Matthew 'Mateo' Fregoso, MEd, LMHCA

Please use the schedule link to book an appointment and view availability. 
I am a licensed mental health counseling associate committed to promoting resilience and stability within adolescents, adults, older/senior adults, and couples; with a specific focus on LGBTQ+ and marginalized identities. Many of my patients find themselves struggling with difficult life transitions that cause them to question their personal identities, self-worth, and their futures. I treat these issues collaboratively and with compassion as I approach my work with intent to build opportunities for patients to reframe their pasts and move forward with greater freedom. 

My eclectic approach draws from many different evidence-based and holistic approaches but is largely rooted in Humanistic therapy, a holistic form of talk therapy that focuses on a person’s unique individual nature rather than assuming generalized problems based on one’s grouping, identity, or diagnosis. Issues of identity, depression, self-worth, life transition, and trauma are those that I see regularly. I gently challenge patients to explore the root causes of their symptoms and to explore core beliefs about themselves, others, and the systems they exist within to gain new awareness into their emotional patterns. 
My foundations are in advocacy and support of LGBTQ+ concerns. I am committed to maintaining a diverse, equitable, and inclusive practice, which serves as a safe harbor for people who identify as LGBTQ+ and people of the global majority. As such my therapy stance is in anti-oppression and trauma-informed practice.


Master of Education - Mental Health Counseling, University of Puget Sound 2021
Bachelor of Science - Psychology, University of Utah 2019


Mental Health Counselor Associate License #MC61184687, issue date 6/11/2021 
Supervisor Vera Dragonchuk, MA, LMHC license number LH00011247

Continuing Education Credits (CE)

  • Gender Minority Stress and Resilence in Transgender and Gender Nonbinary Clients. The Affirmative Couch. Megan Tucker, PsyD. 1.5 CE 4/2022
  • Polyamorous Clients in Therapy: What You Didn’t Know You Needed to Know. The Affirmative Couch. Stephanie Sulivan, MS, LLMFT. 3 CE 4/2022
  • Psychological Preparation for Medical Transition. The Affirmative Couch. Cadyn Cathers, PsyD. 12 CE 3/2022
  • Helping Transgender and Gender Nonbinary Young Adults Develop Self-Compassion. The Affirmative Couch. Megan Tucker, PsyD. 1.5 CE 4/2022
  • TeleBehavioral Health and Policy. University of Washington Behavioral Health Institute. 3/2021
  • HIPAA Training. Relias. 2 CE 8/2020
  • Cognitive Processing Therapy, Medical University of South Carolina. 9 CE 8/2020


LGBTQ+ & Gender Identity
Trauma & PTSD
Life Transitions


Gestalt Therapy
Person-Centered Therapy
Cognitive Processing Therapy
LGBTQ Affirmative Therapy
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