About Matthew
Matthew Garthwait is a licensed clinical social worker with 22 years of experience helping people manage stress, anxiety, and addiction. He works with issues like grief, low self-esteem, and major life changes. He emphasizes practical steps and steady support during difficult times.
He focuses on problems such as drug and alcohol addiction, process addictions like gambling or excessive exercise, and smoking or vaping cessation. He also addresses panic attacks, social anxiety, impulsivity, and feelings of isolation or loneliness.
How Matthew works
Fatherhood issues and men’s concerns are part of his practice focus. Matthew treats each person as the expert on their own life. He looks for strengths clients already have and builds on them.
Sessions aim to create doable strategies for daily life rather than abstract concepts. Over two decades of work in New Hampshire have given him experience with a wide range of challenges. He offers straightforward, goal-focused conversations.
He helps people set small, realistic steps and track progress across sessions. Therapy options include video calls, phone sessions, live chat, and text-based messaging. Sessions use a subscription that can be canceled at any time.
He conducts sessions in English and does not take international clients.
What Matthew works with
The areas below are the ones Matthew selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
Also listed
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 22 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | New Hampshire |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How practical approaches translate to online care
Matthew emphasizes evidence-based therapeutic techniques that focus on concrete skills and behavior change. One common approach helps people identify unhelpful thinking and then practice different, more effective thoughts and behaviors to reduce anxiety and panic symptoms. Another approach centers on building routines and small habit changes to address addictions and impulsive behaviors, aiming for manageable steps like reducing triggers and replacing routines.Choosing the right approach is collaborative. The therapist will talk with the client about goals, preferences, and what has worked or not worked in the past. Together they decide which methods to try and adjust plans as progress is tracked across sessions.
Online therapy formats available include video calls, phone sessions, live chat, and text-based messaging. Video sessions allow face-to-face conversation when bandwidth permits. Phone sessions can be a simpler option when lighting or connection is limited. Live chat and messaging can make brief check-ins and skill practice easier during busy weeks. These options provide flexibility so therapy can fit into work, parenting, or other daily demands.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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