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.

Reach out—I’m listening

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’m Ready to Feel Different

I am licensed and an accredited member of these professional associations and regulators.

I am licensed and registered with these accredited 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.

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.

Reach Out Now