Empathy is, arguably, the key factor in the success of therapy, and might be the key factor missing for male clients, resulting in lower uptake in men and higher dropout. A sensible way to maximize the benefits of therapy for men would be to ensure that we use therapies that are unambiguously male-centred. In this talk I will discuss what male centred therapy looks like, the important differences between ‘male-centred’ therapy compared to ‘male-friendly’ therapy, and aspects of therapy that are likely to increase or reduce successful outcomes in therapy with men.