MEET maddie

Welcome! My name is Madison (Maddie) Domin (she/her & they/them), and I am a queer, Latinx, larger bodied, detribalized Indigenous social worker that is WAY too obsessed with houseplants. I grew up on the outskirts of Austin while escaping to the city as often as possible once I got my drivers license. I attended TCU in Fort Worth where I fell in love with social work after I attempted being a business major for a singular semester (that econ class did not work out). I obtained my BSW and immediately began my MSSW on a clinical track at UT Austin.  After graduating and obtaining my LMSW, I worked in community mental healthcare in the Transgender Wellness Program of Out Youth working with queer and trangender young adults. Working with queer and trans folks allowed me to pour into my community while also prioritizing my personal, professional, and ethical responsibilities.

As someone who has spent a lot of time in therapy, I know that finding a therapist that feels like a good fit can be tricky. I am proud of you for engaging in that search, as I know it can be nerve racking.

I specialize in working with teens 15+, young adults, queer and transgender individuals, women, people who dissociate, and people who practice ethical non-monogamy. My niche is childhood trauma, emotional and sexual abuse, and life transitions. Additionally, I see couples and am Gottman Level 1 trained.

My approach to trauma work is based within the neuroscience of trauma and the connection between your mind and body. I aim to share with you and educate you about what a traumatized brain does and how your brain may be doing something similar or completely different. Once we are familiar with you and your brain, I combine talk therapy with tools and techniques that may allow you to get to know your reaction and beliefs in a different way (such as Internal Family Systems, Polyvagal Theory, cognitive restructuring, and Sand Tray).

As your therapist, I want to offer you an inclusive space where you can feel brave and comfortable to be your authentic self, somewhere where you can laugh as much as you cry. My therapeutic approach is based on the relationship we build. I understand that being vulnerable with someone takes time, and I am committed to building a relationship with you wherein you feel comfortable with me walking next to you in your journey of healing and growth. I am committed to walking next to you that journey while also allowing you to remain the expert on yourself. Being a queer latinx person living in a larger body, I understand the impact that societal standards/ridicule has on our well-being and trauma responses and the power that can be stripped away or feel unattainable. I am committed to respecting and incorporating any and all identities that a client feels is pertinent to their treatment. I utilize a person in environment theory that allows me to consider not only you but the influences of your environment on your mental health and wellbeing.  

While all of this may sound overwhelming, the largest thing I would want my clients to know is that therapy can be messy, overwhelming, and hard. Therapy is also beautiful, a collaborative art form where we are building, strengthening, discovering, and cherishing ourselves for the sake of our own well being and healing. My belief about trauma work is that the goal is not to “fix” you, it is to cherish and respect what you have gone through and grow into who you are. See the scars as beautiful symbols of strength rather than ugly symbols of weakness. 

As mentioned above, working with the LGBTQ+ community has been healing for my inner teen. I began therapy in my early teen years when I felt lost, worthless, and unable to be loved. As someone who was actively attempting to survive trauma while navigating my identities, therapy was one of the few places where I felt peace (other places include: in a book, windows down and music up, and baking). I hope to inspire peace within my clients as we walk together in their journey of healing, as everyone deserves peace and the ability to grow.

When I am not existing in my therapist role, you can find me cuddled up on the couch with my partner and our little dog reading a sappy queer romance book (I have so many book recs) surrounded by too many house plants, perusing vintage shops for gems, or attempting to nail down a recipe for some random baked good.

Areas of Expertise

• C-PTSD & PTSD

• Gender Exploration, Topics, and Transitions

• LGBTQ+  Clients

• Complex identities

• Life Transitions

• Sex & Intimacy

• Anxiety

• Perfectionism & People Pleasing

• BIPOC Clients

• Sexual Assault

• Body Image

• Harm Reduction 

Theories and Modalities

• Internal Family Systems

• Epigenetic Lens

• Mindfulness 

• Guided Imagery

• Motivational Interviewing 

• Neurosequential Model

• Health At Every Size Principles

• Person in Environment 

• Sand Tray Therapy

• Gottman Level 1

• I will be offering EMDR in May 2025

I am currently accepting new clients. I have no sliding scale seats available at this moment. If you are interested in working with me on a sliding scale, I can add you to my waitlist.  I provide therapy to Texas residents, from ages 15 and up. In person therapy is available in South Austin, all virtual sessions will be conducted using a HIPAA compliant telehealth platform in order to make my services accessible to Texas residents across the state.

Fees and Services

NOTE: I can no longer accommodate evening availability for new clients. I am still accepting clients who would be able to meet in the morning to mid-day. If you would like assistance finding a therapist that has more evening availability or would like to be added to my waitlist, please do not hesitate to contact me.

Individual: $130 for 50 minutes; $180 for 80 minutes*
note: for appointments with minors and parents present (not family therapy) $150

Couples: $150 for 50 minutes; $220 for 80 minutes*
Letters of Support: $100 (documentation fee - see more information below) 

Walk & Talk/ Nature Walks: $150 for 50 minutes; $220 for 80 minutes

NOTE: My fees are subject to change due to merit, changes in specialty, and inflation. These changes will happen at minimum once a year to account for inflation. My rate will not be changed more than once in a six month period. The next expected increase in fees is expected to occur in January/February of 2025. **This does not apply to sliding scale clients**

*Superbills are available to assist in receiving a reimbursement from your insurance. Additionally, I work with Mentaya to assist clients in submitting superbills and communicating with insurance

Documentation Fees: 
I recognize the obstacles of obtaining gender affirming care for queer and trans folks. I offer documentation services, such as letters of support for gender affirming surgery and obtaining HRT, after a single session to support those in my community. A documentation appointment is a $100 fee. This fee also applies to other types of letters of support, such as an emotional service animal. Documentation services will remain available even when I am no longer accepting new clients.