MEET THE THERAPIST you’ll be talking to

I’m Gino.
Let’s get beneath
what’s on the surface.

A gay therapist and writer, with Portuguese and South African roots, and a broad international perspective. Direct, curious, and interested in the whole person.

Gino Cosme

How I got here

From how life looks
to how it feels.

I trained in psychology in South Africa and completed my postgraduate clinical work in Portugal. Before moving into psychotherapy full time in 2015, I worked as a management consultant.

That earlier career sharpened my interest in performance: what people show to the world, what stays out of view, and the distance that can develop between the two. My clinical work is concerned with the person living in that distance.

I work with gay men around shame, identity, relationships, body image, anxiety and the private cost of appearing fine. I bring psychodynamic, attachment-based and relational perspectives to that work, informed by minority stress.

I am based between London, Lisbon and Cape Town, and work online in English across multiple time zones.

The way I work

Your sexuality isn’t a footnote.
Your whole story belongs here.

There is room for complexity, uncertainty and things you have not said out loud before. Together, we pay attention to what is happening now, how it came to make sense, and what a different response might look like.

Professional background

A specialist gay therapy practice.
A human conversation.

  • BACP registration: 00993851
  • HPCSA registration: PRC 0034622
  • NCPS registration: 597

View my BACP profile ↗

I also write Unfiltered Clarity, a Substack publication on the psychological patterns that shape gay men’s lives.

You can begin
where you are.

See how we could work together