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 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

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

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

Back view of serious man with dark hair in casual clothes holding coffee and browsing smartphone while messaging with friends in cafeteria

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

A closeup shot of a young deer

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

Why Mid-Life Gay Men Still Use Hookup Apps — and What That Really Means

middle aged man texting on a cell phone

Even after we’ve built stable lives — careers, homes, long-term relationships — many gay men in mid-life still find ourselves opening Grindr, Scruff, or Recon. Sometimes it’s curiosity. Sometimes it’s libido. Sometimes it’s something harder to name. We might tell ourselves we’re “just seeing who’s around,” but underneath, the question lingers: Why am I still … Read more

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

Handsome bearded man hugging elder father at home

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

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

man-lying-on-bed-shirtless-opening-his-jeans

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

Gay Men and the Cinderella Syndrome: From Outcast to Adonis—And What Comes After

glass slipper

In the timeless tale of Cinderella, a neglected girl is transformed—through magic, resilience, and the help of a mentor—into someone who is seen, valued, and desired. While this fairy tale has enchanted generations, its deeper themes resonate powerfully with many gay men: those whose early lives were marked by invisibility, shame, or bullying, and a … Read more

Radical Erotic Aging: Gay Men, Desire, and the Audacity to Stay Sexy

Handsome man relaxing in sofa at home

Radical Erotic Aging: Gay Men, Desire, and the Audacity to Stay Sexy By Ken Howard, LCSW, CST GayTherapyLA.com | GayCoachingLA.com Ken@GayTherapyLA.com | 310-339-5778 Let me tell you something I know in my bones: aging as a gay man in this culture is not for the faint of heart. After 33 years of working with thousands … Read more