How can therapy help me?

Therapy is different for every person and family. Madeleine works with each family to create treatment goals that are important to them. If you are searching for support regarding postpartum mood and anxiety disorders, you and Madeleine would create treatment goals focused on treating the presenting concerns. If you have concerns about how you and your baby are connecting, treatment would focus on the relationship between you and your baby. Therapy can help with many different concerns. The best way to find out if therapy with Madeleine is right for you is to call for a free consult.

How do I know if a Therapist is a good fit for me?

Finding a "good fit" is crucial to successful work. You know you've found a good fit when you have a therapist that you feel like you can trust. Sometimes that can take a few sessions; sometimes you can tell straight from the consult call. Sometimes you change your mind, and that is okay too. However, it is important to remember that a good therapist will likely push you emotionally at times into uncomfortable spaces, but only when it is appropriate for treatment and your emotional growth. This does not mean that you cannot push back; you can. If you have a good fit with your therapist, the therapy relationship will be able to handle the pushing back. If you continually do not feel comfortable, it is likely not a good fit. Find a new therapist.

What is a session of Therapy like?

This will look different depending on who the therapy is focused on. With the adults there is generally a check-in at the beginning and then a discussion related to their treatment goals. If treatment involves infants or young children, the session can often end up on the floor playing with toys and games.

What will we discuss in Therapy?

This will depend greatly on what your treatment goals are, and what you come to therapy wanting to discuss.

Do you prescribe me medication?

No. I am not a medical doctor, and I cannot prescribe medications.

How long is a session? How often?

A session lasts about 50 minutes. Sometimes with young children, sessions may be shorter. It can be flexible. We typically meet every week or every other week. As we get further into treatment, we may decide to meet once a month.

How long until I get better? // How will I know it's working? 

Everyone is different, and a length of time is difficult to say. However, when we get started, we will discuss what it will look like for you when you are getting better, and that is how we will know. I also use screening tools that we will use to track progress that can show over time how you are doing better.

Is it confidential?

Yes. However, there are certain reasons that I may break confidentiality that I spell out in a form you would receive at the start of treatment.

What style of Therapy do you use?

I use an integrative approach mainly from psychodynamic, multicultural, narrative and feminist theories with techniques and tools from Cognitive-Behavioral, Dialectical-Behavioral, Parent-Child Interaction, Motivational Interviewing, and play therapies. See my "About Me" section for more information.

What are your specialties?

I am a Child and Family Therapist specializing in Infant Mental Health and Perinatal Mental Health, so I focus on working with caregivers and families in the family planning stage through about 5 years old. I also have extra training and a passion for working with individuals with disabilities and their families. This would include disabled parents.

What credentials/training do you have?

I am a Licensed Mental Health Counselor licensed to practice in the State of Washington. I have certifications from the State of Washington for Child Mental Health Specialist and Disability Mental Health Specialist. I am waiting to sit for the exam to get my Perinatal Mental Health Certification by Postpartum Support International, and I am currently working on my direct service and supervision hours for my Infant Mental Health Specialist level III by Washington Association for Infant Mental Health. This means I have gotten and continue to get training related to these certifications.

I also have many trainings in various counseling methods such as Dialectical-Behavioral Therapy, play therapy, Parent-Child Interaction Therapy, Motivational Interviewing and others. I have certification in Cognitive-Behavioral Therapy through the University of Washington's Harborview Center for Sexual Assault and Traumatic Stress.

How much does it cost?

A typical 50 minute session costs $125. I have a sliding scale available if you need it; just ask. I currently am doing self-pay, and I am taking several insurances. See the next FAQ below for insurance details. My direct costs per session are about $85 plus the cost of my time.

Do you take my insurance?

I am currently accepting the following insurances through Headway: Oscar Health, United Healthcare, Oxford, Cigna, Aetna, Premera and Regence. Simply follow this link and sign up with Headway. headway.co/providers/madeleine-cushman

I can now accept Medicaid Fee-for-Service, and I am in the process of contracting with other Apple Health insurance providers to take more clients with Medicaid.

What if I can't afford it?

Talk to me. I offer a sliding scale.

How do I schedule appointments?

Start by calling (360) 800-9400 for a free initial consult and to schedule an intake session. From there scheduling will take place online through the HIPAA-compliant telehealth platform I use, CarePatron. I will get your email address to send you a link from which you will set up an account. There is a helpful application you can download as well as access online. You can also sign up for Headway to use your insurance: headway.co/providers/madeleine-cushman. This will allow you to book directly with me as well.

Current Availability

Telehealth Only


10:00 am-4:00 pm


10:00 am-4:30 pm


10:00 am-4:30 pm


10:00 am-4:00 pm







Please feel free to contact me!