Matthew Tyra (he/him)

I provide affirming therapy for LGBTQIA+ teens, adults, individuals, and couples, including support with identity exploration, coming out, minority stress, family or relationship conflict, shame, trauma, sexuality, and gender. I am a bisexual man and believe affirming care should not require clients to educate or defend themselves. I am also kink-aware and poly/ENM-affirming. While these are not inherently LGBTQIA+ identities, many clients value having one therapist who understands both.

I have extensive experience working with BPD and personality disorders, including clients navigating intense emotions, unstable relationship patterns, identity disturbance, impulsivity, self-harm, or chronic suicidal thoughts. I approach personality disorders without treating clients as manipulative, hopeless, or “too difficult.” Using DBT-informed, ACT, and CBT strategies, we work toward emotional stability, healthier relationships, clearer boundaries, and a life that feels more manageable.

I work with adolescents and adults affected by trauma, including sexual trauma, abuse, relationship trauma, and complex or repeated traumatic experiences. Trauma treatment is paced collaboratively; you will not be forced to disclose or process experiences before you are ready. I draw from CPT, CBT, ACT, and trauma-informed care to help reduce shame and avoidance, understand trauma responses, rebuild safety, and move toward a life that is not organized around what happened.

I have used DBT-informed interventions throughout nearly a decade of inpatient and outpatient work with clients experiencing intense emotions, self-harm, chronic suicidal thoughts, impulsivity, and difficult relationship patterns. I help clients understand the function of behaviors and develop practical skills in mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness.

I use ACT to help clients step out of unproductive struggles with thoughts and feelings and move toward lives guided by their chosen values. This is especially useful in work involving trauma, shame, identity, sexuality, anxiety, avoidance, and relationship patterns. Rather than treating every uncomfortable emotion as something to eliminate, we build psychological flexibility, clarify what matters, and practice taking meaningful action even when difficult internal experiences arise.

I use CPT to help clients understand how trauma can shape beliefs about safety, trust, power, control, esteem, and intimacy. Treatment focuses on identifying stuck points, examining whether trauma-related conclusions remain accurate or useful, and developing more balanced ways of understanding what happened. I pace trauma work collaboratively and do not require clients to share graphic details or process experiences before they are ready.

I use ACT to help clients step out of unproductive struggles with thoughts and feelings and move toward lives guided by their chosen values. This is especially useful in work involving trauma, shame, identity, sexuality, anxiety, avoidance, and relationship patterns. Rather than treating every uncomfortable emotion as something to eliminate, we build psychological flexibility, clarify what matters, and practice taking meaningful action even when difficult internal experiences arise.

I have used DBT-informed interventions throughout nearly a decade of inpatient and outpatient work with clients experiencing intense emotions, self-harm, chronic suicidal thoughts, impulsivity, and difficult relationship patterns. I help clients understand the function of behaviors and develop practical skills in mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness.

I use CPT to help clients understand how trauma can shape beliefs about safety, trust, power, control, esteem, and intimacy. Treatment focuses on identifying stuck points, examining whether trauma-related conclusions remain accurate or useful, and developing more balanced ways of understanding what happened. I pace trauma work collaboratively and do not require clients to share graphic details or process experiences before they are ready.

I work with adolescents and adults affected by trauma, including sexual trauma, abuse, relationship trauma, and complex or repeated traumatic experiences. Trauma treatment is paced collaboratively; you will not be forced to disclose or process experiences before you are ready. I draw from CPT, CBT, ACT, and trauma-informed care to help reduce shame and avoidance, understand trauma responses, rebuild safety, and move toward a life that is not organized around what happened.

I have extensive experience working with BPD and personality disorders, including clients navigating intense emotions, unstable relationship patterns, identity disturbance, impulsivity, self-harm, or chronic suicidal thoughts. I approach personality disorders without treating clients as manipulative, hopeless, or “too difficult.” Using DBT-informed, ACT, and CBT strategies, we work toward emotional stability, healthier relationships, clearer boundaries, and a life that feels more manageable.

I provide affirming therapy for LGBTQIA+ teens, adults, individuals, and couples, including support with identity exploration, coming out, minority stress, family or relationship conflict, shame, trauma, sexuality, and gender. I am a bisexual man and believe affirming care should not require clients to educate or defend themselves. I am also kink-aware and poly/ENM-affirming. While these are not inherently LGBTQIA+ identities, many clients value having one therapist who understands both.