Matthew Biermacher
Compassionate, practical counseling for real-life challenges
- Credentials
- LPC
- Experience
- 5 years
- Licensed in
- Texas
- Languages
- English
- Format
- Online sessions
About Matthew
Matthew Biermacher is a Licensed Professional Counselor who focuses on practical, goal-oriented work. He uses clear, evidence-informed methods to help people understand patterns that cause stress, anxiety, low self-esteem, and relationship difficulty. Matthew keeps conversations direct and compassionate so parents and individuals can make steady progress.
He practices from Texas and has five years of clinical experience as an LPC. Matthew begins by building a trusting connection and mapping how different parts of life interact.
Background and approach
He pays attention to patterns at home, work, and in close relationships to find manageable changes. Sessions often include skill practice, small experiments to try between visits, and straightforward problem solving. He draws from Cognitive Behavioral Therapy to change unhelpful thoughts and behaviors.
Dialectical Behavior Therapy skills are used when intense feelings or stress get in the way of daily life. Matthew also incorporates Existential questions to help people clarify values and choices. Parents can expect a down-to-earth approach that prioritizes workable strategies.
The therapist outlines options and discusses which tools fit a family’s routines and limits. He frames change as a series of concrete steps rather than abstract theory. Sessions are available through video calls, phone, live chat, and text-based messaging.
Payment is handled through a cancellable subscription model that varies with location and therapist availability. To begin, prospective clients complete a short matching questionnaire and schedule according to available times.
How evidence-based approaches translate to online care
Matthew commonly uses Cognitive Behavioral Therapy to help people identify unhelpful thoughts and shift behaviors. CBT sessions focus on clear skills and short exercises that translate well to video or text work and help reduce anxiety, low mood, and sleep troubles.He also incorporates Dialectical Behavior Therapy skills when emotions feel overwhelming. DBT teaches practical techniques for managing intense feelings, improving distress tolerance, and strengthening emotional regulation in real time during everyday stressors.
Finding the right approach is part of the work. Matthew talks with each person about goals, daily routines, and what feels doable. Together they decide which tools to try and adjust the plan as progress is made, keeping the work collaborative and straightforward.
Online formats include video calls, phone sessions, live chat, and ongoing text-based messaging. These options let people fit therapy into busy schedules, check in between sessions, and practice skills in the moments they matter. The range of formats aims to increase accessibility and make consistent progress easier to maintain.
Cognitive Behavioral Therapy (CBT)
CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.
Dialectical Behavior Therapy (DBT)
Concrete skills for riding out strong emotion, tolerating distress, and handling relationships without things escalating. The skills are practised in daily life, so between-session support by message or phone fits naturally.
Existential Therapy
Takes the larger questions seriously: meaning, choice, mortality, responsibility. Suited to periods when the difficulty is less a symptom than a sense that something has to change.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Relationship issues
- Self esteem
Also works with
- 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
Next step
Talk to Matthew
- Takes a few minutes
- Nothing to set up just to look
- Stop at any point