Madeleine Saxe , LMFT

Madeleine Saxe is a California licensed therapist and LMFT - Licensed Marriage and Family Therapist with 12 years of clinical experience supporting people through significant life transitions and emotional challenges. She works primarily with women, young adults, and families, offering guidance on relationship dynamics, body image concerns, self-discovery, and ongoing personal growth.

Her clinical focus includes stress, anxiety, addictions, and relationship difficulties, along with care for issues tied to pregnancy, postpartum adjustment, fertility concerns, and family change. Madeleine integrates a compassionate, holistic approach that emphasizes clear communication, self-love, and practical strategies to help clients reconnect with their strengths and sense of purpose.

Drawing on years of practice, she aims to create a respectful and supportive space where individuals can explore their stories, address past wounds, and build actionable plans for change. Originally from New York City, Madeleine is known for a direct, to-the-point style balanced by warmth and empathy, meeting clients where they are and walking alongside them through the work.

Therapeutic Approaches for Online Support

Madeleine Saxe draws from client-centered therapy, cognitive behavioral therapy, and dialectical behavior therapy to tailor online work to each person's needs. Client-centered therapy focuses on creating an accepting, nonjudgmental space where the client’s perspective guides the pace and direction of change - it is useful for self-exploration, strengthening self-worth, and relationship work. Cognitive behavioral therapy (CBT) helps people identify and shift unhelpful thinking and behavior patterns through practical exercises and skill-building, often used for anxiety, stress, and mood-related concerns. Dialectical behavior therapy (DBT) offers concrete tools for managing intense emotions, improving interpersonal effectiveness, and building distress tolerance, which can be helpful for emotion regulation and relationship difficulties.

Finding the right mix of approaches is part of the therapeutic process. Madeleine collaborates with each client to assess goals, preferences, and challenges, and adjusts methods over time so the work fits the person rather than forcing a single model.

Online therapy with a licensed professional offers flexibility - sessions can take place by video call, phone, live chat, or text-based messaging - making it easier to fit care into busy schedules, maintain continuity during life changes, and access support from home. Therapists can adapt exercises and tools to these different formats so that therapy remains practical and effective.