Gay Male Sexual Abuse, Incest, and Rape Survivors: Characteristics and Coping

gay man seated depressed sexual assault incest article

It’s a safe bet that every psychotherapist eventually will work with adults, male or female, who are survivors (I prefer this term over the word, “victims”) of childhood sexual abuse, incest, or sexual assault.  For the past 26 years, I have been a psychotherapist who specializes in working with gay men, and when I work … Read more

Gay Male Relationships and Storing Stuff: From Collector to Hoarder (Hoarding Disorder)

Moving in with your partner is a wonderful rite-of-passage in a relationship.  It extends the level of commitment from “boyfriends” to domestic partners, or, now, spouses.  I always say that a relationship has to work on four levels: 1) emotionally; 2) physically (including your sex life); 3) domestically (making a home together); and 4) managing … Read more

The Value of Flirtations in a Gay Male Monogamous Relationship

kh pp yoga man outside dollar photo

Not long ago, one of my clients, “Ryan” (not his real name) gave me permission to talk about one of his experiences in therapy for this blog.  He was talking about flirtations.  Ryan and his partner have been in a long-term, monogamous relationship for about 6 years.  But truth be told, even though they only … Read more

Three’s Company: The Right Way and the Wrong Way to Have a Gay Men’s Three-Way

three gay men remote dollar photo 1

A therapist’s office (similar to a physician’s or lawyer’s office) is a place to talk about things that would be difficult to talk about almost anywhere else except behind closed doors at home.  This is why psychotherapy has a long tradition of strict confidentiality:  what’s said in therapy, stays in therapy, with the exception of … Read more

When the Gloves Come Off: 10 Ways for Gay Men To Handle Interpersonal Conflict

angry gay men dollar photo

In the sport of hockey, somehow it became acceptable — even preferred — for its players to not only skate around on ice and toss a puck around, soccer-style, with sticks, but also occasionally to break out in fights.  You always know when one is about to happen.  Somebody does or says something to piss … Read more

The Tools for a Successful Gay Male Relationship: The ‘Three C’s’ of Commitment, Communication, and Compromise

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[This is from 2014, so some of the references are outdated like the evolution of marriage equality laws.  We’ve come a long way!] What an amazing turn of events for marriage equality in a relatively short time this year!  For a terribly long time, gay couples have pleaded, waited, marched, lobbied, and battled for the … Read more

Five Ways Gay Men Can Satisfy the Paternal Instinct – Even Without Having Kids

gay dad at beach dollar photo paternal instinct

As gay men, we all feel it from time to time.  We go to a theme park and see the seemingly benevolent young father (OK, a “DILF“).  We see the interaction between father and son, or father and daughter, and there is a pang in your heart in recognizing the fact that he has something … Read more

The Role and Value of the “F—Buddy” or Friend with Benefits for Gay Men

kh pp sexy man on bed dollar photo

Recently, some clients in my psychotherapy practice, which for 27 years has focused on the mental health and well-being of adult gay men, have been discussing the role and value of a “fuck buddy” in their lives.  While all sexual topics (even in our “modern” age) seem to come fraught with controversy these days (and … Read more

Gay Men’s Relationship Issues: When You and Your Partner’s Incomes Differ Greatly

gay couple arguing

It would be easy if you both earned exactly the same, wouldn’t it? That doesn’t happen in real life, though, and almost every couple deals with an income gap. When the gap is large, you really have to be on your game to keep it from becoming a big and continuing problem. It’s important that … Read more

Hotter Monogamy for Gay Men

kh pp gay couple in bed dollar photo

In my psychotherapy practice as a gay men’s specialty therapist for over 25 years, no topic among couples therapy is more frequent than that of the “monogamy vs. non-monogamy” debate.  This is not an easy topic, and trying to over-simplify it just gets you into trouble.  It IS, indeed, complex, and it takes time and … Read more