Art & Science of Therapy Archives

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

April 16, 2026 by Ken

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

The New “Wicked: For Good” Movie, the Silencing of LGBT Voices, and How to Stay Resilient in Trump 2.0 America

November 17, 2025 by Ken

“Because happy is what happens when all your dreams come true…” That line from Wicked’s Act II number, “Thank Goodness,” always carries an irony that cuts deep: happiness is supposed to arrive when dreams are fulfilled — but what happens when the world changes so much that the dreams themselves are denied? As the upcoming … Read more

Shrink at the Movies: “The King’s Speech” (2010)

January 25, 2012 by Ken

“The King’s Speech” (2010) Criticize, if you must, the cultural and technological juggernaut that is all things Facebook. But I, for one, am very grateful that this phenomenon exists. For many reasons, but one of my favorites is the opportunity to connect with people from My Past that I had lost touch with. One such … Read more

Memory: Blessing or Curse?

April 21, 2021July 16, 2011 by Ken

the thinker statue deposit photo 11 12 20

I thought about this recently, after a particularly busy day of sessions of clients in my practice. Is having memory a blessing, or a curse? I was moved by stories of clients who are abuse survivors, with their ability to recall the traumatically abusive incidents that happened to them in detail from various self-indulgent and … Read more

Coming Into Therapy Scary

March 24, 2008 by Ken

Dear Ken,I’m impressed with your website, but I’m just afraid to come in. I’m afraid what it will cost, and that I might not like what I see when I really look at myself. How do I feel safe in coming in to see you?

Reluctant Patient

Dear Reluctant,

Getting Crystal Clear: A New Deal (Crystal Meth Recovery) for Gay Men

March 29, 2022March 24, 2008 by Ken

Counseling, Therapy and Coaching for Gay Men in Los Angeles, California

The Mental Health Aspects of Crystal Meth Recovery

In my long career working as a gay men’s specialist psychotherapist, coach, and AASECT Certified Sex Therapist, as the founder of GayTherapyLA, perhaps no issue is hotter in the gay community these days than that of Crystal Meth. It seems everyone is either doing it themselves, or knows someone who uses regularly, and almost everyone knows someone who “has a problem” with it – from problem use that affects their job or relationships, to full-on addiction that has the same effect as a major medical illness. In my work as a psychotherapist, nearly one-third of my practice consists of gay men who are trying to get off, and stay off, using crystal. While various drug treatment centers exist, and while AA and CMA are vital resources in the community, the mental health aspects of crystal use deserve more attention and discussion in the community.

Reflections on Labor Day: Have the Work Life You Want with Executive or Vocational Coaching

May 26, 2005 by Ken

Labor Day was designed to be a holiday where we take time to celebrate the accomplishments and the sacrifice of the American worker. Recently in my psychotherapy practice, I have begun to offer more and more sessions on executive or vocational coaching, because a rewarding work life as part of a satisfying career is a key component of a person’s mental health.

Applying “The Secret” To Gay Men’s Lives

March 3, 2005 by Ken

The recent (and perhaps transient) popularity of “The Secret,” the almost “underground” self-help DVD that has become the latest rage of “Oprah” and “Ellen” in recent weeks, has been the topic of water-cooler conversations all over the country and certainly in therapist’s offices like mine.

The Gifts from Oz: Lessons for HIV

January 25, 2005 by Ken

The recent annual telecast by cable network TBS of the classic 1939 MGM film, “The Wizard of Oz” marks an annual ritual for me that dates back to when I was four. Watching this wonderful work of Hollywood magic each year gives me a chance to revisit its dazzling color, charm, and beauty like visiting an old friend. It also gives me a chance to contemplate its universal, timeless themes that coincide with the characters’ deepest desires:

Express Yourself, Part II

October 3, 2004 by Ken

For the previous article to this, click here for Express Yourself, Part I

Last month, I related a story of a recent study from Dr. Kevin J. Petrie at the University of Auckland (New Zealand) of how 37 people living with HIV were studied in two groups: one group who expressively wrote about their feelings for 30 minutes a day on 4 consecutive days, and a comparison group who wrote objectively about how they occupied their time.