Madeline Fox

Madeline Fox

Licensed Marriage Family Therapist

I support clients in understanding how their unique constellation of relationships affects their life.

Client Status

accepting clients



1017 SW Morrison St.

Suite 507-B

Portland, OR 97205

At a Glance


Rate: $160-$200

Provides free initial consultation

Provides telehealth services

Practicing Since: 2014

Languages: English


  • Individual
  • Family
  • Relationship

Insurances Accepted

  • Out of Pocket

My Approach to Helping

I work with individuals to identify repetitive thoughts, ingrained expectations and outlooks that aren’t serving them and together we work to develop skills to address your unique challenges. We've structured modern life around the idea that one big relationship should be everything: the place where you get acceptance and intimacy, friendship and love, spontaneity and mischief. Everything all rolled into one. And for so many, and maybe you too, it’s just not working. Are you feeling deep sadness when you consider your life? Do you often struggle with feelings of hurt, disappointment, or anger? Do you feel like you just can’t ‘figure out’ how to make you life or relationships work? If you’re experiencing one (or many) of these, it’s time to shake things up. You don’t have to struggle through this alone, I’m committed to providing empowering guidance and insight to help you move forward toward the life you want to be living.

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 experienced working with diverse clients as a therapist in multiple community mental health settings. In the spring of 2023, I participated in an in-depth couples therapy training with Terry Real. In November of 2017, I immersed myself in training with Esther Perel around rethinking infidelity and better understanding how to work with couples and individuals who are struggling to maintain desire and vitality within their relationships. In 2016, I worked with Esther Perel and Terry Real in their Relate training program to more comprehensively understand the intersection of love, sex, and power, in modern relationships. When I’m not helping clients build satisfying emotional and erotic lives my favorite pastimes are setting up picnics under big shaded trees, reading fiction novels, making pot pie from scratch, and catching up with friends.

Techniques I Use


  • 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


  • 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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