R / 01
Direct before diplomatic.
Honest first, explanatory second. State the uncomfortable thing, then unpack it.
Not: "many people find that sometimes…"
You don't need to be fixed.
you don't need
permission either.
Clinical therapy for the quietly exhausted — plus the software we're building because the existing tools were inadequate. He's the clinician. He's also been the client.
( 01 ) Practice
Narcissistic abuse, burnout, high-functioning anxiety. Telehealth across four states.
( 02 ) Platform
HealthcareCheck — the software layer for populations the system keeps missing.
( 03 ) Record
13 / clinical settings
( 04 ) Licensure
NY #091241
ME #LC22776
FL · DE telehealth
ME #LC22776
FL · DE telehealth
Selected Work · 2020 / 2026
What we built because the existing tools were inadequate.
Every product started as something Matthew watched fail in a clinical setting. Each one closes a gap a PowerPoint can't.
( 01 ) — FlagshipLaunch Ready
For therapists & clinicians
VibeCheck.
HIPAA-compliant AI EHR built by a licensed therapist. 13.5 hrs/week of documentation → under one. $79/mo all-in.
SaaS · AI · HIPAAVisit vibecheck.luxury
( 02 )Live
For ESRD patients
TransplantCheck.
75% of eligible patients are never referred. We built the front door that was missing.
OPTNLive
( 03 )Live
For veterans & families
VeteranCheck.
Veteran mental health screening + resource matching. Live in production, built on Blue Button 2.0.
FHIR · VAVisit veterancheck.app
( 04 ) — PlatformIn Build
For health systems, FQHCs & CCBHCs
HealthcareCheck.
Multi-tenant care-navigation infrastructure. Any specialty with a documented gap becomes a vertical.
Enterprise · SaaSSee the thesis
( 05 ) — The PracticeTaking Clients
1:1 clinical therapy
The work behind the work.
FocusNarcissistic abuse
PopulationsFounders · Physicians
ModalityTelehealth
Book a consult
The Structural ProblemKnowing is not
Knowing is not
the intervention.
The gap between what people know and what they can do is where most lives get stuck. It's where most dialysis patients miss their transplant window. It's where most burned-out clinicians keep white-knuckling a career they love. We don't sell insight. We build structure.
166 hrsBetween sessions — where most of the work actually happens.
75%Of eligible dialysis patients never referred for transplant.
13.5 hrsAverage clinician documentation per week, pre-AI.
$7.7BEAP market. 3–6% average utilization.
The Five RulesClinical knowledge
Clinical knowledge
+ lived experience.
In that order.
Every session and every page of software runs on the same five rules. No wellness poetry. No throat-clearing intros.
R / 02
Concrete over vague.
The 166 hours between sessions. That's where most people fall apart.
Not: "in today's fast-paced world…"
R / 03
Weight without wallowing.
Sit with the hard thing briefly — then pivot to structure and action.
Not: trauma as content strategy
R / 04
Dry humor, used sparingly.
One real laugh per section. It cuts tension. Then it gets out of the way.
Not: emoji-laden quips
R / 05 — THE KEY ONE
Labor does not gaslight you. Calendars do not call you manipulative when you draw a line.
Understanding can be poison when it replaces the boundary. The work is structural — not emotional archaeology.
LCSW · NY 091241 · ME LC22776
MS
Matthew Sexton · Floral Park, NY
The ClinicianA New York LCSW
A New York LCSW
with zero patience
for wellness poetry.
Thirteen clinical settings. Addiction programs. Forensic case management. Dialysis units. Disaster response. And — the chair on the other side, as a client.
I started writing software because the tools I was handed in practice were inadequate. SimplePractice bolted AI on after the fact. ChatGPT isn't HIPAA-compliant. 75% of dialysis patients who qualify for a transplant are never referred. Those aren't clinical failures. They're structural ones.
LicensedNY · ME · FL · DE
CertificationsLCSW · NATC
InfrastructureHIPAA · BAA · AWS
Clinical Settings13 · since 2012
I came in thinking I needed to fix something. I left knowing I'd been building the wrong thing.Private-practice client · NYC
Let'sclose
the gap.
the gap.
If you're quietly exhausted — let's talk. If your organization is navigating a care gap — thirty minutes with someone who's been in thirteen of these settings is worth the call.
Get Started
Start building something.
30 minutes. No pitch. We figure out if this is the right fit — for therapy, consulting, or the tech.
Free 30-minute consultation — no obligation