A place to work with what keeps returning.
Clinical work with anxiety, shame, intimacy, loneliness and relationship difficulties, informed by gay men’s lived context.
How therapy works ↗Gino Cosme / Online therapy for gay men
A gay therapist.
Your life doesn’t
need translating.
Online psychotherapy for gay men navigating anxiety, shame, loneliness and recurring relationship patterns. Work grounded in more than a decade of clinical experience and an understanding of the contexts that shape gay men’s lives.
Therapy: Available in selected countries.
Coaching is available worldwide.
You don’t have to
explain the context.
The pressure to be desirable. The distance between being liked and feeling known. The private cost of appearing fine.
I’m a gay psychotherapist and writer. I know these pressures from lived experience as well as more than a decade of working with gay men, paying particular attention to shame, attachment and the way minority stress can shape everyday life. You don’t have to explain why being gay matters, or spend your sessions teaching me about the world you navigate. We can start with what it’s meant for you.
Meet Gino ↗
BACP registered · 00993851
HPCSA registered · PRC 0034622
10+ years working with gay men
Online · In English
What brings
you here?
- Dating and relationshipsI keep ending up in the same kind of relationship.
- Anxiety and self-doubtI replay conversations long after everyone else has gone home.
- LonelinessI have people to spend time with. I still feel lonely.
- Shame and self-acceptanceEven with people I trust, I edit what I say about myself.
- Body imageWorrying about how I look gets in the way of things I’d like to do.
- Sex and intimacyDuring sex, I’m thinking about how I’m coming across.
- Dating apps and hookupsI keep opening the apps after I’ve stopped enjoying them.
Therapy and coaching
Two ways to
work with me.
The right starting point depends on the kind of support you’re looking for.
A clearer direction, with structure around it.
A focused arrangement for personal development, relationships and the decisions you want to make. Weekly sessions and agreed between-session support.
Explore coaching ↗From the writing desk
Writing that goes further
into the patterns.
Questions
Why see a gay therapist?
You don’t have to spend the first sessions explaining gay life or checking how I’ll react to it. Dating apps, open relationships, shame and the habit of managing how others see you are all part of the starting point. I’ve worked with gay men for more than ten years, and I’m gay myself.
What is the difference between therapy and coaching?
Therapy is clinical work with emotional and relational difficulties. Coaching is non-clinical work on goals you can already name, such as a relationship decision or a change of direction. Coaching does not diagnose or treat mental health conditions.
Where can I have online therapy with you?
I offer therapy to clients in the UK, Ireland, Spain, Denmark, Norway, Greece, Cyprus, the Netherlands, Belgium, Sweden, Portugal and South Africa. If you live anywhere else, or therapy isn’t what you want, you can choose coaching, which is available worldwide.
How much do therapy and coaching cost?
Therapy starts with a 60-minute session at €135. Ongoing 50-minute sessions are €135, or £115 in the UK. Coaching starts with a paid 60-minute intake at US$225, followed by three months at US$850 per month or six months at US$750 per month.
How do I start?
Read the therapy or coaching page, then choose a time in the calendar. No application or preliminary call is needed.
Are you a registered therapist?
Yes. I’m registered with the BACP (00993851), the HPCSA (PRC 0034622) and the NCPS (597).
Ready to
begin?
Questions about fit or availability? Contact Gino