# Psycosme

> Practice of Gino Cosme. Online therapy for gay men in the UK, Ireland, select European countries, and South Africa. Developmental coaching for gay men worldwide, billed in USD. The Formation Programme, a structured group programme (cohorts of up to six men over twelve weeks), available worldwide. Run by Gino Cosme, BACP-registered gay therapist (BACP #00993851, BPS #509049, HPCSA #PRC0034622, NCPS 597). Clinical framework: minority stress theory, attachment theory, gay male psychology. No self-help, no toxic positivity. Recognition over rescue.

## Core Service Pages

- [About Gino Cosme](https://www.psycosme.com/about): BACP-registered gay therapist, clinical framework, credentials, and why this practice exists.
- [Services](https://www.psycosme.com/services): The three ways to work together. Clinical therapy (UK, Ireland, select European countries, and South Africa, €135 per session), developmental coaching (worldwide, USD), and the Formation Programme group cohorts.
- [Online Therapy for Gay Men](https://www.psycosme.com/online-therapy-gay-men): How therapy works and who it is for. €135 per 50-minute session. Limited availability. Available to gay men in the UK, Ireland, select European countries, and South Africa.
- [Online Coaching for Gay Men](https://www.psycosme.com/online-coaching-gay-men): Non-clinical, forward-focused coaching for gay men, worldwide, including Germany, France, the US, and Canada. Two containers, 3-month and 6-month, billed monthly in USD.
- [The Formation Programme](https://www.psycosme.com/the-formation-programme): A structured group programme of psychological pattern recognition for gay men. Cohorts of up to six men over twelve weeks. Worldwide. Each participant builds his own Pattern Map.

## Topic Pages

- [Gay Loneliness and Isolation](https://www.psycosme.com/gay-loneliness): Why gay loneliness is structurally distinct from general loneliness, and what changes it clinically.
- [Anxiety and Minority Stress in Gay Men](https://www.psycosme.com/anxiety-gay-men): Why gay men experience anxiety at disproportionate rates, and the minority stress framework.
- [Internalised Homophobia and Shame](https://www.psycosme.com/internalised-homophobia): The clinical distinction between shame and internalised homophobia, and how both operate.
- [Gay Men and Relationships](https://www.psycosme.com/gay-men-relationships): Attachment patterns, intimacy avoidance, and how early formation shapes adult partnership.
- [Grindr Addiction and Compulsive App Use](https://www.psycosme.com/grindr-addiction): Compulsive behaviour on dating apps as psychological symptom rather than moral failing.
- [Chemsex Therapy](https://www.psycosme.com/chemsex-therapy): Clinical perspective on chemsex, what it manages, what it costs, and what changes it.
- [Ageing as a Gay Man](https://www.psycosme.com/aging-gay-men): How gay male culture's relationship with age affects identity, body image, and belonging.
- [Gay Sex Anxiety](https://www.psycosme.com/gay-sex-anxiety): Sexual anxiety in gay men, performance, shame, identity, and the body.
- [Gay Open Relationships](https://www.psycosme.com/gay-open-relationships): Non-monogamy in gay male partnerships, what research and clinical experience show.
- [Gay Dating](https://www.psycosme.com/gay-dating): The psychology of gay dating, apps, avoidance, attachment, and what gets in the way.
- [Gay Male Friendships](https://www.psycosme.com/gay-friendships): Why genuine gay male friendship is harder to build than it should be, and the structural reasons.

## Articles (Blog)

- [Articles index](https://www.psycosme.com/blog/): All clinical articles, filterable by category.
- [Why Am I Gay?](https://www.psycosme.com/blog/why-am-i-gay): "Why am I gay?" is a shame question dressed as a science question. Clinical perspective on orientation and identity.
- [Gay Shame](https://www.psycosme.com/blog/gay-shame): What gay shame is, where it comes from, and how it operates, distinct from internalised homophobia.
- [Why Gay Men Cheat](https://www.psycosme.com/blog/gay-cheating): Infidelity in gay relationships as an attachment problem, not a character problem.
- [Absent Fathers and Gay Men](https://www.psycosme.com/blog/absent-fathers): How the father relationship, or its absence, shapes adult relationships with men.
- [Toxic Gay Relationships](https://www.psycosme.com/blog/toxic-relationship): What toxic actually means in a clinical context, and why it is harder to leave than it sounds.
- [Gay Men and Body Image](https://www.psycosme.com/blog/male-body-image): Body shame in gay men, causes, presentations, and the psychology underneath it.
- [Coming Out](https://www.psycosme.com/blog/coming-out): Coming out as a decades-long process, not a single event, and what the script misses.
- [Childhood Trauma and Gay Men](https://www.psycosme.com/blog/lgbtq-trauma): What early experiences produce in adult gay men's psychology, and why it is often unexamined.
- [Emotional Dependence in Gay Men](https://www.psycosme.com/blog/emotional-dependence): Why emotional dependence is structurally more likely in gay men, and what changes it.
- [What Is Sexuality?](https://www.psycosme.com/blog/what-is-sexuality): The distinction between sexuality and sexual orientation, and why it matters clinically.
- [The Velvet Rage](https://www.psycosme.com/blog/the-velvet-rage): Clinical reading of Alan Downs' framework, what it gets right about gay shame and where it falls short.
- [Journaling Prompts for Gay Men](https://www.psycosme.com/blog/journaling-prompts): 50 clinically grounded journaling prompts covering identity, shame, family, relationships, and body.
- [Conversion Therapy](https://www.psycosme.com/blog/conversion-therapy): What conversion therapy is, what it does, why it persists, and what survivors need.
- [Minority Stress in Gay Men](https://www.psycosme.com/blog/minority-stress-gay-men): How minority stress shapes anxiety, shame, and relationships in gay men, and why generic therapy frequently misses it.
- [Why More Friends Won't Fix Gay Loneliness](https://www.psycosme.com/blog/more-friends-wont-fix-gay-loneliness): The usual advice for gay loneliness treats it as a contact problem. The actual problem is capacity, and that needs different work.

## Booking

- Therapy first session, paid 60-minute clinical assessment (UK & select European countries): https://psycosme.neetocal.com/first-session
- Coaching intake session, paid 60-minute intake (worldwide): https://psycosme.neetocal.com/first-coaching-session-intake
- The Formation Programme waitlist: https://www.psycosme.com/formation-waitlist

## Pricing

- Therapy: €135 per 50-minute session, billed individually in EUR. No packages, no minimum commitment. UK, Ireland, select European countries, and South Africa only (BACP and HPCSA registered).
- Coaching: USD, billed monthly. Three-month container $850 for the first month; six-month container $750 for the first month; remaining months invoiced separately. Paid 60-minute intake session $225. Worldwide.
- The Formation Programme: $700 USD founding cohort, $900 USD thereafter. Cohorts of up to six men. Worldwide.

## About the Practitioner

Gino Cosme is a BACP-registered gay therapist (BACP #00993851) with 10+ years of clinical experience specialising in gay male psychology. He also holds BPS registration (#509049), HPCSA registration (PRC 0034622), and NCPS registration (597). He is based between London and Lisbon, and works in English. He trained in psychology in South Africa and completed postgraduate clinical work in Portugal. He does not practise conversion therapy. He works from minority stress theory, attachment frameworks, and an integrative psychodynamic-relational orientation. He also writes Unfiltered Clarity on Substack (https://www.unfilteredclarity.com), weekly clinical essays on gay male psychology.

## The Formation Programme, in Detail

A structured group programme of psychological pattern recognition for gay men. Cohorts of up to six men over twelve weeks: six 90-minute group sessions plus one private session per participant. The sessions move through six domains: Formation, Shame Architecture, Relational Patterns, Body & Sexuality, Identity vs Performance, and What You Actually Want. Each participant builds his own written Pattern Map across the programme, guided and structured. Cohorts run quarterly; dates are released to the waitlist first. $700 USD for the founding cohort, $900 USD thereafter. Coaching and the Programme are non-clinical and developmental; therapy remains restricted to UK, Ireland, select European countries, and South Africa clients under BACP and HPCSA registration. Waitlist: https://www.psycosme.com/formation-waitlist

## Legal

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- [Disclaimer](https://www.psycosme.com/legal/disclaimer)
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- [Fulfillment Policy](https://www.psycosme.com/legal/fulfillment-policy)