Matthew Sexton, LCSW — Nassau County, NYC & Telehealth
Therapy for Transplant Patients
The only LCSW-led private practice in the northeast built explicitly for transplant recipients.
Organ transplant changes everything — your body, your relationships, your sense of self. The medical system addresses your physical recovery. This practice addresses the rest.
Telehealth available in New York, Florida, Maine & Delaware
Why This Practice
Most Therapists Don't Know Your World
Finding a therapist who understands what it means to live on dialysis, sit on a waitlist, receive a donated organ, or navigate post-transplant immunosuppression is nearly impossible. Most clinicians are working from textbooks. Matthew worked in dialysis.
Before building a private practice, Matthew Sexton, LCSW spent years working directly with ESRD patients — sitting in the treatment room, watching people go home without answers, understanding what the system gets wrong. That clinical experience is the foundation of every session at Mental Wealth Solutions.
“You don't need to explain what a creatinine level is. We start where most therapists can't.”
What We Work Through
The Psychological Challenges of Transplant
The transplant journey doesn't end in the operating room. These are the experiences that linger.
Waitlist Anxiety & Uncertainty
The transplant waitlist can span months or years. Not knowing when — or if — a match will come creates chronic anticipatory stress that most support systems aren't equipped to address.
Survivor's Guilt
Receiving a donated organ often triggers complicated feelings about the donor and their family. Processing this grief while also healing from surgery requires specialized clinical support.
Identity & Body Image Shifts
Living with someone else's organ changes how patients relate to their own bodies. Chronic illness identity, physical limitations, and the psychological weight of immunosuppression reshape self-concept.
Post-Transplant Depression
Depression is underdiagnosed and undertreated in transplant recipients. The relief of a successful transplant doesn't erase the trauma of the journey — and the body's adjustment to new medications creates its own emotional volatility.
Relationship Strain
Caregivers, partners, and family members carry the weight of the transplant process alongside the patient. Relational dynamics shift under that pressure, and many relationships need repair after transplant.
Medical PTSD & Trauma
ICU stays, surgical complications, rejection episodes, and the visceral reality of end-stage organ failure are traumatic. These experiences don't resolve on their own — they need to be processed.
The Clinical Work
How Therapy Helps Transplant Recipients
Cope with Chronic Uncertainty
Therapy gives you tools to regulate anxiety during the waitlist and post-transplant phases — when the future is undefined and the medical system feels out of your control.
Process Complicated Grief
Whether it's survivor's guilt, grief over the life you had before diagnosis, or loss of bodily autonomy — these emotions deserve a clinical space, not just time.
Rebuild Identity and Meaning
A transplant changes who you are. Therapy helps you reconstruct a coherent sense of self that integrates the experience without being defined by it.
Support Relationships Under Pressure
Individual and relational therapy can repair the damage chronic illness does to the people closest to you — and strengthen those bonds before they break.
Beyond the Therapy Room
TransplantCheck: Patient Navigation Between Sessions
Therapy happens once a week. Your transplant journey happens every day. TransplantCheck is a companion tool designed to support patients between sessions — with daily emotional check-ins, transplant center intelligence, and the S.T.O.I.C.K. framework for when anxiety spikes.
Built by Matthew using the same clinical framework that guides his therapy practice. Not a wellness app — a clinical-grade navigation tool for people who need more than a pamphlet.
For Transplant Centers & Nephrologists
A Referral Partner Who Speaks Your Language
Your patients need mental health support. Most therapists don't understand the transplant world well enough to serve them properly. Matthew does.
Mental Wealth Solutions accepts referrals from transplant centers, nephrology practices, dialysis facilities, and patient advocacy organizations across the northeast. Private pay — no insurance panels, no prior authorizations, no waitlists for your patients who are already waiting.
Your Therapist
Matthew Sexton, LCSW
Matthew is a Licensed Clinical Social Worker with direct clinical experience in dialysis and end-stage renal disease. He built Transplant Check because he watched patients navigate one of the most psychologically intense medical experiences with almost no specialized mental health support available to them.
His private practice at Mental Wealth Solutions draws on the R.A.V.E.S. framework — a structured approach to emotional regulation, relational clarity, and building psychological resilience under chronic uncertainty. It's the same framework now powering TransplantCheck's AI support.
Sessions are available via telehealth in New York, Florida, Maine, and Delaware. Private pay only — no insurance panels, no waitlists.
“You don't need a therapist who has to google what a transplant waitlist is. You need someone who already knows.”
Schedule a Free ConsultationGetting Started
Begin Your Work
Reach Out
Use the contact form below or send a direct message. Matthew responds personally — no intake coordinators, no answering services.
Free Consultation
A 15-minute call to discuss what you're working through, answer your questions, and confirm we're a good fit before committing to anything.
Start Sessions
Telehealth sessions via secure video. Weekly frequency to start. Private pay — $225/session with SuperBill provided for out-of-network reimbursement.
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.