Matthew Pieknik, LCSW, MA
Clinical Director
he/him/his
I come to this work from an unusual place: a background in literature and literary theory, and twenty years of teaching and counseling before I ever became a therapist. That means I listen quite differently from more behaviorally oriented therapists. Whether we are speaking face-to-face, or you are laying on the couch, as patients often do, I listen intently to how you speak, as well as to what speaks through you, outside of your awareness, and I support your efforts to say something about the unsayable, and to make use of it. I think of this as the practice of “full speech.” I also pay close attention to your dreams, your fantasies, and to the language you use, the verbal slips you make, the stories you tell about yourself, and the larger narratives — familial, generational, cultural, even unconscious — that have been shaping you long before you had a say in the matter.
Together, we co-author something new. Not by erasing your history, but by loosening its grip — finding the parts of the old story that were never really true, and uncovering resources you didn't know you had to build the life you actually want. Sexuality often has a central role in this work; it's rarely peripheral to who we are and who we're becoming, and I make room for it accordingly. I like to think of sexuality as our fundamental “unruliness,” the part of you that cannot be contained, and that is always seeking to disrupt, to break new ground, and to create the most singular, unique version of you. Often, when we’re able to embrace our unruliness, enjoy it, and learn how to work with it, it makes our lives immensely more satisfying.
How I work:
I work in a variety of ways depending on your specific aims and needs. Sometimes this looks like shorter, ego-focused and problem-focused therapeutic work. Sometimes this is much deeper work, focused on resolving unconscious resistances and attending to the maturational needs that were unmet while you were growing up. My kink-focused work tends toward supportive exploration and understanding of these aspects of your sexuality, and how you can better inhabit your kink identities, as well as conduct more satisfying kink dynamics. I also offer relationship focused therapy for couples and polycules.
Who I work with
Adults
Couples
Groups
How I see clients
Online
In person at our offices
Communities I support
LGBTQIA+ communities
Polyamorous and ethically non-monogamous relationships
Kink and BDSM communities
BIPOC clients
Sex workers
My approach
Warm and supportive
Deeply attentive
Emotionally attuned
Relational
Psychodynamic
Psychoanalytic
Strengths-based
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Ongoing:
Après-coup - Lacanian analytic training - 2011-present
Relational Life Institute - Couples therapy training - 2026-Present
Seminar on Countertransference and Emotional Communication with Dr. Paul Geltner - 2025-present
P-Hole (Psychoanalytic Hub for Online Liberatory Education) - Coursework focused on bareback psychoanalysis and use of the sexual unconscious to resist fascist violence - (Fall 2026)
Past education:
New York University - Silver School of Social Work - 2016-2018
l'École freudienne du Québec - Clinical Days Annual Seminar - 2009-2012
SUNY at Buffalo - Masters in Literature and Psychoanalytic theory - 2007-2011
Interested in working with me?
Learn more about availability, services, and next steps.