About Matthew
Matthew Federici is a licensed mental health counselor who helps adults who are feeling overwhelmed, stuck, or burned out. He focuses on everyday problems like stress, anxiety, depression, ADHD challenges, grief, and substance use. His approach is straightforward and practical, aimed at making day-to-day life more manageable.
Matthew draws on ten years of clinical work in general mental health and substance use settings. He uses techniques from cognitive behavioral therapy and acceptance and commitment therapy to help people notice unhelpful thoughts and take meaningful action.
Background and approach
He also brings client-centered and attachment-based perspectives to build trust and focus on what matters to each person. Sessions are conversational and goal-oriented. Matthew helps people set small, doable steps toward better routines, clearer priorities, and improved coping.
He uses strategies for emotion regulation, communication, and breaking cycles of avoidance or impulsive behavior. He has experience with trauma, grief, intimacy and relationship challenges, eating and sleeping problems, caregiver stress, chronic illness, and co-occurring issues such as addiction and mood disorders. Matthew also supports people managing career changes, parenting strains, and life transitions.
Matthew practices in Florida and works in English. His background includes work with both adult and youth populations in clinical settings. He describes his orientation as client-centered and notes a Christian-based perspective informs his values, while sessions remain focused on each person's needs.
How these approaches translate to online care
Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and commit to actions that match their values. It is useful for anxiety, depression, and feeling stuck by helping people move toward what matters even with difficult emotions.Cognitive Behavioral Therapy (CBT) focuses on the connection between thoughts, feelings, and behaviors. It offers concrete tools for changing patterns that fuel anxiety, low mood, or impulsive behavior and is often used for sleep, eating, and stress-related problems.
Attachment-Based Therapy and client-centered methods prioritize building a trusting relationship and listening closely to each person's story. These approaches help with intimacy issues, relationship struggles, and healing from past hurts by creating a steady, respectful therapeutic space.
Finding the right approach is a team effort. Matthew will work together with each person to choose techniques that match their goals, preferences, and life situation. He adapts methods over time, mixing strategies to fit what is actually helpful.
Online sessions make it easier to fit therapy into a busy life. Video calls allow face-to-face conversation, phone sessions can be a lower-bandwidth option, and live chat or text messaging work well for brief check-ins and ongoing support between sessions. These formats offer flexibility for scheduling, allow for shorter or longer check-ins, and can help people keep momentum when daily life is hectic.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Addictions
- Relationship issues
Also listed
- Abandonment
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- First responder issues
- Forgiveness
- Grief
- Guilt and shame
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Immigration issues
- Impulsivity
- Infidelity
- Intellectual disability
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Phobias
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexuality
- Sleeping disorders
- Smoking / vaping cessation
- Social anxiety and phobia
- Trauma and abuse
- Traumatic brain injury
- Trichotillomania
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Existential Therapy
- Imago Relationship Therapy
- Jungian Therapy
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
- Experience
- 10 years
- Licensed
- Florida
- Languages
- English
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