With a Gay Therapist, You Don’t Have to Keep Pretending You’re Fine
If you’re a gay man stuck in your head, constantly overthinking, battling anxiety or shame—or just exhausted from trying to hold it all together—I want you to know this:
You’re not broken. You’re burned out from surviving.
I’m Gino Cosme—a licensed gay therapist who’s spent over a decade helping queer men around the world untangle the deeper stuff no one else talks about.
I work with clients who look successful from the outside but feel like a mess inside.
The kind of men who say things like:
“Why do I still feel like I don’t belong—even in gay spaces?”
“I hate that I keep going back to hookups when I actually want connection.”
“I don’t know how to stop beating myself up.”
Sound familiar?
I’ve heard it all. And more importantly: I get it.
You don’t have to explain the nuance of internalized homophobia.
You don’t need to justify the shame spiral after your last breakup.
You won’t have to teach me why Grindr leaves you feeling emptier.
I’ve lived it. I’ve helped hundreds of other gay men work through it.
What We Can Work On Together
Healing unresolved trauma from childhood, religion, or relationships
Managing anxiety, panic, and depression
Building self-esteem that isn’t fake or performative
Dealing with loneliness, isolation, or “not fitting in”
Redefining sex, love, and dating on your own terms
Reconnecting with who you really are—beyond coping and survival
I am licensed and an accredited member of these professional associations and regulators.
What Therapy With Me Looks Like
This isn’t a quick-fix solution.
This is deep, honest work.
I don’t sit there nodding blankly while you spiral.
I engage. I reflect. I challenge you with compassion.
Our sessions are raw, sometimes heavy, often revealing—and occasionally interrupted by dark humor, because let’s be real: gay trauma comes with punchlines, too.
If you’re ready to:
Feel less anxious and more grounded
Trust yourself instead of second-guessing everything
Finally stop hiding behind who you think you should be
Then we’re probably a good fit.
Talk to a Gay Therapist Who Gets It
Whether you’re stuck in hookup cycles, struggling to feel worthy in love, or tired of performing your way through life, I can help you unpack the deeper stuff: shame, intimacy fears, emotional burnout, loneliness, and the pressure to have it all together
Our work together is about cutting through the noise so you can live with more clarity, honesty, and self-respect
Inquire about working together below.
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For clients in the USA, Canada, and Australia, please click here.
Here's how I can support you:
Rebuild confidence and self-trust after years of hiding, performing, or feeling “not enough”
Break patterns in relationships—ghosting, chasing, shutting down—and start connecting more deeply
Let go of people-pleasing and start showing up for your own needs without guilt
Heal emotional wounds from childhood, religion, bullying, or toxic family dynamics
Navigate the messiness of modern gay dating and friendship—with less anxiety and more clarity
Work through anxiety, depression, or loneliness that’s been quietly taking over
Explore sex, intimacy, and desire without shame, pressure, or labels
Look at patterns around substance use, porn, or hookup burnout with honesty—not judgment
Build emotional resilience and create self-care that actually works in your real life
Ready to Talk?
I work online with gay men globally—from Berlin to Singapore, Madrid to Dubai, Romania to Boston.
No matter where you’re based, we can connect.
My current rate is €150/session, with limited sliding scale options.
To get started, fill out the contact form and tell me what’s been weighing on you.
I’ll personally review your message and respond with my availability and how we might work together.
Let’s make this the moment things start to shift.
What Other’s Are Reading
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