BACP-registered psychotherapy built specifically around gay male psychology. Minority stress, internalised shame, and attachment patterns formed in environments where being known felt dangerous. These are the starting point.
A lot of gay men arrive having already been in therapy. The previous work was competent. The therapist was warm. Something was discussed, some of it was useful, and the thing that actually mattered never quite got reached.
That is not a reflection on the difficulty of the psychology or the skill of the previous practitioner. It is a starting-point problem.
A practice built specifically around gay male psychology starts from a different place. The contextual understanding is already there. The clinical frameworks are built around how gay men actually form, attach, and defend. The work can begin at the actual problem.
This is not a competence question. Most practitioners are skilled and well-intentioned. The issue is what most training programmes actually cover, and what they treat as specialist territory rather than foundational knowledge.
Most of the men I work with are managing well by external measures. That is often part of the problem. The clinical work begins at the gap between what is visible and what is actually running.
The clinical attention is calibrated to the psychological terrain gay men actually navigate.
The threat-detection system that kept you safe, now running where it isn’t needed.
Read more → ShameThe beliefs about self that formed in environments that treated gay identity as a problem.
Read more → RelationshipsPatterns of connecting and withdrawing formed when being fully known was dangerous.
Read more → CompulsivePatterns managing specific unmet needs, not failures of willpower.
Read more → IdentityThe specific psychological territory of midlife gay men and beyond.
Read more → ConnectionThe particular disconnection gay men carry and what the work addresses.
Read more → Sex & bodyPerformance, body image, and the shame underneath.
Read more → DatingThe patterns that keep showing up across partners.
Read more →
Ten+ years of specialist clinical work with gay men in the UK and across Europe. The practice is built around minority stress theory, attachment, and the specific psychological territory gay men navigate from formation through to later life. That territory is not context here. It is the clinical starting point.
The frameworks in use here are not adapted from general models with gay identity acknowledged as context. They are built around how gay men actually form, attach, and defend. The clinical difference is in what can be reached from that starting point.
No initial phone call or application process. No preliminary screening. You choose a date and time that suits you, and the booking is confirmed immediately.
Via secure video call. The first session helps us understand what brings you here, what has been repeating, and whether this work is the right fit.
Most clients begin weekly, particularly at the start of the work. Some move to fortnightly once things are established. Frequency is discussed and reviewed as the work develops.
No package, no minimum commitment. Sessions are 50 minutes, typically weekly. A client agreement covering the fee, the cancellation policy, and the limits of confidentiality is shared before the first session.
Confidentiality. Sessions are confidential within the limits of professional ethics and BACP guidelines. The specific limits are covered in the client agreement shared at the start of the work.
If you are in crisis. Psycosme provides ongoing psychotherapy. It is not suited to acute crisis, emergency mental health support, or psychiatric assessment. If you are in immediate distress, contact your GP, the Samaritans on 116 123, or emergency services.
Online psychotherapy for gay men across the UK, Europe, and South Africa. €135 per 50-minute session, paid individually. No packages, no minimum commitment.
Research consistently finds online therapy comparable to in-person work across a wide range of presenting concerns, including the relational and identity-focused work this practice does. The therapeutic relationship forms effectively via video call, and most clients find it becomes entirely natural within a session or two.
The UK, Ireland, Spain, Denmark, Norway, Greece, Cyprus, the Netherlands, Belgium, Sweden, Portugal, and South Africa, under BACP registration. In South Africa, therapy is delivered under HPCSA registration. All sessions are conducted online via secure video call.
€135 per 50-minute session, paid per session. Most clients attend weekly, particularly early in the work. There are no packages and no minimum commitment. The 60-minute first session functions as a clinical assessment and the work begins there.
If you have been in therapy before and found it technically competent but beside the point, a practice built specifically around gay male psychology is likely to reach further. The first session functions as a clinical assessment. The fit becomes clear quickly.
The first session is 60 minutes. Ongoing sessions are 50 minutes. Most clients begin weekly, particularly at the start. Some move to fortnightly once the work is established. Frequency is agreed collaboratively.
The first session functions as a clinical assessment. You do not need to prepare anything specific. The session covers what brings you to therapy, relevant history, and what you are hoping to change or understand. The work begins there.
Yes. Sessions are confidential within the limits of professional ethics and BACP guidelines. The specific limits of confidentiality are covered in the client agreement shared before the first session.
Psycosme provides ongoing psychotherapy. It is not suited to acute crisis, emergency mental health support, or psychiatric assessment. If you are in immediate distress, contact your GP, the Samaritans on 116 123, or emergency services. If you are managing a difficult period and not in acute crisis, therapy is likely appropriate and you are welcome to book.
Yes. Gino Cosme is registered with the HPCSA (PRC 0034622), South Africa's statutory health professions regulator, and works online with gay men in South Africa. Sessions run on the same format as UK and select European countries work: 50 minutes, weekly by default, at €135 per session, via secure video.
Ongoing therapy for gay men in the UK and Europe. Or The Formation Programme: six structured sessions and a written Pattern Map, available worldwide.