- Guilt and shame
- Communication skills
- Caregiver stress
About Michelle
Michelle Madison is a Licensed Clinical Social Worker (LCSW) in New York with 12 years of experience. She works with adults on stress, anxiety, relationship and family concerns, parenting challenges, depression, and related issues such as guilt and shame.
Her approach is practical and focused. She helps people name what feels heavy and then work on clear next steps. Sessions often include skill-building for communication and coping, and time to look at patterns that keep old hurts active.
Michelle draws on evidence-based therapeutic techniques to address mood and anxiety symptoms, panic, and difficulties with attachment and trust. She also supports people dealing with caregiver stress, divorce and separation, and impulses that cause regret or shame. The tone is straightforward and problem-focused rather than theoretical.
In sessions she teaches tools for handling intense feelings, for repairing communication, and for making decisions that fit a person’s values. She also helps people practice self-directed exercises between meetings to reinforce new habits.
People who come for work on guilt and shame often find the focus is on understanding how those feelings developed, unhooking from self-blame, and trying different behaviors to test new beliefs. Michelle pays attention to concrete goals like reducing panic attacks, improving day-to-day mood, or easing isolation.
Her practice is based in New York and sessions are conducted in English. Prospective clients are asked to complete a short matching questionnaire and schedule a first session through the online therapy options button.
How evidence-based techniques are used in online sessions
Michelle uses well-established, evidence-based therapeutic techniques to guide sessions. Cognitive approaches help people notice unhelpful thinking patterns tied to guilt and shame, and then test different, more balanced ways of thinking. These techniques are useful for anxiety, panic, and negative self-beliefs.Behavioral strategies are also part of the work. That includes practicing small actions that challenge avoidance, improve mood, or repair communication. For example, graded exposure can reduce panic or social fears, while communication practice can change how arguments unfold.
Finding the right mix of approaches is part of the early work. The therapist and client review symptoms, goals, and preferences and then choose techniques together. This collaborative process is meant to match methods to what the client wants to change and how they prefer to work.
Confirm the specific online session options before booking, as session formats are not detailed here. Online sessions can make it easier to fit therapy into a busy life, allow shorter check-ins when needed, and reduce travel time. They also let people continue work when schedules or caregiving duties make in-person visits harder.
Areas of expertise
Primary focus
Additional focus areas
Experience
12+ years
Listed in
New York
Languages
English
Frequently asked questions
What concerns does she work with?
She works with stress, anxiety, relationship and family concerns, parenting issues, and depression. Additional focuses include guilt and shame, attachment issues, panic, and mood disorders.
How does she approach feelings of guilt or shame?
She helps people understand where those feelings come from and then practices small behavior changes to test new beliefs. Therapy mixes discussion with practical skills for reducing self-blame.
What is her background and experience?
She has 12 years of clinical experience working with people facing emotional and relationship challenges. That experience informs a problem-focused style aimed at concrete changes.
What are her credentials and where is she based?
She is a Licensed Clinical Social Worker (LCSW) licensed in New York. Her practice is located in New York.
Which languages are supported?
Sessions are offered in English.
Can people outside the US work with her?
International clients are not currently accepted.
How are sessions structured and paid for?
Session cost varies with location and is provided through a subscription that can be canceled at any time. Confirm current session formats before booking.
How do I begin working with her?
Use the See online therapy options button, complete a short matching questionnaire, and schedule a first session. That starts the matching and scheduling process.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.