Online Individual, Couples, or Family Therapy for Adults Struggling with Family Addiction in PA, NJ, & NY. Based in Philadelphia, PA.

Therapy to Help You Set Boundaries with Family & Break Generational Cycles.

Are you Struggling with Family Addiction, Family Drama, Emotionally Immature Relationships, or Narcissistic Relationships?

I will teach you to overcome guilt, feel like yourself again (or for the first time), hold boundaries, & heal toxic family patterns for good.

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Authenticity

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Self-Worth

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Healthy Boundaries

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Authenticity ‣ Self-Worth ‣ Healthy Boundaries ‣

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  • 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?

  • The echoes of past experiences may be holding you hostage.

  • If you are a partner, adult child, parent, or sibling of someone (or a whole family) impacted by addiction, mental illness, or dysfunction, you may 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

Do you want to gain clarity and strengthen your voice?

Whether you want to:

A. Remain in the relationship or in contact with your family

B. End the relationship or contact with your family

C. Explore and finally clarify what feels “right” for 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 safe and accepting space for your transformation.

I specialize in helping people shift their anxiety from inwardly focused anxiety to both inward and outward calm, clarity, and confidence through self-differentiation.

I get it, because I have been there too.

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How I can help

My services:

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Individual therapy
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Couples therapy
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Family therapy

My specialties

Begin Healing Today

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Begin Healing Today ‣

Why choose
Ayla Fleming Psychotherapy?

I help people understand how the following factors fuel a toxic cycle that keeps individuals and families stuck, and more importantly, how to feel grounded again:

  • Codependency

  • Trauma bonding

  • Childhood abuse/neglect

  • Relationship addiction (Codependency)

  • Attachment issues

  • Rigid family roles/responsibilities

It can be deeply difficult to stop participating in old dynamics. It may even feel like you’re abandoning your loved ones (called “Survivor’s Guilt”).

You may be surprised to know that if just one person in the system changes, it will have an impact.

Therapy can help you finally let go of inappropriate guilt and shame.

Therapy can also help you learn to side-step previously automatic patterns such as responding with irritability, anxiety, trauma, immaturity, or simply reactive behaviors.

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 decide and execute on what is best 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.

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How it works

Starting our work together is easy.

  • Fill out my simple contact form in less than a minute.

  • Share your story with me and what you hope to achieve in therapy.

  • Begin your healing journey in individual, couples, or family therapy with me as your coach and guide.

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Frequently asked questions

  • I work with women, men, couples, and families who are struggling with anxiety, depression, and loss of self in their relationships.

  • 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.

  • Finances should not be a barrier to you getting help. Please inquire if this is a concern.

    Individual Sessions:
    53 min- $250

    Couples/Families Sessions:
    53 min- $300

    Longer 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.

  • 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.

  • Submit a form on my Contact page.

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