I am a genuine, caring, and insightful therapist who creates a safe space where men can slow down, understand themselves, and work through what is getting in the way of a calmer and more confident life. I specialise in working with men because the pressures they face are often carried in silence. My work focuses on helping you build self-awareness, make sense of your emotions, and develop a stronger, steadier way of meeting whatever challenges you are facing.
Choosing therapy is not always an easy step but it is an important one. Once you make that decision, we work together at a pace that feels right for you until you can meet your dilemmas with more clarity, compassion, and confidence.
I will be with you throughout the process. My aim is to help you grow from your struggles, heal from the things that have shaped you, and move towards the life you want. Many men come to me with depression, anxiety, stress, relationship issues, addiction struggles, including porn, or a sense of feeling lost. I also support men dealing with professional pressures, performance expectations, and personal development challenges, drawing on my own corporate experience.
Professional experience
9 yrs in practice
Stress and anxiety Coping with addictions Relationship issues Motivation, self esteem, and confidence Career difficulties
Additional areas of focus:LGBTQ+ related issues, Intimacy related issues, Anger management, Depression, Coping with life changes, Executive and professional coaching, Concentration, memory and focus (ADHD), Abandonment, Attachment issues, Avoidant personality, BDSM, kink, and alternative sex culture, Body image, Caregiver issues and stress, Codependency, Commitment issues, Communication problems, Control issues, Dependent personality, Divorce and separation, Drug and alcohol addiction, Emptiness, Family problems, First responder issues, Forgiveness, Guilt and shame, HIV / AIDS, Hoarding, Immigration issues, Impulsivity, Infidelity, Isolation / loneliness, Jealousy, Life purpose, Men's issues, Midlife crisis, Veteran and Armed Forces Issues, Money and financial issues, Narcissism, Obsessions, compulsions, and OCD, Paranoia, Phobias, Polyamory / non-monogamous relationships, Process addiction (porn, exercise, gambling), Seasonal Affective Disorder (SAD), Self-harm, Self-love, Sex addiction, Sexual dysfunction, Sexuality, Smoking / vaping cessation, Social anxiety and phobia, Workplace issues, Young adult issues
These quotes represent just a few of the many positive reviews that we have received for James Costigan. We don't pay anyone to provide their review and they are all made voluntarily. Some people's experience receiving therapy with BetterHelp might be different.
James has been a fantastic help to me, unpacking the issues that have led me here, with no judgement and furnishing me with the tools to be successful going forward. James also checks in with me on a regular basis which is appreciated. I would thoroughly recommend James for his expertise and thoughtful approach in helping you understand and deal with things. I feel with James's help I am a more rounded person.
Written on Jun 17, 2026 after therapy with James for 1 year on issues concerning addictions, relationship issues, and intimacy-related issues
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Written on May 18, 2026 after therapy with James for 2 months on issues concerning depression, stress, anxiety, relationship issues, and self esteem
James is great, listens to me and understands me
Written on Apr 08, 2026 after therapy with James for 9 months on issues concerning stress, anxiety, addictions, relationship issues, intimacy-related issues, self esteem, and coaching
Very supportive and understanding of my situation and has helped me throughout. Offers support outside of our sessions with use of the chat as required, in order to keep a log of my thoughts & feelings in-between the weekly sessions. Great help and very nice person
Written on Apr 02, 2026 after therapy with James for 3 weeks on issues concerning relationship issues
Excellent therapist and really listens to concerns
Written on Mar 19, 2026 after therapy with James for 1 year and 6 months on issues concerning addictions, and adhd
James helps identify my issues. I feel heard and understood. His advice and listening feels very fair and approachable
Written on Feb 10, 2026 after therapy with James for 2 weeks on issues concerning stress, anxiety, addictions, relationship issues, intimacy-related issues, self esteem, coping with life changes, and adhd
I had been super lucky finding James for the first therapist I spoke to, even the beginning when It all felt abit weird he put me at ease.
Every week ive learnt something new or another way to look at things. I feel much more confident in myself by taking away everything he says to me !
Truly grateful to understand and feel less anxious 🥰
Written on Feb 10, 2026 after therapy with James for 5 months on issues concerning stress, anxiety, self esteem, and coping with life changes
James is brilliant to work with! Very understanding, gives you the space to think and speak and provides a really comfortable environment to work in!
Written on Jan 27, 2026 after therapy with James for 2 months on issues concerning depression, and stress, anxiety
Great therapist!
Written on Oct 29, 2025 after therapy with James for 2 weeks on issues concerning stress, anxiety, addictions, relationship issues, self esteem, and adhd
James is not only great at giving you advice, but he gives you lots of space to speak openly about whatever in an understanding environment. He’s given me tools to combat anxious feelings and really helped me move forward and leave those feelings behind. I’d highly recommend him.
Written on Oct 22, 2025 after therapy with James for 2 months on issues concerning stress, anxiety, self esteem, and adhd
Great Therapist, understanding and helpful.
Written on Jul 10, 2025 after therapy with James for 2 months on issues concerning depression, stress, anxiety, family conflicts, and intimacy-related issues
Very personable and a great help
Written on Jun 16, 2025 after therapy with James for 2 weeks on issues concerning stress, anxiety, relationship issues, intimacy-related issues, and self esteem
James has very quickly understood areas where I need support and honest feedback, which has very quickly helped me course correct in a more positive direction.
Written on Jun 16, 2025 after therapy with James for 3 weeks on issues concerning relationship issues, family conflicts, and parenting issues
James is a great therapist. He truly listens and gives real life advice and does not judge. He has a wealth of knowledge and knows how to give the right advice. I would highly recommend James.
Written on May 06, 2025 after therapy with James for 3 months on issues concerning addictions, intimacy-related issues, and adhd
Like talking to a knowledgeable friend.
Written on Feb 25, 2025 after therapy with James for 2 weeks on issues concerning stress, anxiety, relationship issues, self esteem, and anger management
Excellent therapist. Very attentive and provides info and structure
Written on Feb 12, 2025 after therapy with James for 2 weeks on issues concerning relationship issues, intimacy-related issues, self esteem, anger management, coping with life changes, and coaching
James is amazing! Very easy to talk to. He listens and gives me tools that work. Would highly recommend him!
Written on Jan 29, 2025 after therapy with James for 2 weeks on issues concerning stress, anxiety, relationship issues, family conflicts, self esteem, and career difficulties
James is extremely knowledgeable which is very evident from the start. He is extremely easy to talk to and open up to with a stress free relaxed manner brought to every session. Highly recommend to anyone!
Written on Dec 13, 2024 after therapy with James for 2 weeks on issues concerning relationship issues, and intimacy-related issues
A therapist that sees through your soul. strongly recommending.
Written on Dec 09, 2024 after therapy with James for 2 weeks on issues concerning relationship issues, self esteem, and coping with life changes
James is a brilliant therapist. With his characteristic kindness and grace, he understood my concerns quickly and knew the right interventions that would set me off in a better direction. Thoroughly and wholeheartedly recommended.
Written on Dec 02, 2024 after therapy with James for 1 month on issues concerning stress, anxiety, self esteem, career difficulties, coping with life changes, and coaching
Fantastic source of comfort but also insight into yourself. James is remarkably empathetic, funny and is able to drill down into the core of the issue and approach it with a calm and open attitude
Written on Oct 25, 2024 after therapy with James for 3 months on issues concerning stress, anxiety, and intimacy-related issues
James is a good listener and while giving advice remains non-judgmental. I highly recommend him to others needing therapy from Better Help.
Written on Aug 08, 2024 after therapy with James for 3 weeks on issues concerning relationship issues
I remember my first session with James I asked him for tools to help with my anxiety RIGHT AWAY and he did exactly that - not many therapists I've worked with in the past have been able to provide actionable advice in the very first session. He has helped me over several months work through my anxious attachment style, I now am much more proactive in managing my reaction to triggers and am much more confident in myself/secure in my relationship. He's a great therapist, really listens and is there for you, I highly recommend.
Written on Jul 27, 2024 after therapy with James for 5 months on issues concerning stress, anxiety, relationship issues, and coping with life changes
I'm new to therapy but James immediately made me feel at ease. I feel heard during the sessions. James has helped me be more aware of how I speak to myself and to quieten my negative voice. I'm early in my journey but have made positive strides and highly recommend James services
Written on Jul 05, 2024 after therapy with James for 2 weeks on issues concerning self esteem, anger management, and career difficulties
James is a great therapist. Have recommended to my friends!
Written on Nov 16, 2023 after therapy with James for 10 months on issues concerning depression, stress, anxiety, self esteem, career difficulties, and coaching
James has helped me to calmly navigate the confusing and overwhelming emotional storms that have been blocking me recently, and I am grateful to say that I've reached terra firma again! His understanding nature and constructive challenges to my unconscious beliefs were extremely helpful. I would highly recommend James!
Written on Nov 09, 2023 after therapy with James for 2 months on issues concerning stress, anxiety, relationship issues, self esteem, career difficulties, and adhd
James understood my concerns & was able to help me in ways I knew I wanted and in ways I didn't know I needed. After the first month of therapy I feel more in touch with myself & my feelings. Thank you & would 100% recommend!
Written on Oct 05, 2023 after therapy with James for 1 month on issues concerning depression, stress, anxiety, relationship issues, intimacy-related issues, self esteem, and adhd
James has helped me bring clarity into parts of my life where I didn’t even realize that there was an issue. He is caring, supportive, honest, friendly and very compassionate.
He can do any approach, I would recommend him to any kind of person regardless of their personality.
Written on Sep 05, 2023 after therapy with James for 1 year on issues concerning depression, stress, anxiety, addictions, relationship issues, family conflicts, trauma and abuse, intimacy-related issues, eating disorders, sleeping disorders, self esteem, anger management, career difficulties, bipolar disorder, and adhd
I have had several chats with James and he’s helped me so much.
He’s been very thoughtful and understanding.
Given me lots of advice and tools to work with.
Written on May 24, 2023 after therapy with James for 3 weeks on issues concerning depression, and stress, anxiety
James has been an excellent therapist for me over the past 4 months. I came to him in a very difficult situation and really struggling internally with myself, and how I felt about myself. He helped me develop a mental toolkit that has been invaluable to improving how I feel about myself and dealing with difficulties that arrive in my life. He's always been incredibly quick to respond to messages and never fails to help me understand more about myself. I couldn't recommend him highly enough.
Written on Feb 28, 2023 after therapy with James for 3 months on issues concerning addictions, relationship issues, and self esteem
James has been brilliant
Written on Feb 27, 2023 after therapy with James for 4 months on issues concerning relationship issues, and intimacy-related issues
James has been supporting me for a few months now and helping me with issues ranging from my family / relationships to motivation with my career / personal projects - I have put off using therapy for a long time before downloading betterhelp and being assigned to James, and honestly I just feel like I should have started earlier - James is understanding and makes an effort to relate to your problems and will ask the right questions to make you see what the root of your issues may be in a non judgemental way- I want to reiterate the non judgemental nature of his sessions as this was a big deal for me coming from a judgemental family - creating this freeing space where you can be honest has been the most important part of my mental health journey and I appreciate the fact that James had given me that
Thank you!!!
Written on Feb 20, 2023 after therapy with James for 3 months on issues concerning depression, stress, anxiety, addictions, and self esteem
I have only had a few sessions with James, he listens attentively and asks questions which have made me learned a lot about myself in a very short time.
Written on Dec 26, 2022 after therapy with James for 2 weeks on issues concerning stress, anxiety, self esteem, and career difficulties
I've come away from sessions with James feeling lighter, and more accepting of myself. I had never had a male therapist before, so I was a little cautious but he was patient and understanding about that. It worked for me to have this combination of addressing issues and then laughing to blow off steam. I've learned a lot and softened in my perspective throughout the process.
Written on Nov 27, 2022 after therapy with James for 2 months on issues concerning depression, stress, anxiety, relationship issues, intimacy-related issues, and self esteem
Working with James has been a transformational experience. It's so empowering to see sustainable personal growth for the first time with the help of therapy. His counseling style is like having an unconditional cheerleader. He's there for you in the pit and celebrates your progress! After EVERY session, I feel like I have the fuel to face my challenges independently.
Written on Nov 23, 2022 after therapy with James for 3 months on issues concerning depression, stress, anxiety, relationship issues, family conflicts, intimacy-related issues, eating disorders, self esteem, anger management, bipolar disorder, compassion fatigue, and adhd
Lovely and empathetic.
Written on Nov 08, 2022 after therapy with James for 3 weeks on issues concerning depression, stress, anxiety, addictions, relationship issues, intimacy-related issues, and self esteem
He is extremely professional,respectful and efficient
Written on Oct 03, 2022 after therapy with James for 4 weeks on issues concerning relationship issues, and coaching
Very friendly and understanding. Also, experienced and can help and get the best out of you.
Written on Sep 20, 2022 after therapy with James for 2 weeks on issues concerning depression, stress, anxiety, self esteem, career difficulties, and coping with life changes
James is a wonderful therapist.
He has helped me realise issues that were holding back. He is guiding me along a personal journey of growth and understanding and I am very grateful to have him to talk to.
Written on Sep 08, 2022 after therapy with James for 1 month on issues concerning depression, stress, anxiety, relationship issues, intimacy-related issues, self esteem, and coping with life changes
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