Hello, I’m Madeline Fox

I believe meaningful change begins with curiosity rather than judgment. My aim is to create a space where you can be honest about what's difficult, examine the stories you've come to believe about yourself, and explore new possibilities at your own pace.

How I work

I take a systemic approach to therapy, which means we look at the whole constellation of relationships that surrounds you, not just one piece of it. Together, we can explore dissatisfaction, difficulty, and disappointment, along with the larger relational patterns that show up in your life. These conversations can feel vulnerable, and my aim is to make this a space where you feel respected, unhurried, and free from judgment.

I work with individuals and couples, and I warmly welcome clients who are polyamorous, kinky, or LGBTQ+.

Training and background

I’m a Licensed Marriage, Couples, and Family Therapist in California and Oregon and an AASECT Certified Sex Therapist. I hold a Master of Arts in Marriage, Couple, and Family Therapy, with an emphasis in sex therapy, from Lewis & Clark College. Before opening my practice, I worked with a wide range of people in several community mental health settings.

I’ve continued to deepen my training alongside two leaders in the field. In 2016, I completed Esther Perel and Terry Real’s Relate training, exploring the intersection of love, sex, and power in modern relationships. In 2017, I trained again with Esther Perel on rethinking infidelity and supporting people who are struggling to keep desire and vitality alive in their relationships. I also served on the board of the Oregon Association for Marriage and Family Therapy from 2016 to 2019. In the spring of 2023, I participated in an in-depth couples therapy training with Terry Real. At the start of 2025, my years of hard work paid off as I became a certified sex therapist through the American Association of Sexuality Educators, Counselors, and Therapists.

Where to find me

My office is located at 275 Miller Avenue, Suite 202, in Mill Valley, California and I offer virtual sessions for folks in California and Oregon.

A little more about me

Outside of the therapy room, you’ll find me drinking cappuccino in the morning and an iced petite latte in the afternoon. I love wandering around big cities and enjoy long meals with good friends. I appreciate when someone is so authentically themselves that you feel even more like yourself just being around them.

Ready to talk?

Reaching out is often the hardest part. Send me a note, and I’ll get back to you within 1-2 business days to set up a free, no-obligation consultation.