Rough Waters Psychology

02/12/2026

When healthy eating becomes rigid, anxiety-driven, and tied to self-worth, something deeper may be going on. Here are some signs of orthorexia I commonly see in high-performing men:

Learn the signs of orthorexia in men, including rigid food rules, anxiety around eating, and perfectionism that may signal a deeper struggle.

01/06/2026

I’m currently accepting new clients, both virtually and in-person in downtown Boston. Reach out today to secure your spot!

12/21/2025

12/17/2025

I’m launching a quarterly newsletter at the beginning of the year with reflections, resources, and practice updates. Sign up now to make sure you receive the first issue:

Stay Updated Sign up to receive a quarterly newsletter that contains practice updates, reflections, and resources. Sent out 4 times per year. Email Address Sign Up We respect your privacy and will not spam you. Thank you!

12/10/2025

I’m excited to share that I’m launching two new virtual men’s therapy groups this spring and am now accepting referrals. One is a general men’s process group, and the other focuses specifically on body image and eating concerns. Flyers are attached with details — feel free to reach out with any questions or referrals.

11/06/2025

My office is at 185 Devonshire St, Suite 701, Boston MA 02110. It’s just a short walk from the Downtown Crossing station, making it accessible to several MBTA lines.

10/09/2025

Big news: starting in early November, I’ll be seeing clients in person on Tuesdays at my new office in Boston’s Financial District!

I’ve been fully remote since February 2024, and while I’ll continue to primarily work virtually, there’s something special about being in the same room together. I’m excited to open this next chapter and welcome clients into the new space.

You can learn more or book a consult at roughwaterspsych.com.

10/04/2025

I'm currently accepting new clients. Schedule a free consult today:

Welcome to Rough Waters Psychology. I’m Dr. Matt Richardson, a Boston-based psychologist specializing in body image and eating disorders, men’s mental health, and LGBTQ+ therapy. I offer compassionate, affirming support to help professionals and young adults navigate life’s challenges and reco...

07/10/2025

✨ Now Available! ✨

My new training — Beyond the Mirror: Understanding Body Image in Gay and Bisexual Men — has officially launched.

This on-demand webinar is designed for therapists, dietitians, and other mental health professionals who want a deeper, research-informed lens for working with body image and eating concerns in q***r men.

Packed with practical frameworks, real-world case examples, and questions you can bring straight into your sessions.

🎥 Available now: www.roughwaterspsych.com/store

Please share with any colleagues who might benefit! 💙

06/25/2025

Coming soon: Beyond the Mirror: Understanding and Addressing Body Image in Gay Men

I’ve been working on this one for a while, and I’m so excited to finally share it. Beyond the Mirror is the first in a new webinar series I’m creating on body image and eating disorders in men—especially through the lens of sexual and gender identity.

This training pulls together my clinical expertise, research background, and lived experience to help other clinicians better understand and support gay men struggling with body image concerns. We’ll dive into what body image distress actually looks like, what drives it, and why it’s so often missed or misunderstood in our field.

If you work with gay men—or want to—this is for you. Stay tuned, it's launching in just a couple of weeks.

06/13/2025

This Pride Month, I’ve been reflecting on the stories that shaped our community—and the grief, love, and legacy woven into them.

It’s been emotional. Eye-opening. Necessary.

I wrote a short piece about what I’ve been doing to honor the lives lost during the AIDS crisis—and why it’s felt so important to me.

A Boston LGBTQ+ therapist reflects on honoring lives lost to AIDS during Pride Month, the grief that remains, and the gratitude we owe to those who came before.

06/02/2025

🏳️‍🌈 New Blog Post 🏳️‍🌈

Finding Affirming Spaces in a Hostile World
In a time when LGBTQ+ rights are under attack and visibility can feel risky, creating space to be fully yourself is more important than ever.

This Pride Month, I’m reflecting on what it means to seek safety, belonging, and connection when the world doesn’t always feel welcoming. Whether you’re out and proud or quietly questioning, you deserve support that affirms you.

📝 Read the full post here:

With LGBTQ+ rights and DEI under attack, it’s normal to feel anxious and unsafe. Learn how to find affirming spaces and care in the midst of rising hostility.