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Madeleine Saxe, LMFT

California LMFT supporting relationships and recovery
  • Stress and anxiety
  • Addictions and recovery
  • Parenting and family

About Madeleine Saxe

Madeleine Saxe is a California licensed therapist who brings 12 years of clinical experience to work with individuals, young adults, women, and families navigating major life changes and emotional challenges. As an LMFT - a Licensed Marriage and Family Therapist - she specializes in stress, anxiety, addictions, relationship concerns, eating and food-related issues, and parenting struggles, offering focused support around blended family dynamics, body image, fertility and pregnancy-related experiences, postpartum mood changes, and caregiver stress.

Saxe combines a compassionate, holistic approach with practical strategies that help clients explore communication patterns, build self-love, and regain a sense of purpose. Her work often addresses the intertwined effects of addiction, family transitions, and interpersonal conflict, and she draws on evidence-informed methods to help people manage symptoms and develop healthier coping skills. Originally from New York City, she is known for a straightforward, direct style paired with empathy, meeting clients where they are while maintaining clear, goal-oriented guidance.

Throughout her practice she emphasizes collaboration, helping clients identify priorities and craft sustainable plans for personal growth, healing, and stronger relationships. She practices in California and holds an active state license as CA LMFT 105004.

Areas of Expertise

Primary Focus

Stress, AnxietyAddictionsRelationship issuesEating disordersParenting issues

Additional Focus Areas

Blended family issuesBody imageCaregiver issues and stressCommitment issuesCommunication problemsDivorce and separationDrug and alcohol addictionEating and food-related issuesFamily problemsFertility issuesGuilt and shameLife purposePostpartum depressionPregnancy and childbirthSelf-loveWomen's issuesWorkplace issuesYoung adult issues

Therapeutic Approach

Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Dialectical Behavior Therapy (DBT) Mindfulness Therapy Motivational Interviewing Solution-Focused Therapy Trauma-Focused Therapy

Frequently Asked Questions

How much experience does Madeleine Saxe have?

Madeleine Saxe has 12 years of clinical experience.

Is Madeleine Saxe a licensed therapist?

Yes. She holds the credential LMFT, which stands for Licensed Marriage and Family Therapist, and maintains California license CA LMFT 105004.

In which languages does Madeleine Saxe provide therapy?

Madeleine Saxe provides therapy in English.

Where is Madeleine Saxe located?

She is located in California.

How can I work with Madeleine Saxe as my therapist?

Therapy with Madeleine Saxe can be conducted via video calls, phone sessions, live chat, or text-based messaging. Note that she is not currently accepting new clients.

Does Madeleine Saxe work with international clients?

No. Madeleine Saxe does not currently work with international clients.

How much does therapy with Madeleine Saxe cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started with therapy is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Approaches and Online Care for Real-Life Challenges

Client-Centered Therapy focuses on creating a respectful, nonjudgmental space where the client leads the conversation and the therapist offers empathy and support. This approach helps people clarify values, build self-compassion, and navigate identity and relationship concerns. Cognitive Behavioral Therapy (CBT) uses structured techniques to identify and shift unhelpful thoughts and behaviors - it is commonly used for anxiety, stress, and eating-related patterns and helps clients develop practical coping skills. Dialectical Behavior Therapy (DBT) emphasizes emotion regulation, distress tolerance, and interpersonal effectiveness, making it useful for managing intense emotions, relationship conflicts, and substance use challenges.

Choosing the right approach is part of the therapeutic process. Madeleine Saxe works collaboratively with clients to assess needs, goals, and preferences, and tailors methods so the treatment plan fits the person rather than fitting the person to a single technique.

Online therapy offers flexibility through video calls, phone sessions, live chat, or text-based messaging, allowing clients to access licensed professionals from home or during busy schedules. These options can make it easier to maintain consistent care, fit sessions into daily life, and continue progress even when routines change.

Ready to start therapy with Madeleine Saxe?

Take the first step toward a better you.