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

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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 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

Gay Men on the Autism Spectrum: Dating, Intimacy, and Being Understood

Thoughtful gay man reflecting on dating and social connection.

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) by Ken Howard, LCSW, CST – Founder, GayTherapyLA.com/GayCoachingLA.com A clinical perspective on relationships, development, and what actually helps For many years, clinicians used … Read more

The Phases of a Gay Man’s Career: From Student to Elder Authority

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A developmental view—from good student to elder authority, and why the path often looks different for us When psychologists talk about human development, they don’t just mean childhood. Instead, they are referring to lifespan development: the way identity, purpose, intimacy, competence, and meaning evolve from youth through old age. The work of Erik Erikson, Harry … Read more

Gay Men and Compulsive Phone Use: Anxiety, Validation, and Modern Loneliness

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For so many gay men, compulsive phone use has become a quiet, constant companion. Scrolling, checking, refreshing, comparing — not just on social media but on dating apps, hookup apps, fitness feeds, curated vacation pages, and lifestyle reels. It’s nearly universal, understandable, and expected. And yet, behind the glow of the screen, something deeper is being managed: … Read more

Gay Men and the Fawn Response: When People-Pleasing Is Really Self-Protection

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Most gay men have heard of “fight or flight.” Some know about “freeze.” But there’s a fourth trauma response that deserves more attention in gay men’s mental health — the fawn response. If you’ve ever found yourself overly accommodating, chronically apologizing, or bending over backwards not to upset anyone — especially men you’re dating, partnered … Read more

Yom Kippur and Gay Men: Finding Meaning in Reflection, Atonement, and Renewal

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Every autumn, the Jewish calendar ushers in Yom Kippur, the “Day of Atonement.” It is traditionally a solemn day of fasting, prayer, confession, and renewal. For observant Jews, it is the holiest day of the year. For those of us outside Judaism, though, there are still universal lessons here worth pausing to consider. I’ve written … Read more

Toxic Gay Currencies: How to Avoid the Attention, Sex, and Status Traps

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As a psychotherapist and coach specializing in gay men for over 33 years — working with literally thousands of clients — I’ve had a unique vantage point on the patterns that emerge in our lives and our community. Again and again, I’ve noticed that many of our struggles cluster around what I call “toxic gay … Read more

Why the CSAT “Sex Addiction” Model Harms Gay Men — And What We Should Use Instead

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By Ken Howard, LCSW, CST | GayTherapyLA.com / GayCoachingLA.com Context, Commerce, and Consequences The concept of “sex addiction” did not arise in a vacuum. In the early 1980s, amid the fear-and-moral-panic atmosphere of the AIDS crisis, sexual behavior (especially gay male sexuality) was widely framed as dangerous or even deadly. Into that climate, Patrick Carnes, … Read more