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.

Close-up of a friendly woman with brown hair and green eyes outdoors, wearing earrings and a patterned dress, with a blurred background of trees and sky.

You’re Not The Only One

Modern relationships are asked to do a lot at once: be safe and spontaneous, be best friends and passionate lovers, feel emotionally close and physically alive. When those expectations collide, intimacy can start to feel confusing, lonely, or like something you’ve quietly given up on.

And because sex is so hard to talk about, most people wait too long before asking for help.

You might be here because:

In your relationship

  • You and your partner want different things, or want them at different times

  • Talking about sex leads to hurt feelings, defensiveness, or silence

  • You’re trying to rebuild trust after an affair or betrayal

  • Closeness has faded since having a baby, a move, or a stressful season

  • You’re exploring non-monogamy or opening your relationship and want a thoughtful guide

For yourself

  • Sex feels like a source of dread, pressure, anxiety, or resentment

  • You have a hard time feeling pleasure, getting aroused, or relaxing into touch

  • You’re worried about how your body is functioning

  • You avoid physical closeness or nudity

  • You’re healing from sexual assault or abuse

  • You’re sorting out questions about your sexual identity or orientation

If any of this sounds familiar, nothing is wrong with you. These are common, understandable problems, and they can change.

How Therapy Can Help

Together we’ll identify the patterns that haven’t been working for you or your relationship, and build new ways of relating to yourself, your body, and each other. You’ll leave sessions with practical, compassionate tools you can use right away, and with the confidence to talk about your most intimate needs clearly and honestly.

What feels murky and stuck right now can become understandable, and eventually, enjoyable.

What To Expect

1. A free consultation.
We’ll talk for about 20 minutes by phone. You can share what’s bringing you in, ask me anything, and we’ll both decide whether we’re a good fit. There’s no pressure to continue.

2. Your first session.
We’ll map out what’s happening, what you want to change, and a plan for how we’ll work together. Couples can come together; individuals are always welcome too.

3. Building change over time.
Sessions are weekly to start. If weekly sessions don’t fit your life, or you want to make faster progress, ask me about a Weekend Intensive.

Common Concerns I Help With:

Premarital / Commitment Counseling

Infidelity Discovery and Recovery

Difficulty Maintaining Arousal

Decreased Desire and Desire Gaps

Polyamory and Navigating Non-Monogamy

Intimacy after Childbirth

Sexual Dissatisfaction

Surviving Sexual Assault and Abuse

Sexual Identity, Orientation, and Exploration