More recently she provided short-term counseling in a primary care clinic, helping adults cope with new medical diagnoses and chronic health concerns. She uses approaches that include Acceptance and Commitment Therapy (ACT), client-centered therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and the Gottman Method. In sessions she aims to teach coping skills, improve communication, and build routines that reduce overwhelm.

Madeline also addresses relationship and family stress, grief, addiction concerns, sleep and eating issues, and career or parenting strain. She offers support for people navigating life changes, burnout, compassion fatigue, and feelings of emptiness or shame. Sessions are offered in English and take place online through video calls, phone, live chat, or text messaging.

Her practice follows a subscription model that can be canceled at any time, and costs vary based on location and therapist scheduling. To begin, a person completes a short matching questionnaire and schedules according to therapist availability. Madeline aims to make the first steps straightforward and collaborative.