A smiling woman with shoulder-length brown hair sitting on a green upholstered chair with wooden arms in a cozy room. She is wearing a black sleeveless top, brown striped pants, and black slip-on shoes, with her hands resting on her lap. There is a white bookshelf with books and a plant on her right, and a framed picture hanging on the beige wall behind her. A potted green leafy plant is on top of the bookshelf, and a beige door with a rounded top is visible in the background.

About

Madison Smith, Psy.D.

Dr. Madison Smith is a clinical psychologist who works with children, adolescents, and young adults who work tirelessly to hold it all together.

Throughout her career, she has worked with hundreds of young people and families across residential treatment programs, primary care, outpatient therapy, psychological assessment, specialty health clinics and emergency department settings. The experiences in these environments have sharpened her focus on understanding the person beneath the symptoms to help make sense of patterns that can feel overwhelming and hard to change.

Areas of Focus & Approach

Dr. Smith’s areas of focus include anxiety, OCD, identity exploration, and challenges related to food and self-image. This includes related patterns such as avoidance, perfectionism, emotional overwhelm, and difficulty tolerating uncertainty. Her approach is grounded in trauma-informed, evidence-based care, including Cognitive Behavioral Therapy (CBT), Exposure and Response Prevention (ERP), Trauma-Focused CBT, and parent-focused work such as SPACE (Supportive Parenting for Anxious Childhood Emotions). These tools are used flexibly and collaboratively, in a way that is practical, supportive, and tailored to each young person.

Therapy may be structured and skills-based at times, while slower and more reflective at others. The goal is to meet young people where they are and collaborate to build strategies that feel realistic and usable in daily life.

She provides affirming support for young adults navigating gender identity, sexual orientation, identity development, and life transitions, as they also connect to outside stressors related to family systems, school pressure, and the larger world they are growing up in.

Her work is guided by a simple belief: young people don’t need to be “fixed.” They need to be understood in context, supported with compassion, and given practical tools that help them move through life with more ease, confidence, and self-trust.

A Jenga tower on a wooden table with questions written on the wooden pieces. One wooden piece says, 'Describe yourself using 3 words,' another says, 'What's your favorite season?,' and others have questions like 'What helps you calm?'

Above all, her aim is to create a space where young people feel less alone, acknowledged for what they are carrying, and able to trust themselves again.

Education and Experience

A woman with shoulder-length wavy hair, wearing a black sleeveless top and striped pants, sitting on a green chair with her arms crossed, smiling. She is in a room with framed artwork on the wall, next to a white shelf with books and a green leafy plant.

PROFESSIONAL QUALIFICATIONS AND EXPERIENCE

Madison Smith, PsyD

Vermont Licensed Psychologist – Doctorate: 048.0134613

New York Licensed Psychologist - Doctorate: 026316

EDUCATION

Pacific University, Hillsboro, Oregon - PsyD Clinical Psychology 2021

Pacific University, Hillsboro, Oregon - MA Clinical Psychology 2018

Keene State College, Keene, NH - BA Psychology 2015

FURTHER TRAINING

University of Vermont Medical Center – Postdoctoral Fellowship 2022

University of Vermont Medical Center - Predoctoral Clinical Internship 2021