This article offers an introductory overview of psychosocial thematic analysis (PTA), a reflexive methodology that integrates psychosocial inquiry into thematic analysis. It outlines the ontological and epistemological implications of working within a psychosocial paradigm, which foregrounds fractured, affect-laden subjectivity and the influence of unconscious processes in both participants and researchers. PTA departs from more conventional approaches by treating analysis as layered, interpretive and necessarily imperfect. Rather than privileging the text (manifest content), PTA attends to how unconscious dynamics may surface, often indirectly, through language, affect and narrative form, revealing latent tensions shaping both participant narratives and researcher responses. Akin to clinical work, PTA acknowledges that the researcher’s interpretations, shaped by unconscious investments and theoretical positionality, may diverge from participants’ subjective meaning-making. Hence, the methodology is inherently reflexive, requiring attention to questions of authority, interpretation and the status of knowledge. We argue that this necessary orientation grounds psychosocial research in epistemic humility, keeping it attuned to the complexities of lived experience and the multiple, often elusive forms of knowing that may resist full articulation or conscious grasp.