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

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Life’s gotten… complex. The calendar’s full, the mind’s busier, and somehow “fine” never quite means fine. This is virtual psychotherapy for when you’re tired of powering through and ready to process, pause, and reconnect—with yourself, your values, your voice. It’s not about having it all figured out. It’s about finally having space to feel it. Come as you are. Pajamas welcome.

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Our work together

  • 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.

  • A Compassionate and Experiential Approach to Therapy

    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 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

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

    I offer one free 15 minute phone consultation to give you an opportunity to hear about my services.

    I remain deeply committed to serving those in a broad range of economic circumstances. Therefore, I do offer a limited number of reduced-fee slots in my practice.

    Learn about your right to a Good Faith Estimate

  • In-Network:I am currently in-network with Aetna and Optum (and various affiliate companies). Check with your insurance provider regarding co-pay or co-insurance rates.

    Out-of-Network:I also accept many PPO insurance plans as an out-of-network provider. I can provide you with an invoice (also known as a “superbill”) at the end of every month, which you can submit to your insurance company for reimbursement.  Clients make payment at the time of the session, then submit the invoice to insurance, who may reimburse you a percentage of the session cost. Insurance plan coverage varies widely, so please check with your provider for coverage and reimbursement rates.

About Matthew

I bring over 15 years of professional experience helping individuals cultivate clarity, resilience, and fulfillment. Born and raised in the San Francisco Bay Area, I have dedicated my career to supporting people through life’s complexities with warmth and authenticity.

I earned my Master’s degree in Counseling Psychology from The Wright Institute in 2011. My work in community mental health, medical clinics, and leadership roles has deepened my appreciation for both the struggles people face and their capacity for growth. These experiences have shaped my ability to help clients navigate stress and trauma while fostering self-awareness and emotional flexibility.

Based in Maryland since 2021 and licensed in both California and Maryland, I provide individualized therapy for adults facing life transitions, relationship challenges, anxiety, depression, and existential concerns. My practice is a space for deep self-exploration, lasting growth, and renewed connection with yourself and the world.

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

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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