BACP Registered
HPCSA Registered
NCPS Member
15 years clinical work with gay men
Online worldwide · in English
“
I'd been in therapy on and off for years. I could describe my patterns. I could not change what they were doing. The Formation Programme didn't fix me — that was never the point — but it gave me a clearer map than any of it.
* A client, Dublin · on completing the programme
Who this is for

This work is for the point where insight has stopped being enough.

The pattern is named vaguely — and it still runs the show. You can describe it. You may even know where it came from. And still, it keeps showing up.

If most of the points to the right sound like you, this work is likely worth the conversation.

  • You keep repeating the same relational pattern, even though you understand it intellectually.
  • You are functioning well from the outside and privately tired of managing yourself.
  • You've done therapy, read the books, listened to the podcasts — and still feel something old running the show.
  • You know the issue isn't only dating, sex, body image, or shame. It's the pattern underneath them.
  • You want structured psychological clarity, not vague encouragement.
  • You want language accurate enough to use after the sessions end.
The six sessions

A bounded arc across formation, shame, relationships, sexuality, identity, and desire.

Six conversations, in a deliberate order. Each session feeds the next. The last one is where the map gets sharp.

Week One
01
Formation
The environments — family, religion, culture, school — that shaped how you learned to manage your identity, your needs, and your visibility.
Week Two
02
Shame Architecture
Where the shame lives, what it protects, and how it shows up in behaviour that doesn't look like shame from the outside.
Week Three
03
Relational Patterns
Who you choose, how close you get before you pull back, what intimacy actually costs you, and where avoidance is doing the steering.
Week Four
04
Body & Sexuality
Appearance, performance, what you allow yourself to want. Where the body became a project rather than a context.
Week Five
05
Identity vs Performance
What's genuinely yours from what was learned. Who you are when the performance stops, and what it has cost to keep it running.
Week Six
06
What You Actually Want
Not what you think you should want. With a more accurate map, what direction does that suggest? What becomes available that wasn't before?
What you leave with

Six sessions is the process.
The map is what you keep.

The Formation Programme is not six interesting conversations that disappear after the call ends. At the end, you receive a written pattern map that names what emerged across the work — in plain language, designed to be returned to.

  • Six 60–90 minute private sessionsOnline video, one-to-one with Gino Cosme.
  • Between-session reflection materialA specific frame or question after each session to develop the work.
  • Written pattern map at completionA document naming the patterns, their origins, and how they currently operate.
  • Worldwide availabilityOnline, in English. Not bound by jurisdictional restrictions.
Scope

This is not therapy. It is not coaching.

The Formation Programme is bounded, structured, and focused on naming the psychological patterns underneath everything else. If you need clinical treatment, choose therapy. If you want motivational accountability, choose coaching. This is neither.

ThisFormation Programme
Open-ended therapy
Coaching
Structure
• 6 bounded sessions
Ongoing, open-ended
Goal-driven sprints
Aim
• Map the patterns
Symptom relief, depth
Action & outcomes
Deliverable
• Written pattern map
No written artifact
Goal sheets, plans
Best when
• Insight exists but patterns persist
Crisis, diagnosis, deeper work
Clear external goals
Format
• Online · worldwide
Often jurisdictional
Online · varied
Gino Cosme
About the clinician

Gino Cosme

Psychotherapist · Writer · Specialist in gay men's psychology

Gino Cosme is a psychotherapist specialising in gay men's emotional lives, identity, shame, relationships, and the patterns that form when you spend years adapting to environments that did not fully see you.

The Formation Programme draws on fifteen years of clinical work with gay men across Europe and internationally — translated into a structured six-session process for men who want focused psychological clarity outside open-ended therapy.

BACP00993851
HPCSAPRC 0034622
NCPS597
BPS509049
Investment

Six sessions. One price. A complete arc.

Paid in full at booking. No payment plan, by design — the programme is contained, not open-ended.

The Formation Programme
Six-session package · all inclusive
€1,500
Paid upfront
What's included
  • Six private 60–90 min online sessions with Gino Cosme
  • Structured arc across formation, shame, relationships, sexuality, identity, desire
  • Preparation & integration material between every session
  • Written pattern map delivered on completion
  • Short intake questionnaire — first session held clearly from the start
  • Online worldwide · Sessions held in English
2 of 4 spots remaining this quarter — limited intake by design.
Reserve your spot →
Not sure yet? Send a fit question · No-cost, no pressure.
Clarity on fit

Who this is not for

The Formation Programme is structured and reflective. It works best when you're stable enough to stay with discomfort. It is not for you if:

  • You're in acute crisis or need urgent mental health support.
  • You're experiencing active suicidal ideation.
  • You need psychiatric care, diagnosis, medication support, or intensive clinical treatment.
  • You want open-ended weekly therapy.
  • You're looking for motivational coaching or someone to tell you what to do.
  • You want insight without examining your own patterns honestly.
Process

What happens after you book

The path from click to first session is short and clear. No phone tag.

  1. Select your first sessionYou choose a time in the booking calendar.
  2. Complete a short intake~10 minutes. Covers what you're bringing and what you want to understand more clearly.
  3. Secure payment€1,500, taken securely. One transaction.
  4. The full arc is scheduledRemaining five sessions are scheduled so the six-session arc is held from the start.
  5. We meet online for session oneThe work begins. You leave with a written pattern map at session six.
Questions

Common questions about the Formation Programme.

Booking

What you can name precisely becomes harder to obey blindly.

Six structured sessions. A written pattern map you keep. €1,500, paid in full at booking. Limited to four clients per quarter.

Book the Programme → Ask a fit question