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Psychotherapy for the stuck, the searching, and the sorting-it-out.

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Life has gotten … complex. The group chats are active, your calendar’s chaos, and “I’m fine” is doing a lot of heavy lifting. This is virtual therapy for when you’re tired of pretending it’s all chill and ready to actually feel your feelings. No toxic positivity. No fixing you. Just space to slow down, unpack the mental clutter, and reconnect with who you are under all the noise. Come as you are. Pajamas welcome.

You’ve been holding it together for a long time. On the outside, you probably look responsible and grounded—like someone who has it all figured out. But inside, you’re carrying more than people realize. Maybe you’re feeling stuck or restless. Maybe anxiety makes it hard to slow down, or you’re moving through life in a fog of low energy and self-doubt. You might be facing a major life transition or quietly wondering how things veered so far from the life you thought you were building. Whatever it is, things feel off—and the idea of figuring it out alone is starting to feel impossible.

Therapy offers something different: a space where you don’t have to keep managing appearances or pushing through. It’s a place to talk honestly about what’s not working, lay down what you’ve been carrying, and reconnect with yourself—not the part that’s scrambling to keep up, but the one underneath that’s still here and still wanting more. I work with adults navigating overwhelm, burnout, life transitions, relationship struggles, identity questions, or that persistent sense that something needs to change. You don’t need to have the perfect words for it—we’ll figure it out together.

My approach blends Acceptance and Commitment Therapy with Humanistic and Existential therapy traditions. That means we’ll address symptoms like anxiety or disconnection, but we’ll also slow down and explore the deeper patterns shaping your life—often unconsciously. We’ll look at how you relate to difficult thoughts and emotions, and how to create more space between what shows up inside you and the actions you choose to take. And we’ll get curious about what really matters: your values, your relationships, and your own definition of a meaningful life.

This work is both practical and reflective. Sometimes it’s focused and tool-based; other times, it’s exploratory and spacious. Many clients come in wanting help with anxiety, burnout, or being more present. Others are craving a deeper reckoning with who they are and how they want to live. At its core, therapy with me is about creating a relationship that helps you come home to yourself—not to fix who you are, but to meet yourself more honestly, make choices more intentionally, and live with more clarity, meaning, and depth. Wherever you’re starting from, I’ll meet you there.

Our work together

Services

Life can be complex, uncertain, and overwhelming. Whether you’re facing anxiety, depression, relationship struggles, or major life transitions, therapy provides a space to explore, heal, and reconnect with what truly matters. I specialize in working with individual adults navigating:

  • Life Transitions & Existential Concerns – Change can unsettle our sense of meaning and direction. With openness and support, we can navigate uncertainty and move forward with clarity and purpose.

  • Anxiety & Depression – Worries and low moods can shape limiting self-beliefs. Together, we’ll build awareness, challenge unhelpful narratives, and develop lasting strategies for relief.

  • Stress Management – The demands of modern life can be overwhelming. I help clients slow down, reconnect with themselves, and develop tools to create greater balance and fulfillment.

  • Attuned Masculinity – Men are often taught to suppress emotions, yet life’s challenges make them impossible to ignore. I help men break free from limiting expectations and build deeper connections.

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Experiential Approach

Therapy is more than solving problems—it’s about recognizing patterns, understanding emotions, and aligning your life with your values. My approach is grounded in warmth, authenticity, and deep respect for your unique journey.

Healing happens through genuine human connection. Research consistently shows that the quality of the therapeutic relationship is one of the strongest predictors of positive change. From our first session, I create a space where you feel safe, understood, and empowered.

Some clients benefit from structured, short-term therapy with practical tools, while others seek long-term therapy for deeper exploration. I use Acceptance & Commitment Therapy to help clients build resilience and take meaningful action. A Humanistic and Existential perspective flows through my work with those navigating identity shifts, transitions, and questions of meaning.

Therapy isn’t about fixing what’s broken—it’s about discovering new ways to relate to yourself, your emotions, and the world. Wherever you are in your journey, I will meet you with presence, curiosity, and a commitment to helping you move forward in a way that feels right.

Why This Approach Matters

About Matthew

I grew up in a therapy household—emotional fluency was our second language, and connection was kinda just … how we operated. From an early age, I was that kid who noticed when someone was hurting, and I wanted to help. By 4th grade, I was teaching Non-Violent Communication skills to resolve peer conflicts during recess. By high school, I was deep into the writings of Carl Rogers and Irvin Yalom and already drawn to the kind of presence that real healing requires.

I bring over 15 years of experience helping adults navigate life’s messy middle—anxiety, burnout, transitions, identity shifts, low mood, and everything in between. I work with people who are thoughtful, reflective, and maybe a little overwhelmed by the chaos of modern life. My approach is grounded, irreverent, creative, and deeply human. You won’t get therapy clichés here—you’ll get someone who shows up fully and cares deeply.

I’m a neurodivergent-affirming and queer-affirming therapist working with adults 18 and across the lifespan. Many people I see are unlearning patterns that no longer serve them—people-pleasing, perfectionism, suppressing emotions, or navigating rigid expectations. I work with adults navigating anxiety, depression, burnout, life transitions, relationships, identity questions, and the persistent sense that something needs to change.

I’m not here to “fix” you. I don’t think you’re broken. Therapy is about shifting your relationship to your pain, not eliminating it. I don’t believe people are problems to be solved. I believe in slowing down, getting curious, and creating space for what matters. With ADHD, a love for existential questions, and a stack of unread books next to my bed, I get how hard it can be to live intentionally in a distracted world.

I blend Acceptance & Commitment Therapy with Humanistic and Existential perspectives, helping clients reconnect with themselves, explore what matters, and live with more clarity, meaning, and depth.

I’m licensed in Maryland and California and work with adults seeking to slow down, get curious, and live more intentional lives.

Feel free to explore more details about my professional background on my LinkedIn Profile.

Outside of sessions, I enjoy playing and spending quality time with my kids, exploring coffee spots, making music, and playing tabletop games. I have a soft spot for plants, music, and quiet moments amidst the chaos.

FAQ

  • All sessions can be booked on the hour between 10am - 5pm Eastern Time (7am - 2pm Pacific) Monday through Friday.

  • FEES:

    • My current rate is $180 for each 50-minute individual session. 

    • I accept payments via credit/debit card. Payment is due at the time of each session. You will be expected to keep a current card on file via my secure Electronic Health Record.

    • I aim to offer therapy that’s both accessible and thoughtfully tailored to each person I work with. My fees reflect the time, training, and care I bring to our sessions—not just during the hour we spend together, but in the ongoing attention I give to your progress, planning, and growth.

    • I know therapy can be a financial stretch for some, and I want to help where I can. I offer a limited number of sliding-scale spots based on financial need. If cost is a concern, feel free to reach out—we can talk about what might be possible.

    INSURANCE:

    • I’m in-network with some insurance plans. Reach out to ask me about my current participation.

    • If I’m not in-network with your insurance, you can still work with me using Out-of-Network benefits. Many PPO plans offer partial reimbursement for therapy. You’ll pay for sessions upfront, and I’ll provide a monthly invoice (called a “superbill”) that you can submit to your insurance. Coverage and reimbursement rates vary, so it’s a good idea to check with your provider to understand your out-of-network benefits.

  • Knowing the right questions can be essential to getting clear on your coverage, what’s included, and what you might be responsible for. I share the below ideas because it’s important to me that clients have access to transparent, upfront information about the cost of care. By getting these kinds of questions answered, there will likely be fewer surprises and more room to focus on the work that really matters.

    IN-NETWORK BENEFITS

    • What’s my deductible for in-network mental health benefits?

    • Is there a limit on sessions my plan will cover per year?

      • If Yes, How many?

    • Does my policy cover 60 minute sessions?

      • If yes, how many?

    • How much is my co-payment for mental health services?

    • What is the policy year (i.e. Jan 1 – Dec 31)?

    • Does my plan require pre-authorization for psychotherapy?

    • Do I have out-of-network mental health benefits?

    OUT-Of-NETWORK BENEFITS

    • Does my plan include “out-of-network” coverage for mental health?

    • Is there an annual deductible for out-of-network mental health benefits?

      • If so, how much?

    • Is there a limit on the number of sessions your plan will cover per year?

      • If Yes, How many?

    • Is there a limit on out of pocket expenses per year?

    • What is my co-insurance percentage for mental health services?

    • Does my plan require pre-authorization for psychotherapy?

    • What is the policy year (i.e. Jan 1 – Dec 31)?

    • Does my plan require a referral for psychotherapy?

    • What is the reasonable and customary fee for my county?

    (Reasonable and customary fee the amount that your plan determines is the normal range of payment within a given geographic area)

  • At this time I am only offering teletherapy, working with adults located in Maryland and California. Virtual sessions provide flexibility, comfort, and accessibility—whether you’re at home, at work, or anywhere you can find some quiet and privacy. Many clients find that teletherapy makes it easier to stay consistent with sessions, while still offering the depth and connection that therapy provides. Come as you are. Pajamas welcome.

  • It’s completely normal to feel nervous or unsure when you’re thinking about starting therapy. You don’t need to be in crisis or have everything figured out to begin. Therapy is a space to explore your thoughts and feelings with someone who listens without judgment. Sometimes, just being curious and open to the process is enough to start meaningful change.

    Our first session is a low-pressure opportunity for us to get to know one another and talk about what’s bringing you in. We’ll explore what’s been feeling challenging, what you’re hoping for, and any questions you have about how I work. It’s a collaborative process, and we’ll go at your pace. If at any point something doesn’t feel quite right, we can talk about it and adjust. And if it turns out this isn’t the right fit, I’m always happy to offer referrals and help you find someone who feels like a better match. You’re in control of the journey—and you don’t have to navigate it alone.

  • There’s no fixed timeline for therapy. Some people come for a few months to work through a specific challenge, while others stay longer to explore deeper patterns or navigate ongoing transitions. We typically meet once a week, and sessions are 50 to 55 minutes long. In Humanistic and Existential therapy, progress is measured by how you experience your life—feeling more connected to yourself, more present in relationships, and more able to navigate difficult emotions with clarity and intention. We’ll check in regularly about what feels helpful, what’s shifting, and what kind of support you need going forward. Therapy moves at your pace, and we’ll make decisions about its length together based on what feels most meaningful to you.

  • Good Faith Estimate

    You have the right to receive a “Good Faith Estimate” explaining how much your medical/behavioral healthcare will cost.

    Under the No Surprises Act (H.R. 133 – which will go into effect on January 1, 2022), health care providers need to give clients or patients who do not have insurance or who are not using insurance an estimate of the bill for medical items and services.

    This Good Faith Estimate shows the costs of items and services that are reasonably expected for your health care needs for an item or service. The estimate is based on information known at the time the estimate was created.

    You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes (under the law/when applicable) related costs like medical tests, prescription drugs, equipment, and hospital fees.

    The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, federal law allows you to dispute (appeal) the bill.

    If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

    You may contact the health care provider or facility listed to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available.

    You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill.

    There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on this Good Faith Estimate. If the agency disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount.

    Make sure your health care provider gives you a Good Faith Estimate within the following timeframes:

    • If the service is scheduled at least three business days before the appointment date, no later than one business day after the date of scheduling;

    • If the service is scheduled at least 10 business days before the appointment date, no later than three business days after the date of scheduling; or

    • If the uninsured or self-pay patient requests a good faith estimate (without scheduling the service), no later than three business days after the date of the request. A new good faith estimate must be provided, within the specified timeframes if the patient reschedules the requested item or service.

    The No Surprises Act has a universal waiver form required; may view the PDF of a sample universal CMS waiver here.

    This is the public disclosure of the “Good Faith Estimate”

    Note: A Good Faith Estimate is for your awareness only. It does NOT involve you needing to make any type of commitment or to follow through on receiving mental health services at my practice.

    To learn more and get a form to start the process, go to www.cms.gov/nosurprises or call 800-985-3059. For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises or call 800-985-3059. Keep a copy of this Good Faith Estimate in a safe place or take pictures of it. You may need it if you are billed a higher amount.

Connect when you’re ready

Taking the first step toward therapy can feel like a big decision, but I’m here to support you every step of the way. Whether you have questions or are ready to begin, I’m happy to hear from you.

You can reach me through this contact form, or if you prefer, feel free to call or email directly. I offer a free 15-minute consultation to discuss your needs and see if we’re a good fit.

I’m here to help you navigate life’s challenges and start your journey toward a more fulfilling life.

Contact Information:

Phone: 301-453-2527
Email: FISHLEDERMFT@GMAIL.COM
Location: Virtual with clients in Maryland and California

Contact Form