Leah Farley, MA, LMFT
Marriage & Family Therapist
Does your relationship feel like a constant source of worry and uncertainty?
Hi, I’m Leah, a therapist specializing in relationship anxiety.

About Leah Farley
Durham NC's #1 Rated Therapist
- Phone: (984) 223-9915
- Website: https://leahfarley.com
- Reviews: ★★★★★ (15 reviews)
- Therapy Format: Online therapy sessions exclusively
- Free Consultation: 15-20 minute consultation available
Core Specialties
Individual Therapy
Leah provides comprehensive individual therapy for clients experiencing stress, anxiety, depression, and overwhelming life challenges. Her approach is uniquely tailored to each person, combining curiosity, creativity, and compassion to help clients develop effective coping strategies and build self-confidence.
Couples Therapy
Using an Emotionally-Focused Therapy (EFT) approach, Leah helps couples break free from destructive conflict cycles and rebuild connection. She serves as a “process coach,” helping partners understand their roles in relationship dynamics and develop healthier communication patterns.
Neurodivergent Therapy
Leah specializes in supporting adults with ADHD, Autism Spectrum Disorder, and those questioning neurodivergent diagnoses. She understands the unique challenges faced by highly sensitive people, creative types, and out-of-the-box thinkers who often feel misunderstood or disconnected.
Relationship Anxiety
As a specialist in relationship anxiety, Leah helps clients overcome the cycle of worry, overwhelm, and fear that can damage intimate relationships. She guides clients toward calm, clarity, and deeper connection with their partners.
Inclusive Practice Areas
LGBTQIA+ Affirming
Leah provides a safe, non-judgmental space for LGBTQIA+ individuals and couples, supporting both personal growth and relationship development within the context of diverse sexual orientations and gender identities.
Poly-Kink Relationships
As a sex-positive therapist, Leah welcomes clients exploring or practicing polyamory, consensual non-monogamy, open marriage, swinging, and BDSM/kink relationships. She understands the unique dynamics and communication challenges these relationship structures present.
Treatment Approach & Expertise
Core Skills:
- Anxiety and Depression
- ADHD and Autism Spectrum support
- Chronic Illness and Pain
- Couples/Marriage/Relationship therapy
- LGBTQ+ affirmative therapy
- Polyamory and Alternative Relationship Structures
- Sleep Issues and Insomnia
Treatment Orientations:
- Emotionally-Focused Therapy (EFT)
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavioral Therapy (DBT)
- Gottman Method
- Mindfulness-Based approaches
- Couple and Family Systems Therapy
- Trauma-Informed Care
- Holistic Health approaches

Therapeutic Philosophy
Leah brings a holistic, trauma-informed approach to her practice, emphasizing the importance of understanding each client’s unique perspective and needs. She believes in helping clients develop deeper self-awareness and effective self-soothing strategies to handle life’s stressors with confidence.
Her background includes coming from “a long line of neurodivergent and highly sensitive people,” which has shaped her focus on understanding sensory processing differences and alternative perspectives on social and emotional communication. This personal insight enhances her ability to connect with clients who feel different or misunderstood.

What Sets Leah Apart
Personalized Treatment Plans
Every therapy journey begins with collaborative goal-setting to ensure treatment is tailored to individual needs and circumstances.
Mindfulness Integration
Leah incorporates mindfulness and sensory awareness techniques to help clients build comprehensive emotional toolkits.
Process-Oriented Approach
Rather than just addressing symptoms, she helps clients understand underlying patterns and motivations for lasting change.
Inclusive Expertise
Her practice welcomes neurodivergent individuals, LGBTQ+ clients, creative types, highly sensitive people, and those in non-traditional relationship structures.
Client Outcomes
Clients working with Leah typically experience:
- Improved ability to cope with life stressors
- Enhanced self-confidence and self-advocacy skills
- Better communication in relationships
- Increased feelings of connection and emotional balance
- Greater clarity and conviction in personal decisions
- Reduced anxiety and overwhelm
Getting Started
- Call: (984) 223-9915
- Visit: LeahFarley.com

Why Choose Leah Farley
As Durham’s #1 rated therapist, Leah combines professional expertise with genuine understanding of the challenges faced by individuals and couples seeking authentic, meaningful relationships. Her welcoming approach to neurodivergent clients, LGBTQ+ individuals, and those in non-traditional relationships makes her practice a safe haven for people who may have felt misunderstood or judged elsewhere.
Whether you’re struggling with relationship anxiety, navigating neurodivergent challenges, or seeking to build stronger connections with your partner, Leah provides the compassionate, skilled support needed to create lasting positive change.
Leah Farley's Reviews
Changed how I handle stress
The mindfulness techniques Leah taught me have completely transformed how I deal with overwhelming situations.
Wonderful for LGBTQ+ clients
Leah is genuinely affirming and knowledgeable about LGBTQ+ issues. I felt safe being my authentic self.
Felt heard for the first time
After years of feeling misunderstood, Leah finally helped me make sense of my emotions and reactions.
Excellent for highly sensitive people
She gets what it’s like to feel everything so intensely. Her approach is gentle but effective.
Practical tools that work
Leah doesn’t just talk about problems – she gives you actual strategies you can use right away.
Understands Complex Relationships
Finding a therapist who gets polyamory isn’t easy, but Leah was completely knowledgeable and supportive of our relationship structure.
Great for couples work
We learned so much about our communication patterns and how to break the cycle of arguments that went nowhere.
Non-judgmental and supportive
Leah creates such a welcoming environment. I never feel like I’m being judged, even when discussing difficult topics.
Helped me stop overthinking everything
My anxiety was controlling my life, especially in relationships. Leah taught me mindfulness techniques that have been game-changers.
Amazing with neurodivergent clients
As someone on the autism spectrum, I was nervous about therapy, but Leah made me feel completely understood from day one.
Best therapist I've ever had
I’ve seen several therapists over the years, but Leah is the first one who really listened and didn’t make me feel broken.
Helped Me Find My Voice
I used to be afraid to speak up in my relationship, but Leah helped me build the confidence to express my needs.
Saved our marriage
My husband and I were on the verge of divorce, but Leah helped us learn how to actually communicate. We’re closer now than we’ve been in years.
Life-changing for my ADHD struggles
Leah understands what it’s like to have a brain that works differently. She’s helped me develop coping strategies that actually work instead of just telling me to ‘try harder.’
Finally Found Someone Who Gets It
Leah has been incredibly helpful in working through my relationship anxiety. She creates a safe space where I can actually talk about what’s bothering me without feeling judged.