Many adolescents and young adults feel stuck in patterns they can’t quite make sense of — patterns that show up in relationships, family dynamics, motivation, or the direction their lives are taking.
The people who come to see me are often thoughtful and capable, yet arrive feeling caught in cycles of overthinking, avoidance, procrastination, or decision paralysis that make it difficult to move forward in school, work, or relationships.
Therapy can be a place to step back and look more closely at how those ways of thinking developed and why they keep repeating. Over time, that process can lead to new ways of approaching challenges and responding differently when familiar situations arise.
Many of the young men I work with were initially skeptical about therapy or unsure what to expect. Most end up finding it a valuable experience.
If you're interested in learning more, please get in touch to set up an introductory phone call.
Central Park, NYC
As we begin working together, we will identify what the focus of the work should be. From there, we will notice connections between what you are experiencing now and patterns that have shown up earlier in your life. My role is helping you see those connections more clearly and think together about what meaningful change could look like.
My approach is grounded in cognitive and behavioral therapies and informed by research on anxiety, mood, motivation, and the avoidance and overthinking that can keep people stuck. Over time, therapy often leads to greater psychological flexibility — the ability to respond more freely rather than feeling locked into the same reactions or habits.
I completed my PhD in clinical psychology at Emory University. My post‑degree clinical training included time at the Yale Child Study Center and VA hospitals in Boston and Seattle. I have worked in mental health since 2002 and have been in private practice since 2019.
I studied English at Williams College and did not initially set out to become a psychologist. Several years after graduating, I developed a serious interest in mental health and began pursuing the coursework and training needed to enter the field. Having to work my way into the profession rather than following a straight path has shaped the way I think about setbacks, direction, and the process of helping people who are trying to figure those things out for themselves.
I work primarily with teens, college students, and young adults. Many are in periods of transition — balancing school, work, friendships, dating, family expectations, and questions about what direction their lives should take.
I also work with people dealing with anxiety, OCD, trauma, and periods of significant stress, particularly when those experiences are affecting school, work, or relationships.
Parents sometimes reach out because they want help for their teen or young adult but worry that therapy may not stick if the first experience isn't the right fit. Even people who choose to start therapy themselves sometimes arrive feeling skeptical about therapy or unsure what to expect. I recognize that early experiences with therapy can shape how someone thinks about it for years to come, so I try to make those first conversations positive, straightforward, and respectful of the person's autonomy. My goal is for therapy to feel like something people are choosing to engage in rather than something they feel stuck in.
If you're wondering whether this kind of work might be helpful for you or your teen, let's talk to see whether it seems like a good fit.
Sessions are 45 minutes and are typically scheduled weekly, though the frequency can vary.
The first meeting is a longer 90‑minute session focused on getting a clear picture of what's been going on in your life and gathering the information needed to begin treatment. When working with teens under 18, parents are typically included in part of that meeting.
My fee is consistent with other psychologists in New York City with similar training and experience. I do not participate directly with insurance plans, but I provide documentation that can be submitted to insurance companies for possible out‑of‑network reimbursement.
Clinical Psychologist
169 E 74th St, 1-F
New York, NY 10021
matt@drmatthewrouse.com