Philadelphia Talk Therapy

A Boutique Therapy Practice for Young & Middle-aged Adults

If you’re feeling the weight of early or mid-adulthood, you’re not alone. As someone in my 40s, I understand how complex this season of life can be. I offer a grounded, compassionate space to help you navigate the transitions, questions, and pressures that come with it.
— Matt Sosnowsky, Founder/ Director

My expertise includes anxiety and depression, career, trauma, grief, panic attacks, & OCD.

*I do not accept insurance directly. See FAQs and OON Explainer.*

Welcome to Philadelphia Talk Therapy!

My practice specializes in counseling tailored to the unique needs of young and middle-aged adults. Whether you're navigating depression & anxiety, acute mental health issues, or major life shifts, I’m here to help you feel more at ease and more like yourself.

My style is warm, straightforward, and grounded in proven methods that help clients make meaningful, lasting change. People often share that they feel comfortable with me early on—even if they were uncertain about starting therapy. That sense of connection and trust is at the heart of my work. In addition to my education and training, I bring a depth of clinical and real-world experience to every session.

I offer free 25–30 minute video consultations so we can get to know each other and see if it feels like a good fit—no pressure, just a chance to connect and discuss what you’re looking for.

Beliefs

Finding a therapist is hard. See what I believe and what you can expect.

  • 1. You don’t have to lay on a couch for years to see results.

    In my experience, enormous gains are made in the first 4-6 weeks of therapy. Lasting change does take time, but the pathways to that change often emerge early in the process.

  • 2. Your therapist should be relatable.

    Rapport with someone you can connect with is the bedrock of a strong alliance and, ultimately, a successful therapeutic engagement.

  • 3. Therapists should be highly skilled.

    Psychotherapy is an ‘art and a science;’ however, this often allows clinicians to linger in the ‘art’ and stray from core psychological theories and emerging research. I blend theory, research, and experience to ensure you have a successful experience.

  • 4. It’s my responsibility to find you a solution.

    …(or refer you to someone who can).

    Therapists don’t create change. Clients do. But the therapist’s role is to assess whether the client is accomplishing what they set out to achieve and work tirelessly to ensure they’re in a position to do so.

  • 5. Therapy should be a transparent process.

    Psychotherapy is often veiled in mystery, obscured by outdated tropes and an intimidating reputation. I believe a client should be able to ask—at any time—what the therapist is thinking and what the plan is for creating change.

  • 6. The experience should be rejuvenating and (at times) fun.

    Issues like anxiety & depression are painful to bear and often require difficult inner work. However, therapy is also about sharing your challenges and collaborating with someone trusted/ credible to support you. That can feel pretty good!

Testimonials

FREQUENTLY ASKED QUESTIONS

  • I work with people who are generally high-functioning—meaning they may have jobs, relationships, social lives, etc.—but are feeling stuck, overwhelmed, or blocked by a mental health issue or difficult life situation.

    Most of my clients are in early to middle adulthood, which reflects my own life stage (I’m in my 40s). I frequently work with:

    • Lawyers and legal professionals

    • Teachers and academics

    • Medical professionals

    • Consultants and entrepreneurs

    • Engineers, programmers, and folks in tech

    • Finance professionals

    • Students and graduate students

    In short, people who are used to managing a lot, but are currently facing something that’s hard to navigate alone.

  • I take an eclectic approach to therapy, meaning I draw from a variety of evidence-based modalities and tailor them to each client’s unique concerns and personal style. I don’t believe in a one-size-fits-all model—what works for one person may not resonate with another.

    Some of the approaches I regularly use include:

    That said, the real engine behind progress in therapy isn’t just the tools—it’s the relationship. I put a lot of intention into building a strong, collaborative connection with my clients. That relationship is the foundation for everything else we do.

  • Many people start with a free 30-minute video consultation, which gives us a chance to talk about what’s going on, what you’re hoping for in therapy, and whether we might be a good fit. I take consultations seriously, and I strive to make them feel easy, conversational, and helpful—there’s no pressure.

    If you decide to move forward, our first session is a 60-minute intake, where I’ll ask questions about your history, lifestyle, and the challenges bringing you to therapy. Together, we’ll begin to clarify your goals and create a direction for our work.

    After that, we’ll typically meet for 50-minute sessions (either virtually or in-person) on a weekly or bi-weekly basis, depending on your needs and schedule.

  • I’m an out-of-network provider, which means I don’t bill insurance directly, but many clients receive partial reimbursement from their insurance company. I’ll provide you with a monthly superbill—a document you can submit to your insurer for reimbursement.

    You can read more about how out-of-network benefits work on my Out-of-Network Explainer page. I’m also happy to talk through it during our consultation, so you can make an informed decision about fit and affordability.

  • Just reach out! You can call, email, or send me a message through the site. From there, we’ll schedule a free 30-minute video consultation. Finding quality therapy in Philadelphia can be challenging . I aim to make these consults feel welcoming, low-pressure, and useful—a chance for you to get a sense of me and how I work, and for us to figure out together if it feels like a good match.