Seguin  Spear

Seguin Spear

Licensed Independent Clinical Social Worker, LICSW

Accepting new clients for in-person appointments at Providence office and for remote video sessions for clients living in RI, MA, or CA (updated September 15, 2019)

Specialties & Expertise

  • Care-givers and loved ones
  • End-of-life support for patients
  • Chronic illness
  • Existential challenges
  • Loss and grief
  • Building emotional resilience
  • Anxiety
  • Depression
  • Meditation, concentration, & mindfulness
  • Pain management
  • Religious distress
  • Transformative religious & spiritual experiences
  • Self-compassion
  • Perfectionism

Professional statement

Seguin Spear is a Licensed Clinical Social Worker who previously worked in private practice locations in the Bay Area, Japan, and Taiwan. She returns to the East Coast, where she grew up and attended college and graduate school, to provide psychotherapy and mindfulness coaching. She lived in a meditation community for six years and is dedicated to bringing her calm and perceptive eye to each session with her clients.

Seguin has particular specialty in assisting individuals coping with long-term and chronic medical conditions, family members managing caregiver stress, and individuals religious communities experiencing extreme spiritual states. She makes an effort to work with her patients in terms of location of services, and can discuss alternative meeting locations and phone/video call appointments if stairs are a concern.

In her practice, Seguin uses a combination of mindfulness practices, psychodynamic therapy, and supportive therapy to help her clients discover their innate strengths and grow towards their goals. Throughout her career, Seguin has served as an oncology and organ transplant social worker, a psychiatric crisis team worker for adults with HIV, and a resident meditation practitioner at San Francisco Zen Center.

Message to clients

It's natural to need caring support during painful changes and difficult times. If you, or someone close to you, are just learning of new health issue, coping with a chronic medical condition, or living with a catastrophic illness, you may find yourself feeling frightened, depressed or overwhelmed. Old emotional wounds, bad memories or family struggles can re-emerge, in addition to new fears for yourself or the people you love. Sometimes it is difficult to know how to make necessary choices or to decide what to prioritize. I am experienced in supporting people impacted by life-changing illnesses, and people in the last part of their lives. I bring a caring, attentive presence and perceptive intelligence to each session. I am committed to co-creating vital therapeutic relationships that provide discernible benefit to my clients.
I also assist people who want to reduce feelings of anxiety, or who struggle with self-doubt, creative blocks, or perfectionism. Therapy begins with our exploring the challenges, questions and hopes that bring you to seek support now. Together we establish goals for your therapy and look at ways to improve your wellbeing immediately. As you continue, you may choose to go deeper into habitual behaviors, thought patterns or experiences that impede your vitality, connection and peace. LGBTQ and Poly safe and knowledgable. Informed by intersectionality.


Care-givers and loved ones - Coping with anxiety, stress, fatigue, and burnout related to caring for a loved one; balancing the needs of others with one's own needs and health

End-of-life support for patients - End-of-life support for patients

Chronic illness - Managing chronic illness; receiving a diagnosis, contemplating and processing related emotions; mindfulness in coping with chronic illness

Existential challenges - Questioning purpose, spirituality, existence; finding one’s path and voice, especially when it differs from society's expectations

Loss and grief - Processing the loss of a loved one, any form of grief; processing the emotional aspects of personal illness or the illness of a loved one

Building emotional resilience - Building emotional resilience

Anxiety - Coping with excessive worry, nervousness, or stress; intense discomfort in social settings (social anxiety); sudden and intense feelings of panic (panic disorder)

Depression - Providing support and promoting healing through hopelessness, low motivation and energy, sadness, irritability, sleep disturbance, and loss of interest and pleasure in life

Meditation, concentration, & mindfulness - Meditation, concentration, & mindfulness

Pain management - Managing the biological, psychological, and emotional aspects of pain

Religious distress - Exploring beliefs and practices related to meaning, existence, and spiritual health and healing; enjoying a deeper felt connection with the spiritual dimension of one's life

Transformative religious & spiritual experiences - Transformative religious & spiritual experiences

Self-compassion - Self-compassion

Perfectionism - Coping with feelings of anxiety, stress, self-criticism, and procrastination; addressing unrealistic expectations of one’s self and negatively comparing self to others

General expertise


Seguin Spear is not in-network with any insurances.

Read about the benefits of seeing an out-of-network provider here.

Out-of-pocket fees

  • Ongoing session fee: $150 (60min)
  • Sliding Scale: $75 - $150
  • Sessions for graduate students, working artists, journalists, VAPs, and adjuncts: $75 (60min)

Therapist's note

Seguin can provide you with paperwork for reimbursement from your insurance company if you are seeking out-of-network sessions.

Her office is located on College Hill in Providence, RI, walking distance from Brown and RISD.
Seguin also offfers remote video therapy to clients in RI, MA, and CA.


Remote video therapy sessions offered? Yes

Work and Education

Private Practice, Psychotherapy and Mindfulness Coaching, 2011 - Present

Brown University School of Public Health, Study therapist, 2017 - 2019

Stanford Health Care, Oncology & Liver Transplant, Medical Social Worker, 2014 - 2016

University of California, San Francisco, Substance Use Counseling, Social Worker, 2013

University of California, San Francisco, Mobile Psychiatric Crisis Team, Social Worker, 2007 - 2011

Mindfulness Skills Group Facilitator, 2010 - 2013

Smith College School for Social Work, Postgraduate Certificate in Palliative and End of Life Care, 2016

Smith College School for Social Work, MSW, 2007

Mount Holyoke College, BA, Anthropology and Art, 1995


  • English
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