Pamela Madsen - Clinical Director of Sea Change Psychotherapy

I collaborate with my clients to identify and achieve their goals, build greater connections in relationships, and experience satisfaction in their lives.

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

Pamela Madsen

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 and eating disorders, chronic pain and illness, and substance 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. Additionally, I utilize the Gottman Method and Emotionally Focused Therapy (EFT) for couples therapy, helping partners reconnect and thrive.

I work with high-achieving adults, teens, and couples who often struggle with self-image, relationship intimacy, and the pressures of high performance. My clients tend to be hard on themselves and feel most at ease when in control. Together, we navigate life’s ebbs and flows, fostering resilience and growth.

My previous career in business and finance provided me with unique insights into the challenges faced by leaders and high achievers. Through positive psychology, I help clients identify their strengths, increase self-compassion, and find opportunities for personal growth. I employ evidence-based treatments like EMDR, Exposure and Response Prevention (ERP), Dialectical Behavior Therapy (DBT), and RO-DBT to set and achieve goals collaboratively.

In my leadership role as a board member and president-elect of the International Association of Eating Disorders Professionals, I bring a wealth of experience and expertise to my practice. My unique background as a quantitative researcher with a special interest in narcissistic abuse further informs my therapeutic approach, ensuring a well-rounded and insightful treatment plan.

It takes courage to seek support, especially when you are used to holding it all together. Let’s sort out what is standing between you and the wholehearted life you deserve. Whether in-person or virtually, I am here to support you.

Specialties and Expertise

Trauma and PTSD

Using EMDR and Prolonged Exposure, I help clients resolve painful experiences and regain control. Anxiety, Depression, OCD, and Perfectionism: We’ve all had times when we struggle with managing worries both big and small. I am trained in DBT/RO-DBT and Exposure and Response Prevention (ERP) to treat anxiety, depression, OCD, and perfectionism, helping clients improve their ability to manage stressful situations and experience the freedom to be themselves.

Chronic Pain and Illness

Using evidence-based treatment for pain psychology treatment, I have completed extensive research on the neurobiology of how pain and chronic illness present as a function of trauma. I use Internal Family Systems and EMDR to improve quality of life.

Anxiety, Depression, and OCD

We’ve all had times when we are struggling managing worries both big and small. I am trained in DBT/RO-DBT and Exposure and Response Prevention (ERP) to treat anxiety, depression, and OCD to improve ability to manage stressful situations and experience freedom to be yourself.

Eating Disorders

Working towards Certified Eating Disorder Specialist designation, I employ a Healthy at Every Size approach and trauma-focused treatments to support wellness.

Substance Use

After extensive training early in my career working with individuals and couples experiencing substance use, I tailor my approach to meet your goals around managing your wellness to support freedom from what has been holding you back in life. We will rebuild a healthy relationship with yourself, loved-ones, and work together to give you healing for underlying issues.

Couples Therapy

Utilizing Gottman Method (Level 2), EFT (externship), and elements of Imago Relationship Therapy, I help couples heal and reconnect.

Additional Expertise

  • Depression
  • Emotional Abuse
  • Infertility
  • Infidelity
  • Internal Family Systems (IFS) - Level 1 Trained
  • Marital and Premarital
  • Mood Disorders
  • Obesity
  • Peer Relationships
  • Professional Stress/Compassion Fatigue
  • Relationship Issues
  • Self-Esteem
  • Self-Harming
  • Stress
  • Substance Use
  • Women’s Issues
Sea Change Logo

My Specialties

This is additional information on some of the conditions I have education and experience treating.

Woman with anxiety at work

Anxiety can be overwhelming, affecting both your mental and physical well-being. Our Atlanta specialists understand it is more than just worry and can be overwhelming.

Couple holding hands

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

Woman feeling fear

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

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

Woman rubbin neck in pain

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

A group therapy session

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

Person covered in clutter

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.

My Treatment Methods

This is additional information on some of the treatment approaches I have education and experience using in session.

Woman seeking peace in nature

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

ERP Therapy

ERP

Exposure and Response Prevention (ERP) is a type of Cognitive Behavioral Therapy (CBT) that is shown in research to be incredibly effective in treating OCD.

Therapist and client in a session

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

IFS Therapy

Unlocking Healing with Internal Family Systems Therapy: A comprehensive guide to IFS and the categories of Exiles, Managers, and Firefighters