The Threshold Practice

Psychotherapy for gay and bisexual men. Supervision for the therapists who support them.

For the men who appear to be managing life well — and privately know something deeper is asking to be met.

Counselling and Psychotherapy

Many of the men who come to The Threshold Practice are thoughtful, capable people who appear to be managing life well — careers, friendships, relationships — yet privately carry something heavier.

A quiet sense of shame. Difficulty with intimacy. A lingering feeling of being on the outside of belonging. Patterns in love and connection that repeat and don't quite make sense.

Therapy here is a space to slow down and explore those patterns — not to fix what is "wrong," but to understand the deeper story of how they came to be.

Some of what we work with

  • Shame around identity, sexuality, or simply being seen

  • Intimacy, vulnerability, and the fear of being known

  • Repeating patterns in love, attachment, and relationships

  • The quiet pressure to appear strong, successful, or "enough"

  • Loneliness, belonging, and the search for community

  • Sex, chemsex, and complex relationships with desire and substances

  • Family, coming out, and the relationships that shape who we become

Where the work happens

Sessions are available online across Ireland, the UK, Europe and worldwide. For clients in Dublin, walk-and-talk psychotherapy is also offered in Phoenix Park — an eco-based approach that brings movement, breath, and the living world into the process.

Sometimes healing begins simply by stepping outside.


Clinical Supervision and Reflective Practice

Supervision is the quiet companion of good therapeutic work. It offers a place to pause and reflect on how the work moves through you — what it awakens, what it asks of you, and what it costs.

At The Threshold Practice, supervision is relational and reflective. It is less about proving competence and more about staying close to the living process of therapy itself: the ways we meet, mirror, and are changed by those we sit with.

Together we explore clinical material, transference and countertransference, ethical edges, endings, and the impact of trauma, culture, and identity on the work. The process may include reflective dialogue, writing, or experiential approaches — not as techniques to perform, but as ways of deepening clinical understanding and presence.

Supervision can also be a space for thinking and learning — a place to develop ideas, reflect on practice, and shape writing, teaching, or research that emerges from the work.

Who I work with

I provide ongoing online supervision to qualified and trainee therapists across the UK, and offer specialist consultation sessions for therapists in Ireland and internationally working in particular clinical areas — including gender, sexuality, and relationship diversity (GSRD), adolescent and young adult mental health, shame and identity-focused work, and therapy with men. Supervision can be individual or part of group supervision.

These specialist sessions can be arranged as a single consultation or as an ongoing thread alongside your primary supervision.


How the Work Begins

Reaching out for therapy or supervision can feel like crossing a threshold in itself. Here's how it usually starts.

1. Get in touch. Send a short message about what's bringing you here, or book a brief introductory call. These calls last around 15 minutes and take place by phone or video. There's no pressure — just a chance to make initial contact.

2. The introductory call. We'll talk about what's going on in your life, the kind of support you're looking for, and whether this feels like the right space to begin the work.

If it feels like a good fit, we can arrange a first session. If not, I'm always happy to suggest another clinician who may be better suited.

3. Beginning the work, sessions take place online, or in Dublin through walk-and-talk psychotherapy in Phoenix Park.

Fees

| Individual therapy | €80 / £70 per session | | Couples therapy | €100 / £85 per session | | Group therapy/Supervision | €40 / £35 per 1.5-hour session | | Clinical supervision (UK) | £65 per session | | Specialist consultation | Fees on request |

A small number of concessionary places are available for those of limited means. These are usually full, but it's always worth asking.

About James

I'm James Byrne (he/him) — a psychotherapist, clinical supervisor, and educator based in Ireland.

I founded The Threshold Practice as a space for reflection, depth, and care for people navigating the changes that shape who we become. My work focuses particularly on the inner lives of gay and bisexual men — exploring shame, intimacy, masculinity, identity, and belonging.

The work is relational, trauma-informed, and eco-based. I'm interested in the inner adolescent — the part of us that still longs to be seen and understood — and in the slow process by which what has been hidden can begin to be lived more fully.


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Every life crosses thresholds.
The task is not to hurry through them,
but to walk them with presence and care.
— James Byrne I The Threshold Practice