Madeline Fox

Madeline Fox

Licensed Marriage Family Therapist

AASECT Certified Sex Therapist

I am here to help you better understand intimacy, sexuality, and connection through a systemic approach to therapy.

Client Status

accepting clients

Contact

5038521161

1017 SW Morrison St.

Suite 507-B

Portland, OR 97205

At a Glance

Me

Rate: $220-$260

Provides free initial consultation

Provides telehealth services

Practicing Since: 2014

Languages: English

Services

  • Individual
  • Family
  • Relationship

Insurances Accepted

  • Out of Pocket

My Ideal Client

I offer gentle guidance and a supportive space to explore alternatives to the emotional responses, persistent thoughts, and ingrained expectations that are not serving you. Through our work together, you can build specific skills to address your unique challenges, moving you towards greater clarity, resilience, and a future that excites you.

My Approach to Helping

Modern relationships are often expected to meet contradictory needs: safety and spontaneity, friendship and lust, physical pleasure and emotional connection. For many, these competing expectations can feel overwhelming or unsustainable. Many people struggle to understand what they want, how to express it, or how to navigate differences without conflict, hurt feelings, or withdrawal. Plus, cultural taboos around sex as a conversation topic can make these challenges hard to confront. However, sex and relationship therapy can help you recognize and name the patterns that haven’t served you or your partnership in the past. I am committed to guiding individuals, couples, and partnerships thoughtfully towards more pleasure and satisfaction in their intimate experiences and lives. When we focus on building practical, compassionate tools in the present, you can confidently move into a future with clear, sincere communication around your most intimate needs for connection.

My Personal Beliefs and Interests

I have a Masters of Arts degree in Marriage, Couple, and Family Therapy with an emphasis in sex therapy from Lewis and Clark College. I'm an AASECT certified sex therapist and have been in private practice since 2016. Throughout my career I have invested in trainings with Esther Perel and Terry Real to better understand eroticism, desire, love, sex, and power. I believe that life is short and we should understand our drives and motivations so we can live in deeply satisfying and meaningful ways. I like to support my clients in feeling integrated and alive-at peace with the past and excited for what is to come.

Techniques I Use

Specialties

  • Couples Counseling External link

    Love, passion, and a bit of mystery may have brought you and your partner together but for whatever reason, those elements are harder to identify at the moment. I will collaboratively work with you and your partner to access those experiences of tenderness in order to start healing and repairing the memories of hurt that can take place through the course of a relationship.

  • Family Systems External link

    Whether it is the family you were born into or the family you chose to create, we are impacted and impacting everyone that we hold dear to our hearts. I think great change can occur in your life when you include your family in treatment and explore the ways you are connecting and work towards shifting the moments of hurt and disconnection.

Issues I Treat

Specialties

  • Premarital Counseling External link

    We can look at marriage and unions as romantic decisions but I find that it is also helpful to view them as living and breathing contracts. What do you require from yourself and your partner in order to be satisfied by the relationship? I want to help you be clear about what you bring forward and what your partner does as well. What areas need to be expanded and what areas need to be shifted?

  • Divorce External link

    There is a great amount of cultural attention and significance paid to couples who are wanting to partner and marry one another. I want to support you in creating meaning and ritual to the ending of your marriage. I want to guide partners to reflect and say goodbye to one another in a respectful and loving manner.

  • Sexual Problems External link

    'Sex is not a thing you do, it is a place you go.' Esther Perel stated this and I could not agree more. Unfortunately many of us have not been given clear directions on how to arrive to this place of sexuality, sensuality, and pleasure. I feel confident in supporting you and your partner(s) in exploring, expanding, and healing your sexual relationship with each other and yourself.

  • Relationship / Marriage Issues External link

    We want freedom and intimacy. We want to feel like we’re at home and at the same time we want spontaneity. We want the security of deeply knowing someone but we’re afraid to let that person in. We seek everything from one person that a whole village used to provide. There are plenty of reasons why you might be feeling unsatisfied or hurt or betrayed or all of the of the above in your relationship.

Contact Madeline

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