Matthew Federici, LMHC

Matthew Federici is a licensed mental health counselor who focuses on helping people manage stress, anxiety, mood concerns, and substance use. He speaks plainly and aims to make sessions straightforward and practical for adults. Matthew works from Florida and brings ten years of clinical experience to his work.

Matthew uses tools from cognitive behavioral therapy, acceptance and commitment therapy, and attachment-based work to help people change unhelpful thinking, clarify values, and improve important relationships. Sessions often include skill practice, goal setting, and talking through patterns that get in the way of daily life. He also draws on client-centered and dialectical behavior ideas when those fit a person's needs.

He has treated depression, bipolar concerns, grief and loss, trauma, addiction, and sleep or eating issues in general mental health and substance use settings. Matthew also supports those dealing with caregiving stress, chronic illness, body image, communication problems, and stages of life change.

People who choose him can expect a practical, down-to-earth style that aims to make therapy useful day to day. He balances structured approaches with attention to personal values and relationships. Matthew combines problem-solving with skills practice so people can notice small changes quickly.

Sessions are offered in English and are conducted from his Florida practice. Matthew integrates faith when clients bring it up, but he works with whatever goals a person brings to therapy.

How therapy approaches translate to online care

Matthew commonly uses cognitive behavioral therapy and acceptance and commitment therapy in online sessions. Cognitive behavioral therapy focuses on identifying and changing unhelpful thoughts and behaviors and is often used for anxiety, depression, and stress. Acceptance and commitment therapy emphasizes clarifying personal values and using acceptance and mindful strategies to move toward meaningful goals.

Finding the right approach is a collaborative process. The therapist will talk with the client about current problems, goals, and preferences and then try techniques that fit. Together they adjust methods over time based on what helps most.

Online formats include video calls, phone sessions, live chat, and text-based messaging, which make it easier to connect around work schedules, caregiving duties, or travel. Video works well for full sessions and face-to-face work, phone can be a simpler option with lower bandwidth, and chat or messaging can support brief check-ins or ongoing skill practice between sessions.