Madeleine Saxe, LMFT

Madeleine Saxe is a California-licensed LMFT (Licensed Marriage and Family Therapist) with 12 years of clinical experience helping individuals and families navigate major life changes. She works primarily with women, young adults, and blended families, guiding clients through relationship challenges, body image concerns, parenting transitions, and the emotional complexities of pregnancy, postpartum, and fertility issues.

Her practice emphasizes a compassionate, holistic approach to stress, anxiety, addiction, and relational problems. Madeleine combines practical skill-building with support for self-discovery, encouraging improved communication, greater self-love, and purposeful change. She creates a clear, respectful space where clients can examine past patterns, develop healthier coping strategies, and pursue meaningful personal growth.

Known for a straightforward yet empathetic manner that reflects her New York City roots, Madeleine meets clients where they are and adapts her work to individual needs. Her commitment is to walk alongside people through difficult transitions while providing professional guidance and tools to foster resilience and renewed confidence.

Evidence-Informed Approaches for Online Therapeutic Support

Client-Centered Therapy focuses on creating an accepting, nonjudgmental space where the client’s perspective guides the pace and goals of the work. This approach helps people build self-awareness, confidence, and clearer decision-making in areas like relationships, parenting, and identity.

Cognitive Behavioral Therapy (CBT) offers structured tools to identify and reframe unhelpful thoughts and behaviors. It is useful for managing anxiety, stress, and patterns that contribute to substance use or difficulties with eating and body image.

Dialectical Behavior Therapy (DBT) adds practical skills for emotional regulation, distress tolerance, and interpersonal effectiveness, which can be especially helpful for clients navigating intense emotions or complicated relationships. Madeleine collaborates with clients to blend these methods according to individual needs, goals, and preferences so that the therapeutic approach evolves as progress is made.

Online therapy via video calls, phone sessions, live chat, or text-based messaging provides flexibility for clients balancing work, family, or health demands. These options increase access to licensed professionals and allow therapy to fit into varied schedules, making consistent support more achievable for those managing life transitions or caregiving responsibilities.