About Matthew
Matthew Garthwait is a licensed clinical social worker with 22 years of experience helping people manage stress, anxiety, addictions, grief, and low self-esteem. He works from a practical stance and focuses on clear steps that people can use between sessions. Matthew emphasizes the client as the expert in their own story and looks for strengths to build on.
He helps people cope with life changes and improve motivation and confidence.
Background and approach
Matthew also supports those facing drug and alcohol addiction, process addictions, and smoking or vaping cessation. He offers guidance around panic attacks, social anxiety, isolation, and fatherhood issues. In sessions Matthew listens first and then suggests straightforward strategies.
He aims for short-term tools as well as habits people can keep using. Conversations often cover how to handle impulses, reduce avoidance, and manage stress in daily life. Matthew draws on evidence-based therapeutic techniques and tailors them to each person.
He encourages small, practical experiments to test what works. The goal is clearer choices, less overwhelm, and better coping day to day. He practices in New Hampshire and conducts work in English.
Matthew approaches counseling as a partnership, offering support while respecting each person’s pace and priorities.
Evidence-based approaches and online sessions
Matthew uses well-established, evidence-based therapeutic techniques that focus on changing patterns that sustain anxiety and unhealthy coping. One common approach emphasizes practical behavioral strategies - learning specific actions to reduce panic, manage avoidance, and cope with cravings. These steps help people see immediate change in how they respond to stress.Another approach centers on building skills for emotional regulation and impulse control. This work involves noticing triggers, practicing brief coping skills, and creating routines that support better decision-making. It is useful for problems like impulsivity, process addictions, and smoking or vaping cessation.
Finding the right approach is part of the therapeutic process. He collaborates with each person to pick methods that fit their goals, pace, and preferences, and adjusts plans as progress unfolds. Clients are invited to try techniques and give feedback so the work stays practical and relevant.
Online sessions are offered by video call, phone, live chat, or text-based messaging to make therapy more flexible. Video calls are helpful for a conversation that feels like an in-person visit, phone sessions work well when bandwidth is limited, and chat or messaging can fit short check-ins or busy schedules. These options let people fit care into work, parenting, or travel without losing continuity of support.
Questions people ask
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What this therapist works with
Most often
Also listed
- Experience
- 22 years
- Licensed
- New Hampshire
- Languages
- English
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