Madeleine Saxe, LMFT

Therapeutic approaches and online care for parenting stress

Madeleine uses client-centered therapy to create a space where the client's priorities guide each session. This approach emphasizes listening, understanding a person's perspective, and adapting the work to what matters most to them. It is useful when someone needs to feel heard and to clarify what they want to change.

She also draws on cognitive behavioral therapy, which focuses on noticing unhelpful thoughts and testing them with practical experiments. CBT helps people manage anxiety, break cycles of overeating or substance use, and change behaviors that interfere with daily life. Dialectical behavior therapy skills may be used to teach emotion regulation, distress tolerance, and better communication when emotions run high.

Finding the best approach is a collaborative process. The therapist will help figure out which methods fit a person's goals and preferences, and will adjust the plan over time based on what is or isn't working. This makes it easier to focus on parenting concerns, postpartum adjustment, or relationship communication in ways that feel relevant to each individual.

Online therapy offers practical flexibility. Video calls allow face-to-face conversation and visual cues, phone sessions work well when bandwidth or camera time is limited, and live chat or text messaging can be useful for brief check-ins or between-session support. These options make it easier to schedule care around work, childcare, and daily life while still using the same therapeutic approaches described above.