Offering Online Therapy
Specializations:
- Trauma and PTSD
- Obsessive-Compulsive Disorder (OCD)
- Relationship and Attachment Issues
- Self-Esteem and Identity Conflicts
- Grief and Loss
- Therapy for College Students and Young Adults
- LGBTQ Therapy
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Body Image and Disordered Eating
Hi, I’m Maddie Fischer,
Whether you’re navigating the effects of trauma, feeling stuck in cycles of anxiety or OCD, working through relationship or identity challenges, or simply trying to feel more at home in your own skin—you’re not alone.
I specialize in helping clients make sense of painful experiences, connect more deeply with themselves and others, and move toward lives that feel more grounded and meaningful.
I take an active and collaborative approach to therapy, combining evidence-based techniques with a strong focus on the therapeutic relationship. Together, we’ll explore what’s holding you back, build insight, and develop tools to help you move forward. My goal is to create a space that feels supportive, challenging, and affirming—where all parts of who you are can be seen, understood, and strengthened.
Why I’m a Therapist
I’m a therapist because of my innate sensitivity and empathy. My focus is to help clients understand and navigate difficult experiences while building deep interpersonal connections.
Ultimately, I am a therapist so that I can help others build their most authentic, satisfying, and meaningful lives.
Coming from a family of lawyers and business people who tend to think and act based on logic, I always knew I was a little different. I tended to express more emotion and used my sensitivity to connect with people in a more intuitive, relational way. As I’ve grown in my training, I’ve come to appreciate the value of both logic and emotion and now integrate this balanced approach in my work with clients—especially those navigating high-pressure, perfectionistic environments.
What I Love About Being a Therapist
What I value most about being a therapist is the opportunity to build meaningful, collaborative therapeutic relationships. I find it deeply rewarding to create a space where people feel safe enough to be honest—with themselves and with me—and to work through the things that are holding them back.
It’s a privilege to support clients in gaining insight, making intentional choices, and building lives that feel more aligned and fulfilling.

Want to Know If Maddie Is the Right Therapist for You?
My Therapeutic Style
My style is active, relational, and values-oriented. I work from an eclectic foundation, emphasizing interpersonal approaches while integrating evidence-based treatments to support lasting change. I’m trained in Cognitive Processing Therapy (CPT) for trauma, Exposure and Response Prevention (ERP) for OCD and anxiety-related concerns, and Acceptance and Commitment Therapy (ACT) to help clients move toward lives that feel authentic and meaningful.
I believe therapy works best as a collaborative process—one where we explore thoughts and emotions together, build a strong and trusting relationship, and implement concrete tools to meet your goals. Above all, I strive to create a space where you feel safe, supported, and able to do the sometimes uncomfortable work of growing.
I’m also deeply committed to providing LGBTQ-affirming care, approaching each client with respect for their identity and lived experience, and creating a space where all aspects of who they are can be safely explored and supported.
Fun Facts about Maddie
I’m always up for an adventure—and once hiked Mount Kilimanjaro.
I’ve lived in 6 different states and love immersing myself in new places.
I’m an auntie to four amazing kids—and I love them more than anything!
My Education and Experience
While majoring in Psychology at the College of Charleston, I spent five weeks in Cambodia and Vietnam with a Psychology Faculty Member, where I conducted qualitative research on trauma and mental illness. This experience sparked a lasting commitment to cultural humility and social justice in both my personal and professional life.
That passion led me to earn my Master’s in Counseling from New York University, where I trained at Hawthorne Cedar Knolls, an alternative high school program on the campus of a residential treatment facility.
I went on to pursue a doctorate in Clinical Psychology at Loyola University Maryland. During my doctoral training, I worked in multiple college counseling centers and developed a strong foundation in supporting young adults through a range of concerns including anxiety, depression, trauma, identity development, disordered eating, OCD, and relationship challenges.
My clinical training included placements at Loyola University Maryland’s Counseling Center, George Mason University’s Center for Community Mental Health, and the Eating Recovery Center of Baltimore.