About Madeline
Madeline Shiel is a licensed clinical mental health counselor (LCMHC) practicing in New Hampshire. She focuses on helping people manage stress and anxiety, and supports those facing depression, self-esteem struggles, and LGBT-related concerns. Her approach centers on listening and tailoring sessions to each person's needs.
She aims to create a respectful, sensitive space where clients can talk about what matters most to them. Madeline emphasizes practical steps as well as understanding the story behind current struggles.
Background and approach
Madeline uses a mix of methods to match the situation. Cognitive Behavioral Therapy helps people identify and change unhelpful thought patterns. Mindfulness techniques teach ways to reduce physiological stress and pause automatic reactions.
Client-Centered Therapy keeps the conversation focused on the client’s priorities and values. She also draws on Motivational Interviewing to boost readiness for change and Narrative Therapy to reframe personal narratives that can hold someone back. Those approaches are selected based on the issue and the person’s preferences rather than applied uniformly.
Madeline has seven years of professional experience working in mental health settings. She guides people through life transitions, coping with social anxiety, body image concerns, and mood disorders. Her work is practical and collaborative, with the goal of helping people find clearer paths forward.
How therapy approaches work online
Client-Centered Therapy focuses on listening and following the client’s lead. Online sessions let the therapist tune into what matters to the person and build goals together. Cognitive Behavioral Therapy (CBT) breaks problems into thoughts, feelings, and behaviors and teaches concrete skills to change them. CBT can be practiced in session and applied between appointments with short exercises and homework.Madeline works collaboratively to find the best fit. She will talk with each person about goals and preferences and then suggest approaches to try. Adjustments happen over time so the methods match changing needs and what feels most useful to the client.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is helpful for deeper conversations and practicing skills in real time. Phone sessions are useful when bandwidth is limited or for a focused check-in. Live chat and text messaging support shorter updates, mood check-ins, or ongoing coaching between longer sessions. These options make it easier to fit therapy into a busy life and maintain continuity while working toward goals.
Questions people ask
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What this therapist works with
Most often
Also listed
Therapeutic approaches
- Experience
- 7 years
- Licensed
- New Hampshire
- Languages
- English
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