Freedom and hope after experiencing a loved one’s addiction with Family Systems Therapy

Online Therapy for Loving Someone with Addiction & Codependency

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

Learn to set boundaries, stop overfunctioning, and stop toxic patterns for good.

Serving Clients in Pennsylvania, New Jersey, & New York

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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?

  • 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.

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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 ‣

How therapy with me is unique:

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.

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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 individuals, couples, and families who are struggling to cope with a loved one’s addiction or set boundaries. I also work with people struggling to set boundaries with dysfunctional family situations or in romantic relationships.

    If you would like to understand and transform your challenges with avoidance, anxiety, depression, shame, guilt, people-pleasing, codependency, or break generational cycles (become a “cycle breaker”), Family Systems Therapy (my primary modality) can be an extremely impactful experience.

  • Sessions are via video through a secure, HIPAA-compliant platform.

  • Individual Sessions: $250/ 50 min

    Couples/Family Sessions: $300/ 50 min

    Longer Sessions or “Intensive Programs” are prorated. Upon request, an “Intensive” is short term therapy, intentionally designed for you. 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 continue a relationship with your partner or not). Programs are designed exclusively for you or your family upon request.

    Also, if scheduling is a challenge or you 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 clients at a minimum of one 50 minute session per week.

  • 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.

  • Submit a quick form now on my Contact page.

Contact me to see if we're a good fit