Therapist listings are provided by BetterHelp. We will earn a commission at no additional cost to you if you use our links to purchase.

Matthew Biermacher

Therapist profile

Matthew Biermacher, LPC

Texas

Licensed Professional Counselor - relationships and parenting

Continue with Matthew

About

  • CBT methods
  • DBT skills
  • Mindfulness practice

About Matthew

Matthew Biermacher is a Licensed Professional Counselor (LPC) in Texas with five years of clinical experience. He focuses on common life strains like stress, anxiety, relationship problems, depression, parenting and career concerns, and supports people within LGBT and family-related topics. He also addresses sleep issues, anger, ADHD, compassion fatigue and coping with life changes.

Matthew emphasizes building a trusting relationship first. He helps people understand where their difficulties began and what keeps them happening. That understanding guides practical choices and changes people can make in daily life.

He uses a solution-focused stance alongside a systems perspective. That means he looks at specific problem factors and how different parts of life connect. Sessions aim to identify manageable steps that produce real change rather than vague goals.

Clinical approaches Matthew draws on include Cognitive Behavioral Therapy, Dialectical Behavior Therapy, existential work, the Gottman Method, and mindfulness practices. Those methods are used to address patterns in thinking, emotion regulation, communication, and meaning-making.

People who come to him can expect straightforward conversation and clear options to try between sessions. He frames work as practical and action-oriented while also discussing underlying patterns. To begin, he asks about current concerns and what a better day would look like, then develops concrete steps to move toward that.

How sessions work

Using CBT, DBT and mindfulness in online sessions

Matthew uses Cognitive Behavioral Therapy to help people notice and change unhelpful thoughts and behaviors. CBT breaks problems into manageable parts and suggests practical exercises to try between sessions, which can help with anxiety, depression, sleep, and stress.

He also uses Dialectical Behavior Therapy skills to teach emotional regulation, distress tolerance, and clearer communication. DBT-style skills are useful when strong emotions, anger, or relationship conflict make everyday life harder.

Mindfulness practices are included to increase present-moment awareness and reduce reactivity. Simple exercises can be short and fit into daily routines, which some people find easier to maintain between appointments.

Choosing the right approach is part of the work. Matthew will collaborate with each person to decide which methods match their goals and preferences, and he adjusts plans as needs change.

Session formats are not specified in the biography, so confirm current options before booking. Online work can make it easier to fit appointments into busy days, allow brief check-ins when schedules are tight, and let people use practices at home between meetings. Licensed professionals generally use these practical benefits to help therapy fit into everyday life.

Areas of focus

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesSelf esteemCareer difficultiesCoping with life changes

Also works with

LGBTFamily conflictsSleeping disordersParenting issuesAnger managementDepressionCoachingCompassion fatigueADHD

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 shameImpulsivityInfidelityJealousyLife 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

Listed in

Texas

Languages

English

Questions

Frequently asked questions

What concerns does he help with?

He works with stress, anxiety, relationship issues, parenting, career concerns, depression, sleep problems, ADHD, compassion fatigue, and related matters.

How would he describe his approach in sessions?

He uses a solution-focused approach with a systems perspective, combining practical steps and attention to how different parts of life interact.

How much clinical experience does he have?

He has five years of experience as a Licensed Professional Counselor working with the concerns listed in his profile.

What are his credentials and where is he based?

He is an LPC licensed in Texas and practices from that state.

Does he offer sessions in other languages or to international clients?

Sessions are offered in English and he does not accept international clients at this time.

What session formats are available?

Please confirm current session options before booking, as formats are not specified in the profile.

How does payment work and what does it cost?

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

What are the first steps to start working together?

Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session to get started.

Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.

Online talk therapy is not emergency care. If anyone is in danger, use the crisis numbers.

Back to all therapists

Matthew Biermacher

Continue with Matthew