Working together

Long enough to look at all of it, and you leave with it in writing.

A trichology consultation is a long, careful conversation and a proper assessment. You come in with a question you’ve been carrying for months. You leave with a picture of what’s happening, a plan, and someone who stays involved.

The consultation: €140
Length: 60 minutes
Where: Online, worldwide
You receive: A written summary

01 The offer

Three ways to work with me.

Everyone starts with a consultation. What comes after is up to you, and I’ll only suggest more where it genuinely helps.

Start here

The Consultation

€140 one payment, once we have agreed a time

60 minutes · Online

The whole picture, looked at properly, and a written summary you keep.

Everyone starts here. It’s the appointment that works out what you’re actually dealing with.

A questionnaire and prep sheet beforehand, so we don’t spend the hour on admin
A full history: health, timeline, life, medication, family
A structured assessment of your hair and scalp
My reading of it: what it points to, what it doesn’t, what’s still open
A plan in order of priority, with how long to give each thing
A written summary within 5 working days, in language your doctor can read
Referral guidance and the exact questions to ask, where you need them

Afterwards, if you want it

A Review

€70 no obligation, book when you need one

35 minutes · Online

For when blood results come back, something changes, or it’s time to see whether the plan is working.

People who’ve had a consultation. Most book one at around three months; some never need one.

Review of new results, photographs or anything that’s changed
An honest read on whether what you’re doing is working
Adjustments to the plan, in writing
Fresh referral guidance if the picture has moved

For the long haul

Six Months Alongside

€390 not a discount: see below

Consultation + 3 reviews · Online, over six months

Because hair changes over seasons, not weeks, and doing that alone is the hardest part.

People whose situation is layered, slow-moving, or frightening enough that they shouldn’t be checking the shower drain on their own every morning. I’ll only suggest it where it genuinely fits, usually at the end of a consultation.

The full consultation, exactly as above
Three reviews across six months, timed to the hair cycle rather than the calendar
Message support between appointments for the questions that come up at 11pm
A simple tracking method so you can see change rather than guess at it
Everything in writing, updated as we go

On the six-month price. This isn’t a discount. Bundles that ‘save’ you money on your own health are a sales technique, and I’d rather not use one. It costs what its parts cost, plus the support between them. What you’re buying is continuity, not a deal.

If money is the reason you’re hesitating

I keep two places each month at a reduced fee for people who genuinely can’t manage the full one, students, people out of work, anyone for whom this would be the difference between getting help and not. No means-testing, no explanation needed. Just say so when you get in touch.

02 Before

What to bring

Write a rough timeline of the last year or two: illnesses, medications, life events, changes in eating or sleeping. Don’t filter for relevance; that’s my job.
Gather any blood results from the last 12 months, and ideally the last 6.
List medications and supplements, with start dates.
Take photographs in daylight, following the instructions I send.
Wash your hair or don’t, whichever is normal for you. I would rather see it as it usually is than as you have prepared it.
Find a room with good natural light, a stable connection, and an hour where nobody needs you.

All of this comes as a prep sheet when you book, so you’re not trying to remember it. You can read it now if you like: Before your appointment (PDF).

03 During

How we spend the time.

Your story40 minutes
By far the longest part, and the part everyone else skips. In your own words, without me interrupting first. Forty minutes sounds like a lot until you have it, and then it turns out to be where the answer usually is.
Looking properly5 minutes
I will already have studied your photographs before we meet, so this is confirming what I have seen and looking at anything the pictures could not show, live and at close range.
What I’m seeing5 minutes
Explained in plain language, including the parts that are still an open question.
Your questions, and the plan10 minutes
All of your questions, including the ones you think are silly. Then what to do, in what order, and how long to give it before you judge it.
Who else you may needas needed
If a doctor should be involved, exactly who, why, and what to ask them.

04 After

The written summary

It arrives within five working days and it’s yours. What was found, what it suggests, what’s still open, what to do and in what order, what to watch for, and anything worth raising medically, written so a GP or dermatologist can read it without translation.

People tell me this is the part that changes things. Not because it says something magical, but because for the first time it’s all written down in one place, and they stop having to hold it in their head.

It ends with what I think should happen next, and quite often that is nothing. Most people I see once. If you don’t need to come back, I’ll say so, tell you what would bring you back, and leave the door open. Three weeks later I’ll email to ask how you’re getting on, which costs you nothing and isn’t a sales message.

Questions about anything in your summary are included in what you’ve already paid. Please just ask.

05 Scope

What’s mine, and what belongs with a doctor.

With me

A full history and structured assessment
The written summary, yours to keep
A plan built around your situation
Referral guidance and the questions to ask
Somewhere to come back to

With a doctor

Naming a condition: that’s a doctor’s job
Prescriptions
Blood tests and laboratory work
A scalp biopsy
Products: I don’t sell any, and I never will

If you need the right-hand column, I’ll tell you early, tell you exactly who to see, and write out what to ask. Then we carry on.

06 Honestly

What video does well, and where it stops

Video works for a great deal of this: your history, the pattern and distribution, the scalp at close range in good light, and photographs taken properly. Most of what matters comes out of the conversation, and the conversation travels perfectly well.

It has real limits, and I’d rather you knew them now. I can’t feel the scalp. I can’t put a dermatoscope on you myself, though clear phone photographs taken in daylight, following the guide I send, get close for many things. A clip-on macro lens helps if you have one, but it isn’t required. Colour is unreliable on a screen, so I’ll ask about it rather than judge it.

If yours turns out to be something that needs to be seen and touched in person, or seen by a dermatologist, I’ll tell you during the consultation, write out exactly who to see and what to ask them, and put it in your summary. Needing a doctor as well as me is common, and it doesn’t mean the hour was wasted.

07 Working together

What I’ll do, and what I’ll ask of you.

This goes out with every booking. It matters more than the terms and conditions, and it is the closest thing this practice has to a contract.

What I’ll do

Read everything you send before we speak.
Give you my full attention for the whole appointment, without rushing you or cutting you off mid-sentence.
Tell you what I see, including when I’m unsure.
Explain things properly rather than quickly.
Write it all down and send it within five working days, and tell you before it’s late if it’s going to be.
Tell you plainly when you need someone else, and help you get there.
Answer questions about your summary without charging you again.
Tell you when you don’t need me any more.
Never sell you a product, take a commission, or recommend anything I profit from.

What I’ll ask of you

Fill in the questionnaire honestly, including the parts that feel irrelevant: those are often the useful ones.
Send the photographs as described. They’re most of what I can see.
Tell me about every medication and supplement, including the ones you’d rather not mention.
Tell me if you disagree with me.
Give things the time we agree before deciding they haven’t worked.
Go to the doctor if I ask you to.
Tell me if something isn’t working between us.

What neither of us can do

Make this certain. Some of what happens with hair isn’t yet understood by anybody, and I’d rather say so than invent an answer. What we can do is work from what’s known, notice what changes, and make decisions with our eyes open.

08 If plans change

Cancelling and rescheduling

More than 48 hours’ notice: Reschedule free, as often as you need, or take a full refund.
24 to 48 hours: Reschedule free once. After that, [50%] of the fee.
Less than 24 hours: The fee is held. If something serious has happened, tell me and I’ll almost certainly waive it. I’d rather trust you than run a policy that punishes people for having a hard week.
If I have to cancel: A full refund or a reschedule, whichever you prefer, plus a free review for the trouble.
If it turns out you also need a doctor: The consultation still goes ahead. You get the full assessment, the written summary and clear referral guidance, including what to ask for. Needing a doctor as well as me is common, and it does not mean the hour was wasted.

Life happens. I’d rather be generous than run a policy that punishes people for having a hard week.

09 Practicalities

Platform: Google Meet or Zoom, whichever you prefer
When: Monday to Saturday, 11:00 to 20:00 Central European Time, booked in your own time zone
Payment: Card, via Stripe, once your time is agreed
Cancellation: Free more than 48 hours ahead. Full policy just above
Language: English

If we run slightly over, that’s fine. I don’t cut people off mid-sentence.

Booking

Whenever you’re ready.

There’s no rush and nothing expires. If you’d rather ask me something first, send me a message. It goes to me, not to a sales team, and one question by email is free.

Book a consultation

A short form: when suits you, and a few lines about what is happening. I reply personally, usually the same day, with a time and a payment link. Nothing is charged until we have agreed the time. Prefer to write instead? Email hello@beyondalopecia.com.

Newsletter

Occasional letters.

Notes on hair, scalps and the research behind them. Roughly monthly, sometimes less. No offers, no urgency, unsubscribe whenever you like.