Matthew Sexton, LCSW, offers weekly telehealth therapy for adults recovering from narcissistic or coercive abuse who are still functioning but keep checking their own memory, needs, or right to say no. 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 narcissistic abuse recovery?
Narcissistic abuse recovery is work on the aftermath of a relationship, with a parent, partner, or boss, in which you spent a long time adjusting around someone else's reactions.
The language of narcissistic abuse appears throughout my practice writing, but working together does not require settling a diagnosis for someone who is not in the room. I want to understand the specific patterns you experienced: what was said, what happened next, how you responded, and what became difficult to trust.
You may have spent a long time adjusting around someone else's reactions. You may be trying to understand a relationship that has ended, or one that remains part of your life through family, work, finances or shared responsibilities. Those circumstances belong in the conversation. There is room to describe the complications as they are.
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 narcissistic abuse recovery can be talked through collaboratively and at an agreed pace.
We can work on separating who you are from who you learned to perform. That includes examining the put-downs that may now sound like your own voice, the ways you make sense of what happened, and the parts of your life you want to have more say over.
We can look closely at the choices in front of you without making a blanket decision about contact, forgiveness or the future of a relationship. Children, finances, living arrangements and safety concerns are real circumstances. They are part of understanding what support would need to look like for you.
In the room, patterns get named plainly. People who are not present do not get diagnosed. You can ask questions, disagree with a framing, or tell me when something misses the point. My work is collaborative: you talk, I talk back, and we look at the experience together. You do not need to make your story sound simpler than it has been.
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 narcissistic abuse recovery.
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