Matthew Sexton, LCSW, offers weekly telehealth therapy for adults facing burnout and moral injury: still carrying the job while the gap between their training and what the system allows keeps widening. A webpage cannot diagnose you or decide what treatment you need. Sessions are 50 minutes, $225 self-pay, or in-network through Alma with Aetna, Cigna, UnitedHealthcare (including Optum, Oxford, UMR, Surest), and Anthem Blue Cross Blue Shield. A free 15-minute fit conversation comes first; it is not a session.
What are burnout and moral injury?
Burnout and moral injury describe the cost of keeping things running when the work asks more than it gives and the system does not allow what you were trained to do.
This is the part of my practice concerned with burnout, responsibility and the cost of keeping things running. Physicians, founders, attorneys, clinicians and other people in demanding roles appear throughout my writing on this subject. The starting point is what the work has asked of you, what you have had to put aside, and how that arrangement is affecting your life now.
The question I learned to ask is: what has your strength been required to carry, and what would change if it no longer had to carry everything? That leaves room to talk about the job itself, the institution around it, the responsibilities you chose, and the ones that became yours without much of a choice.
Call (917) 432-9580 or request a free 15-minute fit conversation. It is not therapy.
What does this practice do?
This practice offers weekly, 50-minute individual telehealth therapy for adults with Matthew Sexton, LCSW, where burnout and moral injury can be talked through collaboratively and at an agreed pace.
We look at how much of who you are has become tied to the work: your sense of worth, your place among other people, the feeling that being useful is what keeps everything steady. We can also talk about the parts of your life that existed before this role and the parts that have had very little room alongside it.
I write about perfectionism, moral conflict and the pressure to keep performing. In the room, those are subjects to examine with you. I want to hear what the demand actually is, what you believe would happen if you stepped back, and which parts of the situation are within your control. You do not need to translate all of that into a polished explanation before asking about therapy.
Practical fit at a glance
- Sessions
- Weekly, 50-minute individual therapy for adults, by telehealth.
- Fee
- $225 per session, self-pay. Monthly superbills provided for out-of-network reimbursement.
- Insurance
- Currently in-network through Alma with Aetna, Cigna, UnitedHealthcare (including Optum, Oxford, UMR, Surest), and Anthem Blue Cross Blue Shield. Confirm your plan during the fit conversation.
- First step
- A free, 15-minute fit conversation by phone or video. It is not therapy; it is for fit and logistics.
- Cancellation
- 24 hours’ notice; otherwise the full session fee applies.
- Reply time
- Within one business day.
What does a webpage not decide?
A webpage cannot diagnose you or decide what treatment you need. Reading about a pattern here is a starting point for a conversation, not an assessment, and it does not establish a therapist-client relationship.
How does the first conversation work?
The first step is a free, 15-minute fit conversation by phone or video, and it is not therapy. You can ask how Matthew works, describe what you are looking for in broad terms, and confirm location, scheduling, fees, and whether your plan applies. Replies come within one business day.
Closest patterns
Ask about burnout and moral injury.
You do not need the whole story ready. A broad starting point and your location are enough for the initial inquiry. Keep clinical detail out of email and voicemail.
Call (917) 432-9580 or request a free 15-minute fit conversation. It is not therapy.
Request a fit conversation · Fees, insurance, and cancellation