Gino Cosme

I work integratively across psychodynamic, attachment-based, and relational frameworks, read through minority stress theory. In practice, that means looking at how growing up gay shaped your nervous system, relationships, and sense of what you're allowed to want beyond what you seek therapy for.

My orientation is recognition over reassurance. I won't tell you you're doing great when the pattern in front of us says otherwise, and I won't pathologise things that are a reasonable response to an unreasonable environment. Ten years of clinical work with gay men means the presenting issues rarely surprise me anymore. Internalised homophobia, chemsex, compulsive app use, absent fathers, the particular loneliness of being surrounded by people and still unseen. What varies is how each man got there and what he's built around it to survive.

Sessions are direct, but that doesn't mean detached. I'll meet you where you are and tell you the truth about what I see, delivered with the care it deserves rather than clinical distance for its own sake.