Maddie Krause

Do you find yourself constantly striving to be better, do more, or keep everyone happy—yet still feel like you’re falling short? Maybe you’re successful and capable on the outside, but internally you’re overwhelmed by self-doubt, shame, perfectionism, or the feeling that you’re never quite enough. You may be struggling in your relationships, repeating patterns you don’t understand, or wondering why it feels so difficult to trust, communicate your needs, or feel secure with others.

Therapy offers an opportunity to slow down and make sense of what feels confusing, painful, or overwhelming. Rather than simply helping you “feel better,” I believe meaningful change comes from understanding yourself more deeply—your emotions, your relationships, your patterns, and the experiences that have shaped them.

Hi friends. My name is Maddie Krause. I am a Licensed Clinical Mental Health Counselor Associate (LCMHC-A) here at Mathews Counseling and I would love to be the person who helps guide you on this journey back to yourself, or towards the person that you know you are meant to be. 

I work with adults who want to better understand themselves and create meaningful change in their lives and relationships. I especially enjoy working with mothers navigating the pressure and identity shifts that come with motherhood, as well as individuals struggling with attachment, grief and loss, relationship patterns, perfectionism, shame, and self-worth. I also enjoy working with men who want to develop greater emotional awareness, mindfulness, and connection in their relationships.

Many of my clients are thoughtful, caring, and insightful people who have spent much of their lives trying to understand or care for others, but find it more difficult to extend that same compassion to themselves. They may be high-functioning on the outside while privately struggling with perfectionism, shame, self-doubt, or feeling like they are never quite enough.

My approach is warm, collaborative, and relational. I draw from attachment-based therapy, mindfulness, and Acceptance and Commitment Therapy (ACT) to help clients develop greater self-awareness, self-compassion, and flexibility. You bring your experiences, values, and expertise about your own life, while I bring clinical knowledge, curiosity, and an outside perspective.

You don’t need to have all the answers before starting therapy, but meaningful change does require a willingness to be curious, look honestly at what’s happening, and consider new ways of responding. Together, we’ll explore the patterns that keep showing up and work toward changes that align with the life and relationships you want.

Seeking therapy can feel vulnerable, and taking that first step isn’t always easy. If you’re looking for a therapist who will meet you with warmth, curiosity, and honesty—and who will both support you and gently challenge you when needed—I would be honored to work with you.

Outside of therapy, I enjoy reading, traveling, listening to podcasts, and spending time outdoors. I’m also a mom and spend much of my time with my husband and our two sweet dogs. Motherhood has deepened my appreciation for slowing down, being present, and holding space for the full range of human emotion.

I provide fully virtual therapy to adults throughout North Carolina and am in-network with BCBS, Aetna, and Cigna.

Maddie is a therapist and is meeting with clients through Telehealth.

Please call 919-587-8018 for their latest availability, as appointment times fill up quickly. You can also request an appointment with Maddie online.