Licensed Independent Clinical Social Worker, LICSW
Not accepting new clients
Young adults / college students (18 - 24)
Specialties & expertise
- Care-givers and loved ones
- End-of-life support for patients
- Chronic illness
- Existential challenges
- Loss and grief
- Meditation, concentration, & mindfulness
- Pain management
- Religious distress
- Transformative religious & spiritual experiences
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.
Care-givers and loved ones
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 / crises – 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
Meditation, concentration, & mindfulness
Transformative religious & spiritual experiences
Anxiety and perfectionism
Seguin is not in-network with any insurances.
- Individual sessions: $100/session (60min)
Reduced rate: A sliding scale of $50-$75/session (60min) is offered to clients who need a reduced fee to receive therapy.
Therapist's note: Seguin can provide you with paperwork for reimbursement from your insurance company if you are seeking out-of-network sessions.
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."
Mindfulness PracticesMindfulness practices include but are not limited to developing awareness, attention, and remembering. In mindfulness-informed therapy, clients develop tools to become aware of what is occurring within and around them, so they can begin to untangle from mental preoccupations and difficult emotions. Self-acceptance and compassion are also core elements of mindfulness-informed therapy.
Psychodynamic TherapyThe aim of psychodynamic therapy is to bring the unconscious mind into consciousness - helping individuals unravel, experience and understand their true, deep-rooted feelings in order to resolve them. It takes the view that our unconscious holds onto painful feelings and memories, and that the defenses we develop to ensure these difficult memories do not surface from our unconscious often do more harm than good. (learn more)
Supportive TherapySupportive psychotherapy is used primarily to reinforce a patient’s ability to cope with stressors by giving clients the opportunity to express their feelings and thoughts about the issues. Clinicians help patients learn how to move forward and make decisions or changes that may be necessary to adapt, either to an acute change, such as the loss of a loved one or severe disappointment, or to a chronic situation, such as an ongoing illness. (learn more)
Education and work experience
Private Practice, Psychotherapy and Mindfulness Coaching, 2011 - Present
Brown University School of Public Health, Study therapist, 2017 - Present
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