Madeleine Saxe , LMFT

Madeleine Saxe is a licensed marriage and family therapist who helps people facing stress, anxiety, addictions, relationship struggles, eating concerns, and parenting stress. She practices in California and brings 12 years of clinical experience to each session. Madeleine speaks English and focuses on women's issues among other concerns. Her approach is direct but warm. She listens first, then helps people set clear, realistic goals. Sessions focus on practical steps and skills that can be used between meetings. Madeleine aims to make therapy feel useful from the start. She often combines client-centered work with cognitive behavioral techniques to spot unhelpful thinking and test new behaviors. Mindfulness and dialectical behavior ideas appear in sessions to help regulate strong emotions and improve everyday coping. Motivational interviewing supports people who are making changes around substance use or health habits. Madeleine has worked with people through pregnancy, postpartum and fertility-related stress, as well as the strain of caregiving and blended family transitions. She helps clients talk through communication problems, commitment questions, and the guilt or shame that can follow major life changes. Body image and eating-related concerns are also part of her practice focus. Her style is straightforward and compassionate. She aims to meet each person where they are and to build realistic plans for progress. People who value clear feedback and practical tools tend to find this approach helpful.

How Madeleine’s approaches work online

Client-centered therapy focuses on the person in front of the therapist. It involves listening deeply, reflecting what the client says, and helping people find their own answers. This style works well for someone wanting a supportive, nonjudgmental space to sort feelings and priorities.

Cognitive Behavioral Therapy, or CBT, helps identify thoughts that lead to unhelpful feelings and actions. Sessions include practical exercises and small experiments to try between meetings, which can help with anxiety, stress, and eating-related behaviors.

Dialectical Behavior Therapy, or DBT, offers tools for managing intense emotions and improving communication. It teaches skills like distress tolerance and emotion regulation that are useful during major life transitions.

Finding the right approach is part of the work. Madeleine will collaborate with each person to choose methods that match their needs, goals, and preferences. She adjusts techniques over time based on what helps most.

Online therapy gives flexibility for busy lives. Video calls support fuller conversation and visual cues, phone sessions work well when bandwidth is limited, and live chat or text-based messaging can fit short check-ins or moments when typing is easier. These formats make it simpler to keep regular contact and practice skills between meetings.