You're LGBTI+, you live in Madrid (or you've just moved here), and you're looking for a therapist. In English. Who actually understands what it means to be queer; not one who "doesn't have a problem with it" but one who genuinely gets the context.
That combination is harder to find than it should be.
The double filter problem
Finding a good therapist is already a challenge. Now add two filters: they need to work in English (because processing emotions in your second language is a different experience), and they need to be genuinely LGBTI+-affirmative (not just tolerant).
Many English-speaking therapists in Madrid are not specifically trained in LGBTI+ issues. And many LGBTI+-affirmative therapists in Madrid don't work in English. You end up choosing between being understood linguistically and being understood identitarily.
You shouldn't have to choose.
Why language matters in therapy
Therapy is built on words. The nuances of how you describe shame, desire, fear, identity. they shift between languages. Many bilingual people find that certain emotions live in one language and not the other. The anger you feel about your father might be a Spanish anger. The shame about your sexuality might be an English shame, rooted in the culture where you first experienced it.
Working in the language where your emotional material is most accessible makes the process more direct and more effective.
What "affirmative" actually means
An affirmative space is not one where your identity is tolerated. It's one where your identity is not the problem being solved. Where you don't have to spend sessions educating your therapist about what it means to be gay, bi, trans, or non-binary in 2026.
An affirmative therapist understands minority stress without you having to explain the concept. They know the difference between internalized homophobia and personality traits. They won't assume your anxiety is unrelated to your identity, and they won't reduce everything to your identity either.
You deserve a space where you can talk about what actually brings you; not spend sessions providing LGBTI+ 101 to your therapist.
What to expect in your first session
At deMiguel, the process starts with a free 30-minute conversation. It's not a session: it's a space to check if there's a fit. You'll get a sense of whether you feel understood, whether the approach resonates, and whether this is a space where you can be yourself without performing or filtering.
Sessions are available in-person in Madrid (Ponzano, Chamberí district) or online. You choose the format that works for you.
My approach
I work from an integrative counselling framework that combines IFS, EMDR, Gestalt, and somatic work, adapted to what each person and each moment needs. I'm bilingual (Spanish and English), trained in LGBTI+-affirmative practice, and I bring over a decade of corporate experience that means I also understand the specific pressures of professional environments.
If you're looking for a space in Madrid where you can work in English with someone who understands the LGBTI+ context without you having to teach it. this might be the right fit.