Matthew Sexton, LCSW, offers weekly telehealth therapy for adults whose capable lives still run on a role learned at home, such as the responsible one or the peacekeeper. 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 family of origin therapy?
Family of origin therapy looks at how the roles and expectations of the household you grew up in connect with your adult life now.
This part of my practice is for adults considering how their early family relationships connect with their lives now. My writing looks at the roles children are assigned, the expectations that shape a household, and what it is like to begin questioning those arrangements as an adult.
We can make the conversation specific: who was allowed to be angry, whose needs took priority, what happened when you disagreed, and which responsibilities became yours. You do not need to prove that your childhood meets somebody else's threshold before describing what was difficult about it.
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 family of origin can be talked through collaboratively and at an agreed pace.
I am interested in the patterns you experienced and their meaning to you. We can examine conditional affection, changing expectations, silence, conflict or the way one child was elevated while another was blamed. The focus is on what happened and how you have made sense of it, with care around assigning diagnoses to people who are not in the room.
The work can include looking at the connection between an old role and a current relationship. You may be managing other people's feelings, having trouble saying what you want, or anticipating a reaction before you know your own answer. We can also talk about what you value in your family and what you want to keep.
Questions about boundaries, closeness and distance deserve attention to your actual circumstances. Therapy is a place to think those questions through with another person. Your relationships are yours; I bring a clinical perspective and we discuss how it fits. You can tell me when a description feels accurate and when it leaves something important out.
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 family of origin.
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