Juliet spier

specializing in queer and trans-affirming care, masculinity, and neurodivergence

My therapeutic work tends to resonate with people who are thoughtful, curious, and attuned to complexity, often those who have spent a long time thinking their way through distress and are ready for something that goes deeper. I often work with neurodivergent, queer, and trans clients, and with men both within and outside the LGBTQIA+ community. Many are navigating questions about identity, intimacy and desire, relationships, or non-monogamy alongside anxiety, depression, trauma, or chronic stress.

I also offer clinical supervision to therapists working towards licensure or professional development in my areas of expertise.

My background & approach

I’m a licensed clinical social worker with a background in gender and sexuality studies and over a decade of experience across a range of settings. Before entering private practice, I worked as a therapist in schools and in trauma treatment programs serving victims of violence, including intimate partner violence and incarceration. I’ve been in private practice for six years.

I completed my graduate degree and clinical training at Columbia University and continue to engage in ongoing relational psychoanalytic training through the Stephen Mitchell Center for Relational Studies. I participate in peer consultation groups focused on psychoanalytic work, chronic illness, queer and trans experience, and neurodivergence. I was a founding member of a sliding-scale community psychotherapy practice in Ridgewood, Queens, where I also served as a clinical supervisor to pre-licensed therapists. I later co-founded West Village Therapy Collective with two colleagues to focus on specialized, long-term psychotherapy.

I’m certified in EMDR and have additional training in Internal Family Systems (IFS), Sensorimotor Psychotherapy, Dialectical Behavioral Therapy (DBT), Exposure and Response Prevention (ERP), and Accelerated Experiential Dynamic Psychotherapy (AEDP). I’ve lectured on queer-affirming care and anti-oppressive approaches to psychotherapy. More broadly, I’m interested in how therapy fits into the social and cultural context of our time, and I stay engaged with critical and historically marginalized perspectives on mental health. I see psychotherapy as an evolving field that benefits from both research and the lived knowledge of patients.