About Matthew
Matthew Biermacher is a Licensed Professional Counselor (LPC) based in Texas who focuses on practical, goal-oriented work. He emphasizes building a trusting relationship first so people can understand the roots of their struggles and make concrete changes. He writes plainly and aims to help clients move from suffering to a more satisfying life.
He uses Cognitive Behavioral Therapy and Dialectical Behavior Therapy to address overwhelming emotions and unhelpful thinking patterns.
Background and approach
He also draws on Existential Therapy to help people find meaning and direction when life feels empty or uncertain. These approaches are applied in straightforward, easy-to-follow ways rather than in technical language. Common concerns Matthew addresses include stress, anxiety, depression, self-esteem, and coping with life changes.
He also helps with relationship and communication problems, career questions, parenting strain, sleeping troubles, anger, and compassion fatigue. ADHD is among the areas he lists as a focus, and he works with related daily challenges like attention and organization. Additional topics he attends to include attachment difficulties, codependency, abandonment issues, blended family concerns, and the emotional effects of separation or divorce.
He also notes experience with diverse sexual cultures such as BDSM and kink, and with complex presentations like co-morbidity and dissociation. Matthew brings five years of clinical experience to sessions. He aims to be a practical catalyst for change, helping people set realistic goals and take steps toward a life they choose rather than endure.
How evidence-based approaches work online
CBT, or Cognitive Behavioral Therapy, focuses on identifying unhelpful thoughts and changing behaviors that keep problems going. Online CBT can help with anxiety, low mood, sleeping problems, and ADHD-related routines by practicing new skills between sessions.DBT, Dialectical Behavior Therapy, teaches emotion regulation, distress tolerance, and interpersonal skills. It is useful when emotions feel intense or when communication patterns cause repeated conflict. Online sessions can introduce DBT skills and support real-time practice and check-ins.
Existential Therapy helps people clarify values and find meaning when life feels empty or uncertain. This approach is conversational and reflective, which fits well with video or phone sessions for deep discussion about purpose and direction.
Finding the best approach is collaborative. The therapist will talk with each person about goals, preferences, and what has or hasn’t helped before. Together they choose methods and adjust as needed so therapy stays practical and relevant.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video suits in-depth conversations and seeing nonverbal cues. Phone sessions work well when bandwidth is limited or for a shorter check-in. Live chat and text messaging are convenient for quick updates, between-session coaching, or when typing feels easier than talking. These options make it simpler to fit therapy into work, school, or busy family routines.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Self esteem
Also listed
- Abandonment
- ADHD
- Anger management
- Antisocial personality
- Attachment issues
- BDSM, kink, and alternative sex culture
- Blended family issues
- Career difficulties
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Dissociation
- Divorce and separation
- Emptiness
- Family conflicts
- Family problems
- Fatherhood issues
- First responder issues
- Forgiveness
- Guilt and shame
- Impulsivity
- Infidelity
- Jealousy
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Parenting issues
- Personality disorders
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Veteran and Armed Forces Issues
- Workplace issues
Therapeutic approaches
- Experience
- 5 years
- Licensed
- Texas
- Languages
- English
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