Seguin  Spear
Zencare Vetted

Seguin Spear

Licensed Independent Clinical Social Worker, LICSW
California, Rhode Island Not Accepting Online
Providence Not Accepting In-person

This therapist is currently not accepting new clients. Find available Rhode Island and California therapists on Zencare.


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.


Specialties

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




Clientele

  • Adults (24+)
  • Parents
  • Seniors (65+)
  • Young adults (18-24)

Insurance

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 sessions: $150 (60min)
  • Sliding scale: $75 - $150
  • Sessions for graduate students, working artists, journalists, VAPs, and adjuncts: $75 (60min)

Additional session information

Out-of-network billing options

This provider can support you in getting reimbursement from your insurance company if you are seeking out-of-network reimbursement. Here are the out-of-network billing options they provide:

  • Super billing
Therapist's note

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.


Location(s)

Providence practice
Not accepting new clients in-person
Currently Available Times
  • Morning (Before 10am)
  • Daytime (10am - 1pm)
  • Afternoon (1pm - 5pm)
  • Evening (After 5pm)
  • Weekends
Regular Hours
  • Mon Please inquire for hours
  • Tue Please inquire for hours
  • Wed Please inquire for hours
  • Thu Please inquire for hours
  • Fri Please inquire for hours
  • Sat Please inquire for hours
  • Sun Please inquire for hours

Online Sessions (California)
Not accepting new clients online
Currently Available Times
  • Morning (Before 10am)
  • Daytime (10am - 1pm)
  • Afternoon (1pm - 5pm)
  • Evening (After 5pm)
  • Weekends
Regular Hours
  • Mon Please inquire for hours
  • Tue Please inquire for hours
  • Wed Please inquire for hours
  • Thu Please inquire for hours
  • Fri Please inquire for hours
  • Sat Please inquire for hours
  • Sun Please inquire for hours

Online Sessions (Rhode Island)
Not accepting new clients online
Currently Available Times
  • Morning (Before 10am)
  • Daytime (10am - 1pm)
  • Afternoon (1pm - 5pm)
  • Evening (After 5pm)
  • Weekends
Regular Hours
  • Mon Please inquire for hours
  • Tue Please inquire for hours
  • Wed Please inquire for hours
  • Thu Please inquire for hours
  • Fri Please inquire for hours
  • Sat Please inquire for hours
  • Sun Please inquire for hours

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
Mindfulness Skills Group Facilitator, 2010 - 2013
University of California, San Francisco, Substance Use Counseling, 2013
University of California, San Francisco, Mobile Psychiatric Crisis Team, 2007 - 2011

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


Languages

English


Professional endorsements

"Seguin offers clients a balance of keen intellect and intuition. She creates a safe and sacred space for clients where she holds their vulnerabilities and truths with respect and tenderness. She is equally committed to gentleness and honesty as well as awareness and accountability. Seguin’s varied and vast experience provides clients a deep and rich resource. I refer clients to her for the exploration of existential, spiritual, or religious questions as well as chronic and serious illness (cancer, living with pain, end-of-life care)."

- Wendy Rogers, PhD • January 2017

Client testimonials

"Talking with Seguin was so positive and eye opening, and she was able to point me in the right direction! Very grateful! Thank you so much!"
- Zencare client • May 2017