01 · Who Madeline works with

Madeline works with stress, Anxiety, parenting issues and self esteem

Madeline lists 17 specialisms and 27 further focus areas. Specialisms are the subjects Madeline chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Madeline's own words

What Madeline says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

Welcome! My name is Madeline V., but everyone calls me Vicki. I am a licensed professional counselor in the state of Texas. I have over 8 years experience working in the field of counseling. I have the most experience working with anxiety, family/relationship conflicts, parenting, and life transitions. I also have experience working with depression, career counseling, and working with blended families. My dedication to the field of mental health comes from the strong desire to help others around me. I know and understand the barriers that we have in getting the help we need. I use a person-centered, holistic, multicultural, and integrative approach in treatment. This means I begin where you are and tailor the treatment approach to your needs while being sensitive to how your individual cultural identities and lifestyle choices impact your experience. I primarily use evidence based techniques including cognitive-behavioral therapy, mindfulness, motivational interviewing, and solution-focused counseling. I would describe my style as warm and encouraging and I am ready to help you break down barriers and tackle your struggles. Together we can work on establishing concrete goals and steps for you to help overcome your current problems.

Thank you again for taking time in learning more about me.

SPECIALTIES Stress, Anxiety Family conflicts Trauma and abuse Coping with life changes Also experienced in: Relationship issues , Grief , Anger management , Self esteem , Depression , Caregiver Issues and Stress , Communication Problems , Control Issues , Family Problems , and Parenting Clinical approaches: Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Mindfulness Therapy, Motivational Interviewing, Solution-Focused Therapy, Trauma-Focused Therapy

Madeline Gardiner, on the BetterHelp listing · read 9 Oct 2026

03 · How Madeline works

The 6 approaches Madeline lists, in plain English

These are the clinical methods Madeline lists. The descriptions are Maker Therapy's, not Madeline's - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Madeline runs a session.

Client-Centred TherapyPerson-centred · Rogerian

The therapist does not steer toward a technique or a diagnosis. They offer sustained, non-judgemental attention and reflect back what they hear, on the premise that people find their own direction when they are genuinely listened to. Often what people mean by “someone who just gets it”.

Cognitive Behavioural TherapyCBT

Structured, present-focused work on the loop between what you think, how you feel and what you then do. Usually means noticing a thought pattern in the room, testing it against evidence, and practising something different between sessions. Among the most heavily researched talking therapies for depression and anxiety.

Eye Movement Desensitisation and ReprocessingEMDR

A structured trauma protocol in which you hold a distressing memory in mind while following a repeated side-to-side cue. The mechanism is still debated; the outcome data in post-traumatic stress is strong enough that it appears in national treatment guidelines.

The Gottman Method

A couples approach built on decades of observational research into what distinguishes relationships that last. Structured and assessment-led: it maps friendship, conflict and shared meaning, then works on the specific mechanics of how the two of you argue.

Mindfulness-Based TherapyMBCT

Trains attention on what is happening right now - body, breath, the thought as it arrives - so distress can be observed rather than automatically acted on. Strongest evidence is in preventing depression from recurring, and it is usually taught as a practice you keep doing outside the session.

Solution-Focused Brief TherapySFBT

Starts from where you want to end up rather than from how you got here. Sessions look for the times the problem is already smaller and work out what is different about those, so the number of sessions tends to be short and the work concrete.

04 · What happens next

From this page to a first session

Madeline practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Madeline's own practice, and not a promise about how quickly anything happens.

1. A questionnaire, not a booking form

   BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Madeline at this point.

2. Naming Madeline specifically

   BetterHelp matches algorithmically by default, so asking for Madeline is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Madeline.

3. If the caseload is full

   You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

4. The first conversation

   A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

5. If the fit is wrong

   Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

3 questions worth asking Madeline

Built from what Madeline actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Madeline's - Madeline has not seen them and is under no obligation to answer any of them.

• “You list both Cognitive Behavioural Therapy and Client-Centred Therapy. Which do you lean on with someone like me?”

  Those two point in different directions - one structured and led by the therapist, the other led by you. The answer tells you what the sessions will actually feel like.

• “How do you decide when someone is ready to work on a traumatic memory itself?”

  Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

• “How do you handle the gap between sessions if something comes up?”

  On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

06 · Practical details

Credentials and licensing

Credential

LPC

Licensed in

Texas

Licence

TX LPC 82275

Licence number

82275

Licence expires

30 Jun 2027

NPI

1184383002

Years in practice

3

Gender

Female

Languages

English

International clients

Not accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Madeline's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 9 Oct 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Madeline. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

Something on this page wrong or out of date? Report it and it will be checked against the source.