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Madison Paldino, MSW, LCSWA


Hi, I am Madison, I live in Wilmington with my husband and our lively pup Bronco.

I am deeply passionate about guiding individuals through the process of self-improvement. Witnessing my clients evolve into the best versions of themselves is my goal. My expertise lies in supporting those navigating trauma and substance-related challenges, and I welcome clients of all ages seeking past and future-focused treatment.

In each client, I recognize a unique story and commend the courage it takes to be vulnerable. I firmly believe that the more you invest in the journey, the more you gain. My commitment is to provide a safe emotional space for growth, healing, and a profound understanding of oneself. I specialize in cognitive behavioral therapy, employing impactful techniques such as reframing and meditation interventions to offer a clearer perspective on oneself and the world.

Versatile in therapeutic approaches, I integrate Motivational Interviewing, Dialectical Behavior Therapy, psychotherapy, and grounding techniques to assist in managing anxiety and depressive episodes. As I continue my education, I am dedicated to seeking out specific training to enhance the support I provide to my clients.


Therapist’s Qualifications and Clinical Background

I earned my Masters of social work through the University of North Carolina Wilmington’s advanced standing clinical program. I had the ability to take courses that allowed me to qualify for my licensed clinical addiction special associates (LCAS-A) upon graduation. While completing my master's of social work, I had the opportunity to intern at Wilmington Treatment Center. I interned alongside the clinical lead for the detox, rehab, and residential level of care in the inpatient substance use setting. I was able to provide therapeutic services for patients ranging from early adults to geriatrics through leading psycho-educational groups, and individual sessions utilizing cognitive behavioral therapy, dialectical behavior therapy, and motivational interviewing. I was able to be hired on to join the detox unit clinical team. After graduating, I received my licensure and continued in my work by growing in my experience in providing crisis intervention, facilitating family processing/ intervention, and sessions that focused on developing positive coping mechanisms, positive reframing, and clinical goals. I have received training in crisis intervention, and am currently continuing my education focusing on generalized anxiety, depression, and trauma-focused cognitive behavioral therapy.  


  • Children and Adolescents

  • Adults

Top Specialties

  • Anxiety

  • Addiction / Substance Use

  • Depression

  • Life Transitions


  • Addiction

  • Anger Management

  • Behavioral Issues

  • Chronic Relapse

  • Coping Skills

  • Impulse Control Disorders

  • Mood Disorders

  • School Issues

  • Self Esteem

  • Spirituality

  • Stress

  • Substance Use

  • Trauma and PTSD

  • Women's Issues

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