Philadelphia therapy for women who are struggling with codependency, family addiction, and family dysfunction.
Are you struggling with Addicted Relationships, Having a Loved One with Mental Illness, Emotionally Immature Relationships, or Family Drama?
I help individuals, couples, and families rebuild relationships, set boundaries, & heal.
*Licensed Therapist treating clients virtually in PA, NY, and NJ. Coaching worldwide.
Authenticity
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Self-Worth
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Healthy Boundaries
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Authenticity ‣ Self-Worth ‣ Healthy Boundaries ‣
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 who struggles with addiction or mental illness, 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. Stay with your partner
B. Breakup with your partner
C. Stay in touch with your family
D. Cut off from your family
It is still key in all these scenarios that you learn the emotional skills to feel justified in your boundaries and let go of the anxiety or sense of responsibility for other adults’ responses, actions, and 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 get it, because I have been there too.
How I can help
My services:
My specialties
Begin Healing Today
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Begin Healing Today ‣
Why choose
Ayla Fleming Psychotherapy?
I help women understand how these factors fuel a toxic cycle that keeps individuals and families stuck, and more importantly (!), how to feel grounded again:
Having a loved one struggling with addiction
Trauma bonding
Childhood abuse/neglect
Relationship addiction (Codependency)
Attachment issues
It can be deeply difficult to stop participating in old dynamics. It may even feel like you’re abandoning your loved ones (“Survivor’s Guilt”).
We only need one person in the system to change to have an impact.
Therapy can help us let go of guilt and shame.
Therapy can also help us learn to side-step previously automatic patterns such as irritable, anxious, traumatized, immature, or reactive behavior.
I cultivate a warm therapeutic relationship to help you achieve meaningful, lasting change within both yourself and your relationships.
****Regardless of whether others want to change.
As a micro-boutique practice, I offer personalized attention and care far beyond what larger clinics can provide.
How it works
Starting our work together is easy.
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Fill out my simple contact form in less than a minute.
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Share your story with me and what you hope to achieve in therapy.
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Begin your healing journey in individual, couples, or family therapy with me as your coach and guide.
Frequently asked questions
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I work with women, men, couples, and families who are struggling with anxiety, depression, and loss of self in their relationships.
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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.
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Finances should not be a barrier to you getting help. Please inquire if this is a concern.
Individual Sessions:
53 min- $250Couples/Families Sessions:
53 min- $300Longer 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.
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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.
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Submit a form on my Contact page.

