Virtual Therapy in MA, NY, ME, & FL

Feel at home in the body you’ve been battling.

I help millennial gay men ready to release anxiety, body shame, and their complicated relationship with food.

You've done everything right. So why does it feel worse than usual right now?

Life was supposed to get better once you reached your thirties, and externally, it has - you've got a successful career, some solid friendships, and maybe even a partner. But you've spent most of your life fighting what you see in the mirror, and nothing you've tried has quieted that internal voice criticizing your body.

Maybe it was last night, watching your partner's face for a half-second too long after you took your shirt off, trying to read whether he was disappointed. Maybe it's the mental math you do before a meal - calories, macros, whether you've "earned" it yet today - running the numbers before you've even picked up the fork, while everyone else at the table just eats.

Your mind is always racing, and it won't let up. And being a gay man doesn't just add to it - it's where a lot of it was built. Years of being sized up on apps, in bars, in friend groups where someone's always hotter, more successful, more wanted. You learned to see yourself the way you imagined other men would see you first, and you've never fully stopped.

It doesn't stop there. The anxiety makes you second-guess things you said three days ago. Maybe it's a text you sent your partner two days ago that you're still rereading, certain something in it sounded wrong. You give everything you have to the people in your life and still lie awake wondering if it was enough. You don't fully trust yourself. It gets into your relationships, into intimacy - there are moments where you can't get out of your own head long enough to actually be there. You're not failing at life. But you're exhausted from trying to keep it all together, and you know there's got to be more to life than this.

Maybe you’re…

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Hey. I’m Dr. Matt Richardson.

You don’t have to figure this out alone.

Body image and eating concerns in gay men are rarely talked about, and even more rarely treated as a specialty. Most therapy spaces weren't built with gay men in mind. I know from personal experience how isolating that can be, and it's a big part of why I built my practice around this work.

Many of the guys I work with look confident and put-together from the outside, but inside they're running a constant comparison, sizing themselves up against every guy in the room before anyone else gets the chance to size them up first. Over time, food and exercise stop being about health and start being about whether you've earned the right to feel okay in your own skin today.

I keep my caseload small on purpose. Body image, eating concerns, and anxiety in gay and bisexual men is the only work I do, and I've spent my career building clinical and research expertise specifically here. That means you don't have to educate me - I already understand the terrain, with the depth and specificity this work actually requires.

Specializing in:

If food, your body, and how you look in gay spaces take up more mental space than you'd like, this is where we start.

For gay men who look fine on the outside and are tired of carrying the rest alone.

For gay men navigating anxiety, relationship patterns, and the exhaustion of never feeling quite enough.

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How to get started

01 - Reach Out

When you're ready, book a free consultation with me. We’ll talk about what you're looking for, I’ll answer your questions, and we’ll get a sense of whether we're a good fit for each other. If it doesn't feel right, I'll share referrals so you can find the right support.

02 - Jump In

Once your intake is scheduled, I’ll send you simple instructions to set up your Sessions Health client portal. You’ll fill out a few forms ahead of time so that when we meet, we can focus on your experiences, the challenges you’ve been carrying, and the future you want to build.

03 - Feel Better

Over time, the constant noise about food, your body, and whether you’re attractive enough starts to quiet down. You compare yourself to other guys less often, and meals or workouts no longer carry so much pressure or guilt. You start to feel more at home in your own skin, more open in relationships, and less burdened by shame.