Her Story
About Madison V.
Madison V. Mills is an Associate Marriage and Family Therapist (AMFT), mental health professional, and basketball coach dedicated to supporting the emotional well-being, personal growth, and performance of young people. As a School-Based Mental Health Therapist with Fred Finch Youth & Family Services, she works with adolescents and families in educational settings, providing trauma-informed counseling, crisis support, and therapeutic interventions that help students navigate social, emotional, behavioral, and academic challenges. Her approach combines empathy, consistency, and evidence-based practices to empower youth to build resilience, confidence, and healthy relationships.
Mills' professional journey began in childcare and educational environments, where she developed a passion for youth development and advocacy. Over the years, she has served in a variety of roles supporting children and adolescents, including after-school educator, preschool teacher, site assistant, counseling intern, and mental health therapist. She earned a Master’s degree in Counseling Psychology from Holy Names University and is currently completing the clinical hours required for licensure as a Marriage and Family Therapist. Her work is grounded in trauma-informed care and cognitive behavioral therapy (CBT), with a strong focus on understanding each individual's unique experiences and strengths.
In addition to her clinical work, Mills has spent nearly a decade as a Head Basketball Coach with the Piedmont Recreation Department, mentoring middle school athletes and helping them develop both on and off the court. A former collegiate basketball player, she remains passionate about the role sports can play in personal development and mental wellness. To further integrate these interests, she recently completed a Graduate Certificate in Sports Psychology from the University of Western States. Looking ahead, Mills aims to establish a practice that bridges mental health and athletic performance, providing specialized support for student-athletes and young people striving to reach their full potential in life and sport.
Her Interview
Ten minutes with Madison V.
01What do you attribute your success to?
At the core of everything I do is a genuine commitment to people. Whether I am working with students on my caseload, coaching young athletes, or supporting families, I strive to approach every interaction with empathy, compassion, and authenticity. Building meaningful relationships has always been one of my greatest strengths, and I believe those connections are what create lasting impact.
I take pride in fostering trust and creating environments where individuals feel seen, valued, and supported. Throughout my career, I have developed strong, long-lasting relationships with students, parents, colleagues, and community members, and I believe those relationships are what people remember most. More than any title or accomplishment, I hope to be known as someone who genuinely cared, took the time to connect with others, and made people feel important. For me, success is measured not only by outcomes, but by the positive and lasting influence I have on the lives of those I serve.
02What’s the best career advice you’ve ever received?
The best career advice I have ever received came from my dad: find something you genuinely enjoy doing so that work never feels like a chore. That advice has guided many of the decisions I have made throughout my career, and I am grateful to say that it is reflected in the work I do today.
My passion for both mental health and basketball has allowed me to build a career that feels meaningful, purposeful, and deeply fulfilling. I look forward to the work I do each day because it aligns with my values and gives me the opportunity to make a positive impact on others. I believe that when you find something you truly care about, you bring more energy, authenticity, and dedication to your work. No matter the field, pursuing a path that inspires and fulfills you is one of the greatest contributors to both professional success and personal happiness.
03What advice would you give to young women entering your industry?
My advice to young women entering the mental health field is simple: do not lose yourself while caring for others. As therapists and helping professionals, we dedicate our time and energy to supporting those around us, but it can be easy to become so focused on the needs of others that we neglect our own well-being.
One of the most important lessons I have learned is that self-care is not selfish—it is essential. The work we do often involves carrying difficult stories, navigating complex emotions, and showing up consistently for others. To do that effectively, we must also prioritize our own mental, emotional, and physical health. Make time for the things that bring you joy, set healthy boundaries, and invest in your own growth and wellness.
You cannot pour from an empty cup. The better you care for yourself, the better equipped you will be to support, empower, and advocate for the people you serve. When you prioritize your own well-being, you create a foundation for a sustainable, impactful, and fulfilling career.
04What are the biggest challenges or opportunities in your field right now?
One of the most significant challenges I see in the mental health field, particularly in school-based and youth-serving roles, is compensation. As an Associate Marriage and Family Therapist, pay is often capped until licensure, and while there is typically an increase after becoming licensed, the field as a whole remains under-resourced compared to the level of responsibility and emotional labor it requires. Much like education, this work is essential, yet it is not always compensated in a way that reflects its impact.
This creates a real tension for many clinicians between passion and practicality. You can deeply love the work and feel fulfilled by supporting children and families, while still facing the reality of financial strain. That imbalance can be stressful and, at times, discouraging, especially when you are committed to staying in a field that does not always make sustainability easy.
Another ongoing challenge is the emotional weight of the work itself. As therapists, we are entrusted with people’s most vulnerable experiences, and we often hear stories of hardship, trauma, and loss. Without intentional boundaries, it can be easy to carry those emotions home. I have learned how important it is to create space to process and release what I hold during the day, so I can continue to show up fully present for my clients without becoming emotionally overwhelmed. Developing that balance is essential not only for longevity in the field, but also for maintaining personal well-being.
05What values are most important to you in your work and personal life?
The values that guide my professional work are grounded in confidentiality, consistency, and trust. Confidentiality is one of the most important ethical responsibilities I hold as a therapist. I believe it is essential to protect and honor the privacy of clients, especially youth who may already be navigating adverse life experiences or who have had difficulty trusting adults and systems in their lives. Creating a safe and secure space where they know their information is respected is foundational to building therapeutic rapport and meaningful progress.
Equally important to me is consistency. For the children and adolescents I work with, consistency communicates care, reliability, and safety. Many of the young people I support benefit from knowing that there is at least one steady, dependable adult in their lives. I place a strong emphasis on showing up in a predictable and supportive way so that they can feel seen, valued, and supported over time.
In my personal life, one of my core values is family. I place a high importance on family systems, connection, and support, and I deeply value the role that family plays in shaping who we are and how we navigate the world. Whether in my professional or personal life, relationships remain central to my values, and I strive to nurture and honor those connections in meaningful ways.
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