Locked In with Ian Bick

I Worked Inside Rikers Island — It Was Hell | Matt Frey

Feb 3, 2026
Matt Frey, a licensed therapist who spent seven years working inside Rikers Island and now runs a private practice. He gives a raw inside look at daily life behind bars. Topics include extreme violence and suicidality, how mental health services are used for protection, the trauma of staff and inmates, and the long personal toll of that work.
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ADVICE

Use Calm Presence To Build Trust

  • Keep a calm, flat affect when working with severe offenders to avoid escalation and build trust.
  • Matt Frey used breathing and eye contact to manage fear and develop rapport safely.
INSIGHT

Suicide Watch Is Not One Thing

  • Suicide watch in jail spans a spectrum from protective one-to presence to abusive naked-suit isolation.
  • Matt Frey highlights ethical conflicts when clearing people mentally fit for solitary that may worsen them.
ANECDOTE

Violence, Slashings, And Seeking Safety

  • Therapists and officers regularly suffer brutal assaults, including knockouts and slashings.
  • Matt says a culture of disfigurement exists and inmates use mental health to seek safer housing.
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