Hi, there. I’m Madeline Fox, licensed marriage, couples, family, and sex therapist. You came to the right place to improve the quality of your relationships and the quality of your life.
More connected - More intimate - More alive
Relationships shape so much of how we experience our lives. The ways we connect, communicate, navigate differences, and experience intimacy can profoundly influence our sense of fulfillment and well-being.
I work with individuals and couples to better understand themselves, navigate the complexities of relationships, and develop more satisfying experiences of connection and intimacy.
Whether you're looking to strengthen your relationship, explore your sexuality, or better understand patterns that are no longer serving you, therapy can offer a space to slow down, get curious, and move toward meaningful change.
How We Can Work Together
Sex Therapy
A more fulfilling relationship with sex, intimacy, and yourself.
Sexuality is an important part of being human, yet it can be one of the hardest things to talk about. Whether you're navigating differences in desire, feeling disconnected from your sexuality, or wanting to experience greater pleasure and intimacy, sex therapy offers space to explore these experiences with curiosity and without judgment.
I work with individuals and couples around sexual concerns, desire, intimacy, and the many ways sexuality intersects with our emotional and relational lives.
Couples and Relationship Therapy
Creating a relationship that feels more connected, understood, and fulfilling.
Even relationships with a strong foundation can become complicated. Recurring conflict, communication difficulties, and emotional or physical disconnection can leave partners feeling stuck or misunderstood.
Couples therapy offers an opportunity to better understand one another, shift familiar patterns, and build a relationship that feels more connected and satisfying.
Relationships are complicated. Understanding them can change everything.
We all bring our histories, expectations, vulnerabilities, and ways of relating into our relationships. Sometimes these patterns serve us well. Other times, they create distance, conflict, or a sense of disconnection.
Change can begin with awareness: understanding what drives our responses, what we need from one another, and how we can create new ways of connecting.
My approach is warm, direct, and collaborative. I aim to create a space where difficult conversations can happen honestly, where complexity is welcomed, and where there's room for both meaningful reflection and practical change.
I'm a Licensed Marriage and Family Therapist and AASECT Certified Sex Therapist. I offer an affirming space for LGBTQ+ individuals and couples, as well as people in consensual non-monogamous and polyamorous relationships.
I work with individuals, couples, and relationships through virtual sessions in California and Oregon and in-person sessions in Mill Valley, California.
Let's start a conversation
You don't need to have everything figured out before reaching out. Sometimes the first step is simply having a conversation about what's happening and what you'd like to be different.
I'd love to hear from you.

