Matt Getting, LMHC, ASAT

Sex Addiction, Betrayal Trauma, and Relationship Counseling

Getting help can feel especially difficult when what you are facing involves shame, secrecy, or broken trust. I work with people experiencing sex addiction and compulsive sexual behaviors, as well as partners affected by betrayal trauma. I offer a place to talk openly about what has been happening, understand its impact, and begin working toward meaningful change.

For people seeking recovery from sex addiction, our work can include understanding recurring patterns, recognizing triggers, developing coping skills, and strengthening boundaries and accountability. For partners experiencing betrayal, therapy can make room for the shock, grief, anger, and uncertainty that may follow. We can focus on your needs, rebuilding trust in yourself, and clarifying your next steps. 

I also work with couples who feel caught in repeated arguments, disconnection, or difficulty communicating. I help partners practice listening, express their needs more clearly, and develop more helpful ways to manage conflict. When trust has been damaged, we can explore what each person needs and what moving forward might mean. For those navigating infidelity or sexual addiction, we may work toward a formal disclosure process as part of repair.

Compassion and empathy guide my approach. I take time to understand your experiences and draw on person-centered therapy, mindfulness, and trauma-informed care. Mindfulness can help you notice thoughts, emotions, and urges before reacting automatically, creating more room to choose how you respond. Together, we connect that understanding with practical changes in daily life.

Alongside my work with addiction and betrayal, I see teens ages 14 and older and adults experiencing anxiety, depression, trauma, abandonment wounds, and codependency. These concerns can affect how you see yourself and connect with others, even when you have difficulty explaining exactly what feels wrong.

I am a Licensed Mental Health Counselor and Associate Sex Addiction Therapist (ASAT), and I have completed the full Certified Sex Addiction Therapist (CSAT) training through the International Institute for Trauma and Addiction Professionals.

I earned my master’s in Clinical Mental Health Counseling from Capella University and my bachelor’s in Psychology from Iowa State University. My experience includes community mental health, behavioral hospital care, crisis stabilization, private practice, college counseling, and vocational support for people with intellectual disabilities.

I provide therapy through Full Heart Family Therapy in Ankeny. Email office@fullheartfamilytherapy.com to ask about current openings, insurance, and scheduling with me.