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

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 ) — Flagship
Launch 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 · HIPAA Visit vibecheck.luxury
( 02 )
Live
For ESRD patients

TransplantCheck.

75% of eligible patients are never referred. We built the front door that was missing.

OPTN Live
( 03 )
Near-Term
For employers & HR

EAPCheck.

Your EAP gives 6 sessions. Insurance gives 52. We activate both.

B2B2C Concept
( 04 ) — Platform
In Build
For health systems, FQHCs & CCBHCs

HealthcareCheck.

Multi-tenant care-navigation infrastructure. Any specialty with a documented gap becomes a vertical.

Enterprise · SaaS See the thesis
( 05 ) — The Practice
Taking Clients
1:1 clinical therapy

The work behind the work.

FocusNarcissistic abuse
PopulationsFounders · Physicians
ModalityTelehealth
The Structural Problem

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 Rules

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 / 01

Direct before diplomatic.

Honest first, explanatory second. State the uncomfortable thing, then unpack it.

Not: "many people find that sometimes…"
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 Clinician

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
See if we're a fit Read the writing
I came in thinking I needed to fix something. I left knowing I'd been building the wrong thing.
Private-practice client · NYC
( Next )
Let's close
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.

Book the call Write instead
Tweaks