Madeleine Saxe, LMFT

Madeleine Saxe is a California licensed marriage and family therapist who helps people manage stress, anxiety, addiction, relationship strain, eating concerns, and parenting challenges. She applies straightforward support with empathy to help clients find clearer next steps. Madeleine speaks plainly and focuses on practical tools as well as emotional understanding.

She uses Cognitive Behavioral Therapy, client-centered methods, and mindfulness to help people spot unhelpful thinking and change everyday habits. Sessions often involve setting small goals, practicing new coping skills, and talking through relationship patterns. Madeleine also draws on Dialectical Behavior Therapy and motivational interviewing when extra emotion regulation or readiness work is useful.

Clients can expect a blend of listening and active problem solving. Madeleine aims to make sessions feel useful from the first meetings by focusing on what matters now. She works with issues that come up around pregnancy, postpartum, fertility, body image, grief, and life purpose in addition to core concerns like substance use and communication problems.

With 12 years of clinical experience, Madeleine has developed a practical approach that balances warmth with direct feedback. Her background includes guiding people through divorce and blended family transitions and helping caregivers manage stress. She emphasizes clear communication, self-compassion, and step-by-step progress.

Madeleine offers therapy in English and practices across California as a CA LMFT. Her style suits people who want hands-on strategies and honest reflection while they work toward change.

How Madeleine’s Approaches Work Online

Madeleine commonly draws on Cognitive Behavioral Therapy to help people notice and shift unhelpful thoughts and behaviors. CBT focuses on practical steps - identifying patterns, testing new actions, and tracking small changes to reduce anxiety, stress, or problematic habits.

She also uses Client-Centered Therapy, which centers the conversation on the person’s goals and perspective. This approach means sessions follow what matters most to the individual and rely on empathetic listening and reflective feedback to build insight.

Dialectical Behavior Therapy skills may be used when emotion regulation or strong reactions get in the way of daily life. DBT techniques teach breathing, grounding, and communication exercises that can help during high-stress moments or relationship conflicts.

Finding the right mix of approaches is part of the work. Madeleine collaborates with each person to decide which methods fit their needs, goals, and preferences. She adjusts plans as progress is made and as new concerns emerge.

Online therapy offers flexible ways to connect, including video calls, phone sessions, live chat, and text-based messaging. Video calls allow face-to-face conversation and skill practice, phone sessions can be easier when bandwidth is limited, live chat works for quick check-ins, and messaging supports ongoing reflection between sessions. These options help make therapy fit around work, childcare, and daily life.