I know the dynamic from the inside.
I grew up around addiction. I do not need you to explain why you keep answering the phone at 2 a.m.
I am Ayla Fleming, a licensed clinical social worker, family therapist, and coach. I work with parents who are exhausted from years of trying to love an addicted adult child without losing themselves.
I grew up in a household shaped by addiction. I know the late-night phone calls, the rehearsed excuses, the way a family can quietly rearrange itself around someone else's chaos until no one remembers what normal felt like.
When I became a therapist, I assumed I would specialize in addiction itself. What I found instead was that the people who arrived in my office most exhausted, most invisible to the rest of the system — were the parents. They had been told to attend Al-Anon, to detach, to set boundaries, and yet no one was helping them with the part underneath: the grief, the guilt, or the marriage that had been holding its breath for a decade.
That is the work I do now. I do not promise to fix your child. I promise to help you stop drowning, and to give you back a life that belongs to you again. In making these changes, the adult child often moves toward health, too.
Outside of the practice, I live in Philadelphia with my partner, our child, and the most energetic Vizsla on earth. I spend my time reading, exploring the generational stories we carry and the ways we change, and attempting elaborate Sunday meals that are occasionally successful — but always made with conviction.
Years of formal training, supervised practice, and continuing education in the specific dynamics of family addiction.
I grew up around addiction. I do not need you to explain why you keep answering the phone at 2 a.m.
You did not cause this. We will not spend our time relitigating that.
Warm enough that you can tell me the truth. Direct enough that I will reflect it back to you.
The 3 a.m. ER calls, the relapses, the impossible question of when to step in and when to step back.
Couples often arrive on different pages — and leave realizing it was the same page, written in two different scripts.
The bulk of my caseload, my reading, my supervision, and my continuing education is in this one specific terrain.
A practice is only as steady as the person inside it. I take my own rest, supervision, and personal therapy as seriously as I take yours.
Send a message through the contact form or email ayla@aylaflemingllc.com. I reply personally within 24 business hours. You can also use the Calendly link to schedule your first appointment now.
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