for you and your partner. Intensives are extended sessions, for a defined time, and focus on a very specific therapeutic goal (e.g., 3 hours per week for 3 weeks to make a decision to remain together or not, or how to handle boundaries with you as a couple and your adult child’s relapse this time). Programs are designed exclusively for couples upon request.
Also, if scheduling is a challenge or you and your partner are trying to achieve quicker results, I am happy to develop a plan with you to execute the goal on a timeline that works for you.
I meet with couples at a minimum of one 50 minute session per week.
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I do not accept insurance nor communicate with insurance companies. However, I am happy to inform you about “out-of-network” benefits. Many insurance plans offer those to help offset the cost of going to an OON provider. Many OON providers (such as myself) have highly specialized training, therefore are not “in-network” with insurance companies. If you have OON benefits included with your insurance plan, I am happy to provide you with a receipt you can submit the insurance company for possible reimbursement.
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Submit a quick form now on my Contact page.

