My Approach

I work relationally and integratively, recognising that our ways of thinking, feeling, and connecting with others are shaped by our relationships. Therapy offers an opportunity to understand these patterns with curiosity and compassion, while developing new ways of relating to yourself and those around you. Alongside relational psychodynamic psychotherapy, I draw integratively from humanistic, existential, and third-wave CBT approaches where appropriate.

I offer both shorter and longer-term therapy. Some clients come with a particular issue or focus in mind, while others seek a more open-ended and exploratory space to understand emotional difficulties, relationships, or the impact of earlier experiences.

My work includes extensive experience supporting LGBTQIA+ clients and Gender, Sexuality and Relationship Diversity (GSRD). Areas of particular interest include sexuality and intimacy, HIV, psychosexual concerns, compulsive sexual behaviour, shame, trauma, and the lasting impact of difficult early relationships on present patterns of connection and emotional life.

Therapy with me is collaborative, thoughtful, and paced according to your needs. Alongside reflection and exploration, I may also use humour, metaphor, and imagination where these help us make sense of your experience. I aim to create a space where all parts of yourself can be brought with curiosity, acceptance, and compassion.

About Me

Hello, my name is Dr Nate Speare (he/him). I am a UKCP-registered psychotherapist offering online LGBTQ+ affirmative psychotherapy. As a Queer therapist, I recognise the importance of working in ways that feel emotionally safe, culturally informed, and affirming of complexity and difference. My practice is grounded in anti-oppressive, trauma-informed, and culturally sensitive ways of working.

I aim to provide a reflective and collaborative space where you can think openly about your experiences, relationships, sexuality, identity, and emotional life. I believe the therapeutic relationship itself can become an important place to explore patterns of intimacy, shame, self-protection, vulnerability, or disconnection that may emerge both within therapy and elsewhere in life.

I have extensive experience working with sexuality and intimacy, psychosexual concerns, sexual health and HIV, compulsive sexual behaviour, drug and alcohol issues, and the long-term impact of trauma and difficult early relational experiences.

Alongside private practice, I currently work psychotherapeutically within specialist NHS mental health services and have a longstanding background in NHS sexual health. I originally qualified with the BACP in 2013, became UKCP registered in 2024, and have also completed a Doctorate in Counselling Psychology and Psychotherapy.

Starting therapy can feel vulnerable, particularly if you have struggled to feel understood elsewhere. I aim to offer a compassionate, thoughtful, and non-judgemental space where we can explore what feels difficult at a pace that feels manageable. You are welcome to reach out if this way of working resonates with you.

I work with

• Individuals

Special Interests

Like all UKCP registered psychotherapists and psychotherapeutic counsellors I can work with a wide range of issues, but here are some areas in which I have a special interest or additional experience.

Types of Therapies Offered

• Humanistic and Integrative Psychotherapist