Madilyne Harmston, LICSW

Madilyne Harmston, LICSW, focuses on helping people who are stressed, anxious, or navigating big life changes. She speaks plainly and listens carefully so clients can say what they’re feeling without judgment. Her approach is practical and aimed at small, steady steps forward.

Madilyne draws on cognitive behavioral therapy to help people notice unhelpful thinking and try different responses. She also uses client-centered methods to make sessions feel collaborative and respectful. Mindfulness tools are offered to manage strong emotions in the moment.

With three years of professional experience, she has worked with concerns such as depression, trauma and abuse, grief, and parenting stress. Madilyne also supports people dealing with issues tied to adoption and foster care, attachment, and fatherhood challenges. She addresses relationship problems, anger, feelings of emptiness, and questions about life purpose.

Sessions may include goal-focused conversations, exercises to shift thinking patterns, and short mindfulness practices. Motivational interviewing and solution-focused techniques are used when people want clear next steps or help staying motivated. The emphasis is on tools that can be used between sessions.

Madilyne practices in Minnesota and holds a Minnesota LICSW - Licensed Independent Clinical Social Worker. Sessions are provided in English and conducted online through video, phone, live chat, or text messaging. She aims to meet people where they are and move toward manageable change together.

Approaches and how they work online

Madilyne uses cognitive behavioral therapy to help people spot unhelpful thoughts and try new behaviors. CBT often includes simple exercises and homework to practice different ways of thinking and reacting, which can reduce anxiety and depressive patterns over time.

She also brings a client-centered approach that emphasizes listening and collaboration. This means sessions are shaped around the person’s goals and pace, with the therapist asking questions and reflecting rather than directing every step.

Mindfulness techniques are offered to help manage intense emotions in the moment. Short breathing exercises or grounding practices can be used during a session and then repeated at home to help with stress and reactivity.

Finding the right mix of approaches is part of the work. Madilyne will discuss goals, preferences, and what feels most helpful, and then adjust methods together so therapy fits the person’s needs.

Online sessions are available by video calls, phone, live chat, or text-based messaging to provide flexibility. Video is useful for face-to-face conversation and guided exercises, phone works well when bandwidth is limited, live chat can be a shorter check-in, and text messaging supports ongoing reflection between sessions. These options make it easier to fit therapy into a busy life and try different formats to see what helps most.