In-Person & Telehealth — Nassau County, Long Island
Therapy Across Nassau County
Individual therapy for Long Island adults — in-person or telehealth, on your terms.
Mental Wealth Solutions serves Nassau County clients navigating anxiety, burnout, chronic illness, relationship patterns, and life transitions. Private pay, no waitlists, no insurance bureaucracy — just real clinical work.
Telehealth available across New York State — and in Florida, Maine & Delaware
How We Work
In-Person or Telehealth — Your Choice
In-Person
Sessions at the Nassau-Queens border in Floral Park. Accessible from across Nassau County — Garden City, Mineola, Great Neck, and the south shore without a city commute.
Best for clients who prefer the structure and presence of a physical space dedicated to their work.
Telehealth
Secure video sessions from wherever you are in Nassau County — or anywhere in New York State. Same clinical quality, different logistics.
Best for clients with schedule constraints, long commutes, or those who prefer the flexibility of working from home.
Why Mental Wealth Solutions
A Long Island Practice Built for Long Island Clients
Nassau County has no shortage of therapists. What's harder to find is a clinician who takes the work seriously — who isn't routing you through an insurance panel, isn't running 45-minute sessions between back-to-back appointments, and isn't treating therapy like a subscription service.
Mental Wealth Solutions is a private pay practice. That means Matthew keeps a smaller caseload, responds to clients personally, and focuses sessions on clinical outcomes — not billing codes. No prior authorizations. No session limits. No telling your insurance company what you talked about.
Nassau County clients also get real choice: in-person sessions at the Floral Park office or telehealth from anywhere in New York. The clinical approach doesn't change based on the format.
“Good therapy is specific. It meets you where you actually are — not where it's convenient for a system to put you.”
What We Work Through
Clinical Focus Areas
Individual psychotherapy for Nassau County adults navigating the intersection of high demands and real psychological stakes.
Anxiety & High-Functioning Stress
Anxiety that looks fine on the outside but costs you everything internally. Therapy interrupts the cycle with evidence-based tools and real clinical attention.
Burnout & Career Pressure
Long Island carries a particular brand of achievement pressure — careers, mortgages, school districts, keeping pace. Burnout is a clinical problem with a clinical solution.
Life Transitions
Marriage, divorce, loss, career change, relocation. Transitions destabilize the narratives that organize our lives. Therapy helps you rebuild them on purpose.
Chronic Illness & Medical Stress
Living with a health condition adds a layer of psychological labor that most therapists aren't equipped to address. Matthew's background in health-adjacent clinical settings makes this a specialty, not an afterthought.
Relationship Dynamics
Patterns in how we relate to others — partners, parents, colleagues — run deep. Individual therapy surfaces them and gives you the agency to change them.
Identity & Meaning-Making
Questions about who you are and what matters deserve clinical rigor — not self-help reframing. This is the work Matthew builds sessions around.
Your Therapist
Matthew Sexton, LCSW
Matthew is a Licensed Clinical Social Worker based in Nassau County, offering individual psychotherapy in-person and via telehealth. His clinical background spans direct work in health-adjacent settings — including dialysis and end-stage renal disease — giving him a depth of medical context most private practice therapists don't have.
His practice uses the R.A.V.E.S. framework — a structured clinical approach to emotional regulation, relational clarity, and psychological resilience. Sessions are individual, focused, and designed for adults who want clinical precision, not supportive listening that goes nowhere.
Private pay only. $225 per session. SuperBill provided for out-of-network reimbursement through your insurance.
“Therapy is a clinical tool. It should be as specific as the problem it's addressing.”
Schedule a Free ConsultationGetting Started
Begin Your Work
Reach Out
Use the contact form or send a message directly. Matthew responds personally — no intake staff, no phone trees.
Free Consultation
A 15-minute call to understand what you're working through and confirm this is the right fit before any commitment.
Start Sessions
In-person in Floral Park or telehealth across Nassau County and New York State. Weekly frequency. $225/session.
Nassau County Service Area
Communities We Serve
In-person accessible from across Nassau County. Telehealth available anywhere in New York.
Mental Wealth Solutions provides individual psychotherapy and mental health consulting. This page is for informational purposes and does not constitute medical advice. Matthew Sexton, LCSW is licensed in New York, Florida, Maine, and Delaware. Telehealth services are provided to clients located in those states at the time of service.