Therapy for people whose partner or spouse struggles with addiction in Philadelphia, PA
Start Healing with Therapy for Partners
Therapy with me may be helpful if your partner is disappearing in their addiction to substance/s.
Your partner is struggling and you have no clue what to do.
Your partner may also be struggling with trauma, anger outbursts, and other mental health concerns.
They may have unresolved childhood trauma they are repeating with you or may need help but have refused. They may struggle with avoidance or denial. You may have been complacent for a while, thinking you could “fix” them, but it’s becoming clearer that things aren’t going to change.
Healing is Possible
Therapy for Partners in Philadelphia Can Help.
I can help you create a plan, set boundaries from a place of peace and love rather than control, and ensure you’ll be okay regardless of what your partner does. I will help each person learn to take responsibility for themselves and their role in the relationship.
What is Therapy for Partners?
This is a time for you to get clear on what you need, what you want, and how to communicate and set boundaries with your beloved.
Therapy for partners or spouses of someone struggling with addiction and other associated challenges is a space just for you. It’s not about fixing your partner per se (although research shows it’s more likely for them to heal when you get your own help); it’s about supporting your own well-being, understanding your experiences, and learning skills to navigate common addiction-impacted relationship patterns. In these sessions, you’ll gain clarity, strengthen boundaries, and build confidence so you can make decisions that honor both yourself and your relationship.
What to Expect from Therapy for Partners
Making sense of your unique experience.
In therapy, you’ll have space to unpack the emotional impact of being with a partner who struggles with addiction, anger, avoidance, denial, gaslighting, chronic relapse, or other cycling dysfunction. You’ll explore feelings of frustration, overwhelm, and even trauma from broken trust or volatile patterns. Therapy helps you understand why you may feel stuck, overcome patterns, or understand why you’ve repeatedly chose similar partners, without judgment. This is about making sense of your experiences and growth- not blaming yourself.
Developing coping and boundaries setting skills.
You’ll learn practical tools to protect your well-being, manage stress, and navigate difficult interactions. Therapy can help you identify unhealthy patterns, set clear boundaries, and communicate effectively- even when your partner is unpredictable. For high-achieving women, this may also include strategies for resisting over-functioning tendencies, letting go of attempts to control how your partner experiences the “natural consequences” of their actions, and respecting your own needs in the relationship.
Making informed rather than reactive relationship choices.
Therapy provides a safe space to evaluate your relationship, strengthen your “self”, and get clarity on your options. You’ll explore when it’s healthy to stay, how to support without enabling, and when it may be time to set boundaries, take space, distance, or end a partnership. By strengthening your emotional health and self-awareness, you can make decisions from a grounded place, reduce guilt or pressure, and ensure you’re building healthy and balanced relationships.
Starting Therapy is easy
01.
Get in touch by filling out this quick form here.
02.
We’ll schedule a time to chat and make sure we’re a great fit.
03.
Start therapy and begin your journey to healing!
Hi, I’m Ayla Fleming, LCSW
You deserve respect and peace.
I believe the answers are already within you. I provide evidence-based research, practical skills, and warm support to help you make the changes you want in your life. I believe everyone has a unique story. I look forward to hearing yours and helping you make the best decisions for yourself.
★★★★★
“Where to start with Ayla?
There is truly no one better in the field. She is hard working, dedicated, & genuine. Ayla goes above & beyond & listens without judgement. I trust her wholeheartedly & she is extremely knowledgeable. I HIGHLY recommend Ayla.”
- Ashley Severino, LCSW
★★★★★
“Working with Ayla Fleming LLC was a privilege.
She has a natural ability to make people feel understood, valued, and supported. Her warmth and professionalism set her apart, and I’ve seen firsthand how deeply she cares about her clients and her team. I can’t recommend her practice highly enough—anyone who works with her will be in excellent hands!”
- Mike Teti, LCSW
★★★★★
“Ayla has a rare gift
for helping women reconnect with themselves after years of self-sacrifice, codependency, or chronic self-doubt. Through her thoughtful, strategic work, clients begin to set healthy boundaries, trust their inner voice, and create more authentic, fulfilling relationships. Her work doesn’t just offer support—it sparks real, lasting change. If you’re ready to heal from the past, reclaim your self-worth, and live more boldly and freely, Ayla is the kind of therapist who will walk beside you with both empathy and precision. Her boutique practice model means you get the kind of personalized, high-touch care that can truly shift the trajectory of your life—and it’s absolutely worth it.”
- Brianna Dawson, NP
Frequently asked questions
-
Sessions are virtual through a secure, HIPAA-compliant platform. I also expect to have an office in Center City, Philadelphia within the next year.
-
Individual Sessions:
50 min session- $250
Couples/Family Sessions:
50 min session- $300
Longer sessions or “intensives” (short term therapy for longer sessions) may be designed if you wish, per your schedule or request, and prorated accordingly.
-
I do not accept insurance or communicate directly with insurance companies. However, I am happy to provide a receipt you can submit to your insurance for possible reimbursement. Some of my clients have out-of-network benefits so they are able to get reimbursed for sessions. If that’s important to you, please check with your insurance company directly. Reimbursement rates can vary a lot.
-
Submit a form via my Contact page. I review each form myself. You can also text or call me directly at 267-217-3017 or email me at ayla@aylaflemingllc.com
-
I work with women, men, couples, and families who are struggling with anxiety, depression, and loss of self in their relationships or life roles.
If you want to learn healthy communication regardless of what other adults are doing, we will be a good fit. This includes family or relationship dysfunction, codependency, addiction, family drama, chronically choosing unhealthy partners, or the desire to grow after trauma.