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 lost in thought

Our therapists provide comprehensive ADHD and ADD Treatment

Atlanta ADHD therapists helping adults and teens build skills to manage symptoms and thrive. Evidence-based counseling in Buckhead and online in Georgia.

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Anxiety Specialists of Atlanta

Atlanta anxiety specialists offering CBT, ERP, and DBT for anxiety, panic, and OCD. More than just worry — expert care in Buckhead and online across Georgia.

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Healing Attachment Injuries: Exploring Attachment Theory

We understand attachment injuries and provide a means to heal your emotional bonds based upon your attachment style.

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Chronic Illness and Chronic Pain

Compassionate Care for Chronic Pain and Chronic Illness in Buckhead, Atlanta: A Holistic Approach to Healing

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Trauma Counseling in Atlanta with EMDR and IFS

We specialize in trauma counseling in Atlanta, GA, offering compassionate, evidence-based therapy to help individuals process and heal from painful experiences.

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Couples Relationship Psychotherapy

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

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Dissociative Identity Disorder (DID) and Other Dissociative Disorders

Dissociative disorders are a group of mental health conditions that involve disruptions or breakdowns in memory, awareness, identity, or perception.

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Obsessive-Compulsive Disorder (OCD)

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

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Woman with PTSD

Treating PTSD and C-PTSD: A Comprehensive Approach

Atlanta therapists specializing in PTSD and C-PTSD treatment using EMDR, IFS, and somatic approaches. In-person in Buckhead and online therapy in Georgia.

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Grief Counseling

Healing Through Grief in Buckhead, Atlanta: Compassionate Counseling for Life's Most Difficult Moments

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Hoarding Disorder Therapy in Atlanta and North Georgia

Hoarding disorder is more than just an issue of clutter—it’s a profound and complex mental health condition that often arises from deep emotional wounds.

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Eating Disorders

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

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Recent Posts

Our Clinical Director

Pamela Madsen

Pamela Madsen - Clinical Director of Sea Change Psychotherapy

MS, LPC, ACS, RYT-200 (she, her)

I’m Pamela Madsen, founder and clinical director of Sea Change Psychotherapy. Sea Change is a term from Shakespeare that means complete transformation, which is how I think of the art of therapy, as a compassionate and dedicated therapist based in Atlanta. I specialize in working with relational trauma, emotional abuse, eating disorders, chronic pain and illness, and alcohol use. With advanced training in Eye Movement Desensitization and Reprocessing (EMDR), Internal Family Systems (IFS), and Radically Open Dialectical Behavior Therapy (RO-DBT), I offer a comprehensive and empathetic approach to healing.