Madi West, LCMHC, CFRC

Outpatient Therapy Manager

Madi West, Licensed Clinical Mental Health Counselor and Certified First Responder Counselor, is an Outpatient Manager in both our Raleigh and Cary locations. Madi aims to provide a welcoming and comfortable space for individuals to challenge maladaptive coping mechanisms, address changes they would like to make with confidence, and explore the thoughts and feelings that make it difficult to meet their goals.

Madi believes that each client is unique, the expert of their own life, and deserving of individualized treatment to best meet their needs. She values honest, direct, empathetic, and intentional therapeutic relationships.

Madi holds a Master of Arts in Clinical Mental Health Counseling from North Carolina Central University and a Bachelor of Science in Criminal Justice from East Carolina University. She has experience providing individual therapy to children, teens, adults, couples, and families across all levels of care—including detention centers and youth development centers, inpatient facilities, residential treatment centers, PHP/IOP, and outpatient settings.

Madi has also facilitated groups focusing on DBT, CBT, Solution-Focused therapy, goal setting, and crisis management to assist those working to live happier and healthier lives they deem worth living.

Madi is most passionate about working with folks living with depression, bipolar disorder, history of trauma, chronic and acute suicidality, self-harm, complex family dynamics, low self-esteem, shame, and lack of identity. She also specializes in working with first responders, military personnel (active and retired), and healthcare professionals.

As a Certified First Responder Counselor, Madi completes yearly updated specialized training that has provided her with experience, knowledge, and exposure to the unique challenges, culture, and societal perception of first responders—assisting her in providing the most appropriate and specialized care possible. Her passion for working with first responders began after volunteering to provide psychological first aid and assist in crisis management to first responders following natural disasters.

Specialties

Madi specializes in working with clients experiencing:

• Treatment-resistant depression and persistent depression/mood disorders
• Chronic suicidality and suicidal ideation
• PTSD/Trauma and complex trauma responses
• Borderline Personality Disorder
• Shame, lack of identity, and low self-esteem
• First responder, military, and healthcare professional mental health
• Substance use concerns
• Bipolar disorder and other complex mental health conditions
• Gender identity exploration
• Family conflict and relationship challenges
• ADD/ADHD, anger management, and stress management
• Women’s issues

Treatment Approaches

Madi utilizes shame-informed therapy and evidence-based approaches that apply to real life, including:

• Acceptance and Commitment Therapy (ACT)– building psychological flexibility and values-based living
• Cognitive Behavioral Therapy (CBT) – identifying and shifting unhelpful thought patterns
• Dialectical Behavior Therapy (DBT) – building skills in emotion regulation and interpersonal effectiveness
• Internal Family Systems (IFS) – understanding the different parts of yourself
• Trauma-Focused Therapy – addressing the neurobiological origins of trauma symptoms
• Attachment-Based Therapy – exploring relational patterns
• Emotionally Focused Therapy (EFT) – deepening emotional awareness and connection
• Solution-Focused Therapy – identifying and building on strengths

Her approach prioritizes psychoeducation on the neurobiological origins of challenges and symptoms, coping skill building, and identity exploration to address old self-based wounds.

LGBTQIA+ Affirming Therapy

Madi provides affirming care for clients across the gender and sexuality spectrum, including those who identify as asexual, bisexual, gay, lesbian, pansexual, transgender, genderqueer, non-binary, and genderfluid.

Schedule with Madi

If you would like to schedule an in-person session with Madi in either our Cary or Raleigh locations, just complete a form and let us know.