Why Can’t I Get Hard? Erectile Dysfunction in Gay Men

Gay couple navigating erectile dysfunction and sexual confidence

What Actually Helps—Beyond Pills, Injections, and Panic Ken Howard, LCSW, CST, is a gay men’s specialist psychotherapist and AASECT-Certified Sex Therapist with over 30 years of experience working with gay men, couples, and polycules. He provides psychotherapy to California residents and coaching to gay men worldwide, focusing on mental health, sexual confidence, performance anxiety, aging, … Read more

Why Successful Gay Male Professionals Still Feel Off — And What Actually Changes It

gay male professional stress work burnout

Why Successful Gay Male Professionals Still Feel Off — And What Actually Changes It Therapy for Gay Men Who Want More Than Insight — They Want Real Change This article comes from my work with gay men around confidence, relationships, sexuality, and emotional well-being. If you want to see what working with me looks like: … Read more

Why Insight Alone Doesn’t Change Gay Men’s Lives

gay man alone at night looking at phone

    This article comes from my work with gay men around confidence, relationships, sexuality, and emotional well-being. If you want to see what working with me looks like: Individual Therapy (CA) | Coaching (Worldwide) Let’s talk about why insight alone doesn’t change gay men’s lives. And I’m talking about both therapy and coaching, since … Read more

Gay Conversion Therapy Survivors: What Was Done to You—and How It Still Affects You

gay man in a t-shirt

Gay Conversion Therapy Survivors: What Was Done to You—and How It Still Affects You For over 30 years, I have worked almost exclusively with gay men as a psychotherapist and AASECT Certified Sex Therapist. Over that time, I have seen the long arc of how cultural stigma, bad science, and ideological pressure shape the inner … Read more

Gay Men and How to Build Real Friendships in Adulthood

Adult gay men building a real friendship in a relaxed outdoor setting

Why It Feels Harder Than Ever—and What Actually Works This article comes from my work with gay men around confidence, relationships, and sexual self-understanding. If you want to see what working with me looks like: Individual Therapy (CA) | Coaching (Worldwide) Many gay men don’t talk about this directly. Still, they feel it. You may … Read more

When a Gay Man’s Career Feels at Risk: False Accusations & Workplace Anxiety

gay professional experiencing workplace anxiety

For over 30 years, I’ve worked almost exclusively with gay men as a psychotherapist and AASECT Certified Sex Therapist, as well as a life, career, and executive coach. Over time, I’ve helped clients navigate not only relationships and identity, but also high-stakes professional situations where reputation, authority, and livelihood are on the line. In recent … Read more

When Gay Couples Work Together: Power, Competition, and Intimacy

gay couple working together in business

As a long-term specialist in gay men’s mental health—now in my 34th year of practice as a psychotherapist and coach—I’ve worked with individuals, couples, and more complex relationship structures across a wide range of life circumstances. Over time, one pattern has emerged more often than expected: the unique challenges faced by gay male couples who … Read more

When Drive Changes in Midlife: The Psychology of Ambition in Gay Men Over 50

gay man over 50 reflecting on life and ambition

After more than three decades as a psychotherapist and coach specializing in gay men’s mental health, I have observed a recurring developmental transition among accomplished men in midlife and later life. Many reach their late fifties or early sixties having built careers, relationships, and financial stability, only to discover that the drive which once propelled … Read more

Why So Many Successful Gay Men Feel Unsettled in Midlife

A man in his late forties sits across from me during an intake session. From the outside, his life looks solid. He has a successful career, a comfortable home, long-standing friendships, and the kind of stability that took years to build. Many people would assume he had “figured things out.” Yet the reason he scheduled … Read more

Gay Men and Immediate Coping Tips for a Breakup

Gay man sitting alone after a breakup in quiet reflection.

I’ve spent more than 30 years helping gay men navigate breakups, divorces, and relationship endings—not just as a psychotherapist and sex therapist, but as someone who has lived through loss myself. Breakups don’t simply end relationships; they destabilize identity, emotional regulation, daily routines, and future orientation. This article is written for the immediate aftermath—when your … Read more