Matthew Sexton, LCSW · Private Psychotherapy

Therapy that doesn't pretend the room is empty.

A small, out-of-network telehealth practice for adults in New York and Maine. Depth-oriented work for people negotiating high-stakes work, complicated family systems, and the antagonistic personalities that show up in both — without the clinical theater that flattens what's actually happening.

Telehealth only · NY + ME Out-of-network · superbills provided Adult individuals, weekly

How I work

Three commitments, kept across every session.

The pace and shape of the work get adjusted to the person. The principles below don't.

— 01

Collaborative

You are the authority on your life. I bring training, framing, and patient curiosity. We name what's working and revise what isn't, out loud, together.

— 02

Depth-oriented

Symptoms are usually downstream. We trace them — to relationships, to history, to the systems you're in — instead of only managing what surfaces this week.

— 03

Boundaried

Clear frame, clear scope, clear endings. No PHI by email, no between-session crisis line, no scope creep into coaching. The container is what makes the work safe.

Licensure & telehealth

New York · LMSW / LCSW Maine · LCSW

Telehealth sessions only; no in-person practice. You must be physically located in New York or Maine at the time of each session. Out-of-network — sessions are paid at time of service; superbills are provided for clients seeking partial reimbursement from PPO plans.

Schedule a consult

A 20-minute call to see if this is the right fit.

Tell me a little about what's bringing you in and what you've already tried. We'll talk briefly, decide if working together makes sense, and — if it does — schedule a first full session.

No fee for the consult. No commitment. If I'm not the right person, I'll tell you and try to point you somewhere better.

Please don't include protected health information (PHI) in this form. We can go into specifics on the call.

Submitting opens your email client. Nothing is stored on this site.