Therapist in Washington State
I'm a licensed therapist offering virtual sessions to clients in Washington State.
I'm based in Philadelphia, and I hold a Washington license primarily so that I can keep working with clients who've moved across the country. Life moves people — a job, a partner, a fresh start on the far coast — and for a lot of people, changing cities shouldn't also mean starting over with a new therapist mid-stride.
Continuity when your life relocates
The therapeutic relationship is the part of therapy that does the work, and it takes time to build. When you move, that relationship is often the thing you least want to restart from zero — especially if the move itself is the stressful transition you'd want to talk through.
Being licensed in Washington lets me offer that continuity. If we've worked together and you're relocating to Washington, we don't have to stop. And if you're already in Washington and looking for a therapist who fits — someone who works with high-functioning adults on career, relationships, life transitions, and the anxiety that often runs underneath — I'm glad to talk, whether or not we have prior history.
All sessions are virtual. What matters is that you're physically located in Washington at the time we meet.
"Matt was helpful with everything from romantic relationships to toxic work relationships to family struggles. He asked the right questions at the right moment as well as just listened when it was what was needed."
— Former Client
How I work
I take an eclectic, evidence-based approach — matching the method to the person rather than running everyone through the same protocol. Depending on what you're working on, that may include:
Cognitive Behavioral Therapy (CBT) for anxiety, rumination, and unhelpful thought patterns
Acceptance and Commitment Therapy (ACT) for values clarification and psychological flexibility
Internal Family Systems (IFS) for internal conflict and self-criticism
Emotion-Focused Therapy (EFT) for accessing what's underneath
Psychodynamic work for long-standing relational patterns
Exposure and Response Prevention (ERP) for OCD
Positive psychology for meaning, purpose, and strengths — I hold a master's in this specifically
I'm known for being direct. Clients tell me they appreciate that I'll say what I actually think rather than nodding.
What I help with
Anxiety & Stress— practical tools to quiet the noise and feel more in control
Depression & Burnout — support for low mood, fatigue, and finding your way back
Career & Identity— clarity when work feels stuck or unfulfilling
Life Transitions — steadier footing through change
Relationships — individual work on patterns that keep repeating
Men's Therapy — stress, self-doubt, and the pressure to hold it together
OCD Treatment — evidence-based care for intrusive thoughts
Sessions & licensure
All Washington sessions are virtual, over VSee, a HIPAA-compliant secure video platform. A 60-minute intake to start, then 50-minute sessions weekly or biweekly. You need to be physically located in Washington — or another jurisdiction where I'm licensed— at the time of the session.
I'm Matt Sosnowsky, LCSW, MAPP, with two University of Pennsylvania graduate degrees and 15+ years of clinical experience. Washington license #LW61451116. Pennsylvania license #CW021603. My work has been featured in The New York Times, Vox, SELF, Oprah Daily, and others. See media coverage
FREQUENTLY ASKED QUESTIONS
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Mainly to maintain continuity with clients who've relocated there. Rather than end good clinical work because someone moved, I can keep seeing them by video.
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I'm an out-of-network provider. I don't bill insurance directly, but many clients receive partial reimbursement through out-of-network benefits, and I provide a monthly superbill for submission. My out-of-network explainer covers how to check your benefits before you commit.
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Yes. Prior history isn't required — if the fit is right, we can begin.
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Email, call, text or message us. From there, we'll schedule a free 30-minute video consultation. The consult is conversational — you'll have a chance to share what's going on, ask questions, and get a feel for how I work. If it seems like a good fit, we'll schedule your first full session from there.
Getting started is simple
Most people begin with a free 30-minute video consultation. It's an informal conversation — what's going on, what you're hoping for, and whether we're a good fit. No pressure.
If we move forward, the first session is a 60-minute intake. After that we typically meet for 50-minute sessions weekly or every other week.