407 E 2nd Ave Ste 250 Spokane WA 99202 | (509) 315-9776

Madeline Kay

Madeline Kay PhD, Licensed Psychologist

Telehealth Only Provider

Pronouns: She/Her

License & Certifications

  • Licensed Psychologist
  • Inuit Cultural Sensitivity 
  • Māori Cultural Competency
  • Trauma-Informed Yoga
  • CAMS
  • Cognitive Processing Therapy

Population Specialty

  • Tweens and Teens (11-18)
  • Adults

Treatment Specialty

  • Self-Esteem
  • Life Transition
  • Anxiety

Specialty Training

Population Ally

  • Aviation Professionals
  • Body Positivity
  • Cancer
  • Deaf Allied
  • Immuno-Disorders
  • Intersex Allied
  • Non-Binary Allied
  • Open-Relationships/Non-Monogamy 
  • Queer Allied
  • Racial Justice Allied
  • Sex-Positive, Kink Allied
  • Sex Worker Allied
  • Single Mother Allied
  • Transgender Allied
  • Vegan Allied
  • Veterans

About Dr. Kay

Dr. Madeline Kay Nelson, referred to as Dr. Kay, has earned a Masters and Doctoral degree in Clinical Psychology from Fielding Graduate University. She earned a Bachelors of Science in Psychology with an emphasis in Business and Organization from California Lutheran University. She is licensed in the state of Washington as a Psychologist.

Dr. Kay uses an integrated approach to psychotherapy that combines CBT, ACT, Gestalt and Depth Psychology. She views her client’s struggles as she would the struggles of all humans. Our struggles come from something that happened to us yet has become our responsibility to change. Whether it be a defense mechanism, modeled behavior from childhood, or traumatic incidents (acute or prolonged), there is a point in time when we must accept the burden of control. She likes to say that we have more control over our lives than we’d like to be responsible for. When something devastating happens to us (a prick to the finger or a shattered heart) how we manage that pain determines our level of suffering, thus our quality of life. Our struggles are incredibly difficult because we’ve been living with them for longer than we may be able to acknowledge, and they can feel part of who we are. Change is scary, even when it’s for the better.

Specialty Areas

  • Anxiety
  • Bipolar Disorder
  • Career Counseling
  • Codependency
  • Coping Skills
  • Depression
  • Divorce
  • Eating Disorders
  • Emotional Disturbance
  • Grief
  • Life Coaching
  • Life Transitions
  • Narcissistic Personality
  • Peer Relationships
  • Relationship Problems
  • School Issues
  • Self-Esteem
  • Sex Therapy
  • Stress
  • Trauma and PTSD
  • Weight Loss
  • Women's Issues

A Message from Dr. Kay

There is something magical about being your truest self. There is also something devastating about having to silence who you are because of rejection, self-doubt, fear, anger, grief, or trauma. As humans, when we are struck by these experiences, we take on an aching hole in our wellbeing that we try to cover up and push through till we reach safety. This is what many people refer to as “survival mode.” But, sometimes, we feel that safety never comes, leaving us exhausted from fighting and pretending, while our dark, painful hole grows heavier.

Through my integrative therapeutic approach, I combine evidence-based techniques with the restorative art of human connection to help you uncover your truest self and heal any holes you may be carrying with you. Together, we will enhance your quality of life and relationship with yourself, others, and the world in which you live. I encourage unfiltered thoughts and embracing your raw, honest emotions. Through facing your vulnerability, embracing self-reflection, and assessing your actions, you will become enlightened, strengthened, and confident in who you are. You deserve to live a life worth living and you don’t have to do it alone.

I view our therapeutic relationship as your personal odyssey into wellness; we are on this voyage together, but it is ultimately your quest to meet your goals. I will be there to support you, guide you, and challenge you into becoming your truest self. Wouldn’t you like to meet you? I surely would.