– Matthias Grätz –
Therapy & Counselling
I am a non-medical practitioner for psychotherapy (Heilpraktiker für Psychotherapie), sex therapist and systemic therapist. My pronouns are he/him. I work with individuals and couples on psychological difficulties, questions around sexuality and intimacy, and relationship issues of all kinds – in a space that is open to all identities, lifestyles and relationship forms, whether monogamous or not, straight or queer, neurotypical or neurodivergent. As a queer therapist, queer lived realities don’t need explaining in my practice.
Please feel free to contact me by email, phone or via the contact form.
Please note: I am not a native English speaker, but I work confidently in English.
My Areas of Work
Psychotherapy & Counselling
Sometimes there’s a concrete trigger – a crisis, a loss, a decision that feels impossible. Sometimes it’s a diffuse unease that has been there for a while. I work with people experiencing anxiety, depressive moods or difficulties with emotional regulation, as well as people navigating major life transitions or asking deeper questions about meaning, identity and direction.
Topics include: Anxiety & depression · Emotional regulation · Interpersonal difficulties · Decision-making & change · Questions of meaning and identity · Psychological support for people living with HIV
Queer Therapy & LGBTQIA+ Counselling
As a queer therapist, this is close to my heart – not as a niche offering, but as a lived attitude. I accompany people through coming-outs, transition processes, the effects of minority stress and internalised homo- or transphobia, and the broader question of how to live a good life as a queer person in a world that isn’t always built for us.
Topics include: Coming out · Transition · Queer identity & self-acceptance · Minority stress · Non-normative relationships · Rainbow families · Internalised homo- & transphobia
Neurodivergence
Many people living with ADHD, autism, high sensitivity, giftedness or PDA have found that standard therapeutic offerings weren’t made for them. In my practice, I meet neurodivergent people with genuine curiosity about their experience – not to help them conform, but to support them in understanding themselves better, naming their own needs clearly and finding a way of living that works for them.
Topics include: ADHD · Autism spectrum · High sensitivity · Giftedness · PDA · Late diagnosis & self-understanding · Exhaustion from masking · Neurodivergence & queer identity
Sex Therapy
Sexuality is a fundamental part of being human – and one of the areas people find hardest to talk about. Shame, performance pressure or the feeling that one’s desires aren’t „normal“ can lead to a deep disconnection from one’s own sexuality. I offer a space where all of it can find words: desires, uncertainties, dysfunction, kink, identity questions. Our sexuality is not fixed – it can move towards more pleasure, more self-acceptance, more connection.
Topics include: Sexual dissatisfaction · Erectile dysfunction, ejaculatio praecox, orgasm difficulties · Hypersexuality · Relationship to one’s own body & sexuality · Kink & BDSM · Sexual health · LGBTQIA+ issues
Couples & Relationship Therapy
Close relationships are our most fundamental need – and often our greatest challenge. Whether you’re navigating a relationship crisis, exploring the role of sexuality in your partnership, dealing with jealousy, separation or the question of which relationship model suits you: I help people step out of entrenched patterns and develop new perspectives.
Topics include: Relationship crises · Couple dynamics & sexuality · Non-monogamy, polyamory, relationship anarchy · Affairs & open relationships · Jealousy & self-worth · Patchwork & rainbow families · Separation support
Education
Training & Approach
My work is rooted in systemic therapy, which forms the foundation of everything I do. I hold a three-year training as a systemic therapist and as a relationship-dynamic sex therapist. I combine this systemic base with Internal Family Systems (IFS) and methods from the third wave of cognitive behavioural therapy – particularly ACT, CFT and DBT. Mindfulness runs through all of it as a core practice rather than an add-on. I also draw on existential psychotherapy when clients are grappling with deeper questions of meaning, freedom and identity. And I never forget the body: my training in bodywork and embodiment means I actively include physical sensations, posture and movement impulses in the therapeutic process. Regular supervision and continuing education are, for me, a non-negotiable part of doing this work well.
Costs and cost coverage
Please note that as a Heilpraktiker für Psychotherapie, I am unable to bill public health insurance directly. Sessions are self-funded. If you have private health insurance, it is worth checking with your provider whether therapy costs are covered, either in full or in part.
- Individual session: EUR 95 for 50-60 minutes or EUR 135 for 90 minutes
- Session with several people: 105 EUR for 50-60 minutes or 150 EUR for 90 minutes
- Initial consultation: 35 EUR for 30-45 minutes.
All prices include VAT. Sessions can take place online by prior arrangement. If you are in financial difficulty, please get in touch – I am open to finding a solution.
Ready for a first conversation?
The initial consultation is a chance to get to know each other, discuss what brings you here and see whether we’re a good fit. There’s no pressure to commit to anything straight away.