Therapy for executives

Matthew Sexton, LCSW, offers weekly telehealth therapy for executives who handle every decision while having almost nowhere to put the title down. 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 can executives bring to therapy?

Executives often bring what it is like to be the person everyone escalates to, with very few places to set down the title and describe what holding it is like.

This part of my practice is concerned with the person behind the role: the founder, partner, senior clinician, attorney or executive who is expected to have an answer. We can talk about the decisions, the relationships and the pressure without treating your value as identical to how well the organization is doing.

My writing makes a distinction between the responsibilities a role actually requires and the patterns someone brings to it. We can examine that distinction together. What is genuinely yours to decide? Where do you feel compelled to take over? What happens when you need help, disagree with someone, or cannot make a situation come out well?

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 executive work can be talked through collaboratively and at an agreed pace.

The work can include looking at relationships, family history, expectations and your sense of yourself outside work. An old way of responding to authority or earning approval may be worth considering alongside what is happening in the present. I want to understand the specific circumstances before offering a frame for them.

Transition is another subject in my writing: leaving a role, handing responsibility to someone else, or wondering what you want after years spent building something. Those questions can be discussed while you are still in the role. You do not need to arrive with a settled decision about an exit, a career change or the next chapter.

This is psychotherapy. An initial conversation is a place to ask what that means for the concerns you want to bring, how I work, and what belongs within the scope of our relationship. Questions about discretion, records and payment should be discussed in that conversation rather than assumed from a website. You can be direct about what you need to know before deciding whether this is a useful place to begin.

Closest patterns

• Burnout and moral injury
• High-functioning anxiety

More from my writing

• Silent burnout
• The cost of perfectionism
• Achievement, avoidance and procrastination

Explore all writing