Madeleine Saxe
Compassionate, practical therapy for life transitions
LMFT California
- Experience
- 12 years in practice
- Focus areas
- Stress, Anxiety, Addictions, Relationship
- Approaches
- Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
- Languages
- English
About Madeleine
Madeleine Saxe is a licensed marriage and family therapist (LMFT) practicing in California who helps people manage stress, anxiety, addiction, relationship difficulties, eating concerns, and parenting challenges.
Background and approach
She draws on 12 years of clinical experience to support clients facing life transitions, reproductive and perinatal concerns, body image struggles, and the emotional fallout of separation or blended family changes. Madeleine combines practical skill-building with attention to personal values and self-compassion.
Her approach blends evidence-based methods such as cognitive behavioral therapy (CBT) with client-centered and mindfulness-informed techniques, and elements of dialectical behavior therapy and motivational interviewing. Sessions emphasize clear communication, setting achievable goals, and developing coping strategies that fit each person’s daily life.
Madeleine aims to create a collaborative space for exploring guilt, purpose, caregiver stress, and recovery from substance or eating-related difficulties. Clients can expect direct yet compassionate guidance that balances empathy with goal-focused work.
Madeleine integrates insight and action to help people rebuild self-love, improve relationships, and navigate transitions like pregnancy, postpartum adjustment, or fertility-related stress. She frames progress as a partnership tailored to individual needs and preferences.
Integrating evidence-based approaches in online therapy
Madeleine commonly uses cognitive behavioral therapy (CBT) and client-centered therapy in her online practice. CBT focuses on identifying unhelpful thoughts and patterns and developing practical skills to reduce symptoms of anxiety, stress, and problematic behaviors. Client-centered therapy emphasizes active listening and empathy to help people explore values, build self-compassion, and clarify goals.She also draws on dialectical behavior therapy (DBT) skills when emotional regulation, distress tolerance, or interpersonal effectiveness are priorities, offering concrete tools for managing intense feelings and improving communication. Together these approaches allow for both insight and measurable skill-building tailored to each person’s situation.
Finding the right approach is part of the therapeutic work, and Madeleine treats that as a collaborative process. She will discuss goals, preferences, and what feels most useful, adjusting methods over time so the work stays relevant and achievable.
Online sessions are available by video calls, phone sessions, live chat, or text-based messaging, offering flexibility for different schedules and comfort levels. These formats make it easier to maintain regular contact, practice skills between sessions, and access support without commuting, helping therapy fit more naturally into daily life.
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Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
12+ years
Licensed
California
Languages
English