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Matthew Semanision

LCSW (he/him)12 years of experience
4.9 (68)
Authentic
Empowering
Open-minded

My name is Matt Semanision. I am a Licensed Clinical Social Worker in the state of Pennsylvania. I have spent the majority of my professional career working with the LGBTQIA+ population. It takes courage to seek a more fulfilling and happier life and to take the first steps towards a change.

My approach will be absent of “have to” and will focus on “what do you want to do?” I employ a combination of cognitive-behavioral, humanistic, psycho-dynamic and rational-emotive counseling.

If you are ready to take that step I am here to support and empower you. My approach to therapy is honest, open communication, with mutual respect being of utmost importance. My wish for you is that you feel safe so you are able to share your thoughts, feelings and emotions. I feel the only way you will be able to get anything out of our therapeutic relationship is you and I working together on establishing mutually agreed upon goals.

First session

In our first session together, we'll start with brief introductions, then dive into the specific challenges you're facing. This will help me create a tailored plan for us to work through in follow-up sessions.

Strengths

LGBTQIA+, Addiction, Personality Disorders, Guilt and Shame and PTSD. Specifically I have been working with adults.

Ideal clients

I love to work with clients with a an openness to learn more about themselves, identify their own specific values while working together

Treatment methods

Dialectical Behavior (DBT)

DBT acknowledges the need for change in a context of acceptance of situations and recognizes the constant flux of feelings—many of them contradictory—without having to get caught up in them. My goal as a therapist is to help patients understand and accept that thought is an inherently messy process. DBT is itself an interplay of science and practice. is a structured program of psychotherapy with a strong educational component designed to provide skills for managing intense emotions and negotiating social relationships.

Cognitive Behavioral (CBT)

Cognitive-Behavioral Therapy (CBT) is widely recognized as one of the most extensively researched and empirically supported therapies. It has demonstrated effectiveness in treating various mental health conditions, such as anxiety disorders, depression, and substance use disorders. CBT focuses on identifying and challenging maladaptive thoughts and behaviors and developing more constructive coping strategies.

Location

Virtual sessions

Reviews and ratings

4.9 rating (68)6 reviews
November 4, 2025

Matt is extremely direct and honest and always helps me find practical solutions to my problems!

Verified client, age 35-44Review shared after session 63 with Matthew
June 5, 2025

Matthew is very warm, authentic, and empowering. The first session with him already made me feel like I've made the right choice in starting therapy. I think his approach is effective and provides a lot of tailored work and conversations geared for exactly what each person is going through.

Verified client, age 25-34Review shared after session 1 with Matthew
June 2, 2025

After 5 years of working with Matt, I feel better about myself, my mental health and my current situation with life in general and have overcome so many of the obstacles I was letting hold myself back. The person I was before therapy with Matt would have never been able to accomplish the things I have been able to since working with him. I still have work to do but I’m glad to know it will be with his wisdom, guidance and encouragement.

Verified client, age 35-44Review shared after session 71 with Matthew

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