The Threshold Practice

Counselling and Psychotherapy

Many gay and bisexual men come to therapy carrying experiences such as:

• Shame around identity or sexuality
• Difficulties with intimacy and vulnerability
• Relationship patterns and attachment wounds
• Loneliness and belonging
• Navigating masculinity and self-acceptance
• Chemsex or complex relationships with sex and substances
• Family relationships and coming out

•Difficulty forming lasting relationships
• Feeling “not enough” or performing masculinity


Who I Often Work With

Many of the men who reach out are thoughtful, capable people who outwardly appear to be managing life well — careers, friendships, relationships — yet privately feel something isn’t quite settled.

They may carry a quiet sense of shame, difficulty with intimacy, or a lingering feeling of being on the outside of belonging.

Some are navigating questions around relationships, masculinity, sex, or identity. Others find themselves repeating patterns in love or connection that they don’t fully understand.

Therapy becomes a space to slow down and explore these patterns — not to fix what is “wrong,” but to understand the deeper story of how they came to be.

Sessions are available online across Ireland, the continental US, and Europe. For those based in Dublin, walk-and-talk psychotherapy is also available in Phoenix Park — an eco-based approach that integrates movement, breath, and connection with the living world.

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.

How the Work Begins

Reaching out for therapy or supervision can feel like crossing a threshold in itself.

Here’s what to expect.

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

Exploring the right fit
We’ll talk about what’s going on in your life, the kind of support you’re looking for, and whether this space feels like the right place 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 to your needs.

Beginning the work
Sessions take place either online or through walk-and-talk therapy.

Fees
Sessions are typically €80 per session, though some flexibility may be available depending on circumstances.



About James

James Byrne (he/him) is a psychotherapist, clinical supervisor, and educator.

His work focuses particularly on the inner lives of gay and bisexual men — exploring shame, intimacy, identity, and belonging.

I founded The Threshold Practice as a space for reflection, depth, and care for people navigating life’s thresholds and the changes that shape who we become.

His work is relational, trauma-informed, and eco-based, with a focus on shame, identity, and the inner adolescent, the part of us that still longs to be seen and understood.

My work focuses particularly on the inner lives of gay and bisexual men — exploring shame, intimacy, identity, and belonging.