Welcome to our Atlanta counseling practice!

Everyone else thinks you’ve got it all together. Inside, though, you feel like you have to fill a role to fit in your own life. You have to be perfect, maybe rehearse what you’ll say ahead of time, and then tell yourself that no one cares about you since they can’t get close enough to know the real you. You know how to appear confident but deep inside, there is this voice telling you that no one sees you. You crave the feelings of safety and acceptance. You want to feel connected to the people you love. Instead, you feel desperate to maintain control and feel stuck in painful relationships.

You are finally ready to work through barriers that stand between you and whole-hearted living, shed the weight of your past, and fall in love with your life, family, and yourself. You’re ready to give up feeling guilty for taking care of yourself and invest the time to transform the way you think about yourself.

Let’s get started taking care of you and making the change you have set your mind to. It takes courage to reach out for support and imagine something better for yourself.

Counseling and Therapy Services We Provide

Woman with anxiety at work

Anxiety and OCD

Our Atlanta therapists specialize in Exposure and Response Prevention (ERP) therapy, an evidence-based approach designed to help individuals overcome OCD.

Couple holding hands


We understand the complexities of relationships and offer professional couples therapy to help you strengthen your bond.

Woman feeling fear

Eating Disorders

We work with eating disorders using a Health at Every Size model, helping our clients regain their freedom and enjoyment of life.

Man in high stress work environment

Impaired Professionals

At Sea Change Psychotherapy, we specialize in providing confidential and personalized counseling services for impaired professionals.

Woman concentrating on high quality work


Our Atlanta therapists specialize in providing compassionate counseling services to help individuals overcome the grip of perfectionism.

Therapist and client in a session

Radically Open DBT

Our Atlanta therapists offer a compassionate and evidence-based approach in RO-DBT to achieve emotional well-being and build fulfilling relationships.

A group therapy session

Substance Use and Addiction

We provide compassionate and empowering counseling services for individuals seeking to overcome substance use and addiction treatement in Atlanta.

Woman seeking peace in nature

Trauma and EMDR

At Sea Change Psychotherapy, we offer Eye Movement Desensitization and Reprocessing (EMDR) therapy to help you overcome trauma and regain control.

Our Clinical Director

Pamela Madsen

Pamela Madsen

Pamela Madsen, MS, LPC, NCC, RYT-200 (she, her)

I work with high-achieving adults, teens, and couples. My clients tend to be pretty hard on themselves, worry about things both large and small, and feel best when they are in the driver’s seat of life. Life has many ebbs and flows, so at times we need some additional support to get through the uncertainty that life hands us. I collaborate with my clients to identify and achieve their goals, build greater connections in relationships, and experience satisfaction in their lives.