Matthew Sexton, LCSW, offers weekly telehealth therapy for adults with complex trauma who keep functioning while the past still takes up room in the present. 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 is complex trauma?
Complex trauma refers to what happened over time, rather than in one event, and to how it still shapes trust, self-doubt, and everyday life.
My work with complex trauma makes room for the longer story. We can talk about what happened over time, how you understand it now, and the parts of everyday life that still feel shaped by it. The point is to listen closely to your experience, including the parts that are difficult to put into words.
You may want to talk about shame, self-doubt, trust, or the feeling that you are still organizing your life around someone else's reactions. Those are themes in my writing. Reading something familiar here can be a starting point for a conversation; it does not decide what a diagnosis or a treatment plan should be for you.
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 complex trauma can be talked through collaboratively and at an agreed pace.
The approach described in my practice writing puts safety and pacing at the beginning of the work. An initial conversation can include what has felt useful in earlier therapy, what has felt too fast, and what you need to understand before you agree to work with someone. You can ask how I would approach your particular situation.
The relationship itself matters to how I work. I aim to keep the scope and boundaries clear, to talk about what happens between us, and to make room for you to say when something does not fit. You are the authority on your life. I bring training, framing and patient curiosity, and we discuss what is working and what needs to change.
There is no requirement to arrive with every memory in order or a complete account of why something still matters. We can begin with what is bringing you to therapy now and decide together whether this practice is a useful place to explore it.
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 complex trauma.
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