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About Ayla

I built this practice for the insight I wish I had decades ago.

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.

Editorial portrait of Ayla Fleming, seated
A notepad, pen, and reading glasses on a desk
My story

Why I do
this work.

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.

“My job is not to convince you to feel less. My job is to help you carry what you feel, communicate, and hold boundaries, without it costing you your life.”
— Ayla Fleming, LCSW, LCADC

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.

Training & credentials

Clinical, not
casual.

Years of formal training, supervised practice, and continuing education in the specific dynamics of family addiction.

Licensure
LCSW — Pennsylvania, New Jersey, New YorkLicensed Clinical Social Worker, active & in good standing.
Addiction
LCADC — Licensed Certified Drug & Alcohol CounselorSpecialized licensure in addiction counseling — uncommon among family therapists.
Certifications
Certified Family Systems Therapist · Certified Clinical Supervisor · Certified Psychiatric Rehabilitation PractitionerThree distinct certifications reflecting depth across family systems, supervision, and psychiatric rehabilitation.
Experience
14 years working with families navigating a loved one's addictionAcross IOP, PHP, job coaching, supportive housing, outpatient programs, and private practice.
Practice type
Micro-boutique private practiceIntentionally small. Personalized attention that larger clinics cannot offer.
Delivery
Exclusively virtual · HIPAA-compliant platformTherapy in PA, NJ, NY · Coaching worldwide.
Why me

I offer both
in-depth professional and personal experience.

01

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.

02

I will not blame you for the loving you have done.

You did not cause this. We will not spend our time relitigating that.

03

I hold compassion and a backbone at once.

Warm enough that you can tell me the truth. Direct enough that I will reflect it back to you.

04

I have been there at breaking points.

The 3 a.m. ER calls, the relapses, the impossible question of when to step in and when to step back.

05

I work as much with marriages as with mothers

Couples often arrive on different pages — and leave realizing it was the same page, written in two different scripts.

06

I treat this as a vocation, not a niche.

The bulk of my caseload, my reading, my supervision, and my continuing education is in this one specific terrain.

Off the clock

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.

Working together

If anything you've read sounds like your life — let's talk.

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.

Schedule a consultation