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.
I help you break free from the cycle of worry and overwhelm, guiding you to a place of calm, clarity, and a deeper connection with your partner. Through emotionally-focused therapy, mindfulness, and self-compassion strategies, I’ll help you take small confident steps to build the relationship you deserve—one rooted in trust, intimacy, and security.
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About Leah Farley

Durham NC's #1 Rated Therapist

Leah Farley is a Licensed Marriage and Family Therapist (LMFT) serving the Durham, NC area through online therapy sessions. As Durham’s #1 rated therapist, she specializes in helping individuals and couples navigate relationship challenges, anxiety, and neurodivergent experiences with compassion and expertise.

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
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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.

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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

Leah offers a free 15-20 minute consultation to help potential clients determine if her approach is a good fit. This initial conversation allows individuals and couples to discuss their concerns and learn about her therapeutic process without commitment. To schedule your free consultation:
couples therapy durham nc

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

5.0
5.0 out of 5 stars (based on 15 reviews)
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Changed how I handle stress

July 3, 2025

The mindfulness techniques Leah taught me have completely transformed how I deal with overwhelming situations.

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E C

Wonderful for LGBTQ+ clients

June 22, 2025

Leah is genuinely affirming and knowledgeable about LGBTQ+ issues. I felt safe being my authentic self.

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E L

Felt heard for the first time

June 15, 2025

After years of feeling misunderstood, Leah finally helped me make sense of my emotions and reactions.

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E T

Excellent for highly sensitive people

May 25, 2025

She gets what it’s like to feel everything so intensely. Her approach is gentle but effective.

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A M

Practical tools that work

April 19, 2025

Leah doesn’t just talk about problems – she gives you actual strategies you can use right away.

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H A

Understands Complex Relationships

March 23, 2025

Finding a therapist who gets polyamory isn’t easy, but Leah was completely knowledgeable and supportive of our relationship structure.

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A W

Great for couples work

February 13, 2025

We learned so much about our communication patterns and how to break the cycle of arguments that went nowhere.

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C B

Non-judgmental and supportive

February 2, 2025

Leah creates such a welcoming environment. I never feel like I’m being judged, even when discussing difficult topics.

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M D

Helped me stop overthinking everything

January 13, 2025

My anxiety was controlling my life, especially in relationships. Leah taught me mindfulness techniques that have been game-changers.

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A W

Amazing with neurodivergent clients

December 5, 2024

As someone on the autism spectrum, I was nervous about therapy, but Leah made me feel completely understood from day one.

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O J

Best therapist I've ever had

November 20, 2024

I’ve seen several therapists over the years, but Leah is the first one who really listened and didn’t make me feel broken.

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I T

Helped Me Find My Voice

September 18, 2024

I used to be afraid to speak up in my relationship, but Leah helped me build the confidence to express my needs.

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S W

Saved our marriage

August 1, 2024

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.

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S M

Life-changing for my ADHD struggles

July 4, 2024

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.’

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E R

Finally Found Someone Who Gets It

June 6, 2024

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.

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H B

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