Matthew Sexton, LCSW, offers weekly telehealth therapy for healthcare workers and clinicians who finish every shift while what caring for others asks of them does not stay at work. 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 healthcare workers bring to therapy?

Healthcare workers often bring the gap between what they were trained to offer and what a system allows them to do, carried past the end of the shift.

Healthcare is a recurring part of my practice and my own professional story. I work with the gap between what someone was trained to offer and what a system allows them to do. The conversation can include the workload, the difficult decision, the event that keeps returning, or the pressure to carry on as though none of it has changed you.

Being familiar with clinical language does not remove the need for a place to speak as yourself. You may have a careful explanation for why you should be able to handle something, while also knowing that the explanation is not the same as feeling able to handle it. Both parts can come into the room.

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 healthcare workers and clinicians can be talked through collaboratively and at an agreed pace.

My writing looks at burnout, moral conflict and the demands of helping professions. In a conversation with you, the starting point is your account of what happened and what is bringing you here now. You can speak about the institution, the team, your responsibilities and the parts of the experience that are hardest to say aloud.

There is also room for the practical questions that come with seeking care as a clinician: how the therapy relationship is structured, what documentation involves, how billing works, and what the limits of confidentiality are. Those questions should be discussed directly for your circumstances. A practice webpage cannot settle an individual licensing, employer or insurance question.

I want the boundaries of the relationship to be clear. This is individual psychotherapy, and it is separate from your responsibilities toward patients, colleagues or an organization. We can discuss what you need from a therapist, what has made it difficult to find the right setting, and whether the way I work fits what you are looking for.

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 healthcare workers and clinicians.

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

More from my writing

Explore all writing