- Guilt and shame work
- Attachment-based methods
- EMDR and ACT techniques
About Madeline
Madeline Cohen is a Licensed Clinical Mental Health Counselor (LCMHC) practicing in North Carolina with 15 years of experience. She works with adults who are dealing with stress, anxiety, trauma and abuse, parenting pressures, and low self-esteem. Madeline also lists guilt and shame among the concerns she helps people understand and manage.
She uses practical, evidence-informed methods in sessions. Conversations often include noticing emotions, clarifying values, and learning ways to respond differently to painful memories or self-criticism. Madeline adapts these tools to everyday life so clients can try small changes between appointments.
Her approach draws on Acceptance and Commitment Therapy, Attachment-Based Therapy, Emotionally-Focused Therapy, Client-Centered Therapy, and Eye Movement Desensitization and Reprocessing. She explains each method plainly and uses elements that fit the person sitting across from her. Sessions tend to be collaborative and paced to what a person can handle.
Madeline has worked with people facing relationship shifts, blended family concerns, body image struggles, chronic illness and pain, cancer-related stress, codependency, and problems rooted in family of origin. She also supports those coping with impulsivity, control issues, separation and divorce, and midlife changes.
People who contact her usually want clear steps to reduce overwhelm and to rebuild a sense of agency. To start, she asks about what matters to the person now, and what small changes might make daily life easier. That practical focus carries through ongoing work together.
How her approaches translate to online work
Madeline often uses Acceptance and Commitment Therapy to help people clarify what matters to them and to practice small, value-driven steps in daily life. That approach is useful for stress, anxiety, and life changes because it focuses on actions a person can take even when feelings are strong.She also draws on Attachment-Based Therapy to look at how early relationships shape current reactions. This work helps when guilt or shame ties back to family of origin or relationship patterns. EMDR is another method she uses for trauma-related memories; it involves guided processing of upsetting memories to reduce their emotional hold.
Finding the best approach is part of the work. Madeline will discuss options and try methods that match a client's goals and comfort level, making adjustments as progress is reviewed. That collaborative planning aims to keep sessions useful and realistic for everyday life.
Session format details are not specified in the biography, so confirm the available online options before booking. In general, online work can make it easier to fit therapy into a busy schedule, allow shorter check-ins when needed, and remove travel time. Licensed professionals can adapt ACT, attachment-focused work, and EMDR techniques to remote sessions when appropriate, focusing on what will help a person manage guilt, shame, trauma, or stress within their daily routines.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
15+ years
Listed in
North Carolina
Languages
English
Frequently asked questions
What kinds of concerns does she help with?
She works with adults on stress, anxiety, trauma and abuse, parenting pressures, and self-esteem issues, and also lists guilt and shame among her focus areas.
How would she describe her therapeutic style?
She uses a collaborative, practical approach that draws on ACT, attachment-based ideas, EFT, client-centered work, and EMDR elements to help people manage emotions and take small steps forward.
How much clinical experience does she have?
Madeline has 15 years of experience working with adults facing a range of emotional and life challenges.
Where is she licensed and practicing?
She is a Licensed Clinical Mental Health Counselor (LCMHC) licensed in North Carolina.
Can I work with her if I live outside the United States?
Sessions are offered in English and she accepts international clients; confirm specific logistics when you arrange your first appointment.
What session formats are offered?
Session formats are not listed in the biography; please confirm current session options before booking.
How are sessions paid for and what does it cost?
Cost varies with location; sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule your first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.