Matthew Biermacher

Focused, practical counseling for everyday challenges

LPC Texas

Experience: 5 years in practice
Focus areas: Stress, Anxiety, Relationship, Self esteem
Approaches: Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT)
Languages: English

About Matthew

Matthew Biermacher is a Licensed Professional Counselor (LPC) based in Texas who centers his work on practical, evidence-informed approaches to help clients navigate stress, anxiety, relationship difficulties, and life transitions.

Background and approach

He emphasizes building a trusting therapeutic relationship as a foundation for identifying the origins and patterns that contribute to current struggles, then supports clients in developing concrete skills and choices that move them toward greater satisfaction and functioning. Matthew integrates Cognitive Behavioral Therapy (CBT) among other methods to address thoughts, behaviors, and coping strategies in everyday life.

With five years of clinical experience, he brings a systems-oriented lens that recognizes how different areas of life interact - career, family, identity, and emotional health. Matthew also works with concerns such as depression, anger, ADHD, sleep problems, parenting challenges, compassion fatigue, and a range of relational and attachment issues.

He approaches therapy collaboratively, helping clients clarify goals and pursue practical solutions while attending to deeper patterns and meaning when relevant. Matthew aims to act as a catalyst for change, guiding clients through assessment, skill-building, and decision-making so they can make intentional choices aligned with their values and desired life direction.

Online approaches that emphasize skills and practical change

Matthew draws from Cognitive Behavioral Therapy (CBT) to help clients identify unhelpful thinking patterns and develop concrete strategies to shift behavior and mood. CBT is commonly used for anxiety, depression, sleep problems, and stress by teaching tools that can be practiced between sessions. He also integrates Dialectical Behavior Therapy (DBT) skills when clients need emotion regulation, distress tolerance, or improved interpersonal effectiveness; DBT offers structured, skill-based practices for managing intense emotions and improving relationships.

Finding the right therapeutic approach is part of the work together. He collaborates with each person to match methods to their goals, preferences, and circumstances, adjusting the focus over time as needs evolve. This collaborative planning helps ensure sessions remain practical and relevant to everyday challenges.

Online therapy options include video calls, phone sessions, live chat, or text-based messaging, which provide flexibility for busy schedules and varied communication styles. These formats make it easier to fit consistent therapy into work, family, and personal commitments while allowing ongoing skill practice and check-ins between more in-depth sessions.

Frequently asked questions

What kinds of problems does this therapist help with?

Common concerns include stress, anxiety, relationship and self esteem issues, career questions, coping with life changes, depression, anger, sleep difficulties, parenting, and compassion fatigue. He also addresses ADHD and a variety of relational and attachment challenges.

What is the therapist's general approach and style?

He emphasizes a trusting relationship and a practical, solution-focused orientation that identifies problem factors and builds skills. Cognitive Behavioral Therapy (CBT) is among the approaches he uses to help clients change thoughts and behaviors.

How much clinical experience does he have?

He has five years of experience working with clients across a range of concerns and brings a systems-based perspective to understanding how life areas interact.

What are his credentials and where is he located?

He is a Licensed Professional Counselor with the credential TX LPC 82175 and practices in Texas.

Does he work with clients in other languages or internationally?

He conducts therapy in English and is not currently accepting international clients.

Which session formats are offered?

Sessions are available via video calls, phone sessions, live chat, or text-based messaging to accommodate different communication preferences.

How much do sessions cost?

Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.

How do I begin working with this therapist?

Begin by selecting the Start Therapy button, completing a short matching questionnaire, and then scheduling a session according to the therapist's availability.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesSelf esteemCareer difficultiesCoping with life changes

Also works with

LGBTFamily conflictsSleeping disordersParenting issuesAnger managementDepressionCoachingCompassion fatigue ADHD

Additional focus areas

AbandonmentAntisocial personalityAttachment issuesBDSM, kink, and alternative sex cultureBlended family issuesCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDissociationDivorce and separationEmptinessFamily problemsFatherhood issuesFirst responder issuesForgivenessGuilt and shame ImpulsivityInfidelityJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPersonality disordersPolyamory / non-monogamous relationshipsPost-traumatic stressSelf-loveSex addictionSexual assault and abuseSexual dysfunctionSexualitySocial anxiety and phobiaWorkplace issues

Therapeutic approaches

Cognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Existential TherapyGottman MethodMindfulness TherapyMotivational InterviewingPsychodynamic TherapySolution-Focused TherapyInternal Family Systems

Experience

5+ years

Licensed

Texas

Languages

English