A Perceptual Shift grew out of years spent working inside healthcare, social service, and clinical systems—places where good intentions often collide with limited resources, ethical strain, and burnout.

The practice was founded by Matthew Breiner, MSW, LCSW, MBA, a hospital-based social worker and clinical supervisor with experience in emergency medicine, care management leadership, and behavioral health. Over time, it became clear that many of the people seeking help—clients and clinicians alike—weren’t lacking motivation or insight.

They were navigating systems that made growth harder than it needed to be.

The work here is grounded in that reality.

Rather than offering fixes or formulas, A Perceptual Shift focuses on:

• Clear thinking under pressure

• Ethical action inside imperfect systems

• Sustainable change that respects the full context of a person’s life or work

Whether through therapy or LCSW supervision, the goal is the same:

to help people see more clearly, act with integrity, and move forward without losing themselves in the process.

Sometimes the shift is subtle.
Sometimes it’s decisive.
Either way, it begins with seeing things as they are.