Gay Men and Marijuana Over-Use: Getting Clean from Green

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When it’s good, it’s very, very good. You’re relaxed. Sounds and sights are more vivid. Everything is a bit funny. Time loses its tyranny. Man, this feeling is great! Well, okay, there’s the clumsiness, hunger and thirst, and distorted senses, but at first, and maybe (for some people) for a very long time, the pluses … Read more

PrEP (Truvada): An HIV Mental Health Specialist Therapist Weighs In on One of the Hottest Topics for Gay Men Today

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At GayTherapyLA.com, (which can also be accessed via www.PozTherapist.com, to coincide with my identity as a psychotherapist with over 22 years experience providing gay-affirmative therapy to gay men and couples, as well as my 24 years being HIV-positive, and an HIV mental health expert and advocate in Los Angeles), my staff of clinical associates and … Read more

Gay Men’s Domiciles: Is Your House a Home?

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  One of the positive stereotypes that are assigned to gay men (as welcome respite to so many negative ones) is that we have good taste.  Our sense of our clothes, grooming, cars, and homes are respected to be stylish, up-to-date, and of good design and quality.  But is this so for everyone?  Recently I … Read more

Gay Men’s Relationships: Ten Ways They Differ from Straight Relationships

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As I think back on the past 24 years (by 2014) of providing couples counseling for gay male relationships, I sometimes get asked what the differences are that I see (in general) in gay male relationships that are (in general) different from straight relationships.  In no particular order, below, are some of my thoughts.  I … Read more

Tales from a Crispy Couch: A Therapist Leaves a Burned Office Building

So many of my articles begin with “as a psychotherapist in private practice…”, and what I meant by that was “at my office in West Hollywood, California”, where I made my home-away-from-home for the past 9 years. I think I spent more time in that room than in any other room in the course of … Read more

Positive Life Changes for 2014: Think Big, Start Small

Happy New Year!  I like to send my New Year’s greeting to my subscribers during the SECOND week of the year.  Why? Because everyone does it around January 1st, and it’s easy for all the “New Year Resolution/Make This Year Best Year Yet” messages to get mixed up. As inspiring and valuable as material from … Read more

Can You Afford to Be in Therapy? Can You Afford Not To?

After being in private practice and specializing in therapy and coaching for gay men for over 21 years, I have sometimes seen clients start therapy, and then decide they “can’t afford it” – yet they pay their drug dealer weekly full-price for crystal meth.  Or they still pay $15 for a cocktail at the Abbey … Read more

How Gay Men Use Therapy and Coaching to Make More Money

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One of the most persistent themes in counseling and coaching sessions in my over-25 years in practice, specializing in therapy and coaching for gay men and gay male couples, has been guys wanting to move up in their careers, expand their self-employed business, and earn more money.  It’s just one of the factors – along … Read more

The Top Five Money Mistakes Gay Men Make (and How to Avoid Them)

It’s a slightly awkward topic, but let’s talk about the money mistakes gay men make, and the corresponding solutions for them.  In the privacy of a confidential therapy or coaching session, guys can “let their hair down” and discuss things with me that stress them out, things that they might not want to talk about … Read more

Of Bears and Twinks: Weight Loss Issues for Gay Men in Therapy

Gay Men’s Culture As a psychotherapist who has specialized in working with gay men for the past 26 years, I know that part of gay men’s culture is an emphasis on a youthful, lean, muscular physique.  The sentiment is pervasive, and competitive — sometimes good-naturedly, sometimes aggressively and cruelly. Gay men’s culture has identified the … Read more