Why So Many Successful Gay Men Feel Unsettled in Midlife

A man in his late forties sits across from me during an intake session. From the outside, his life looks solid. He has a successful career, a comfortable home, long-standing friendships, and the kind of stability that took years to build. Many people would assume he had “figured things out.” Yet the reason he scheduled … 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

Practical Tips for Coping With Erectile Dysfunction in Gay Men

Frustrated sad boyfriend sit on bed think of relationship problems, thoughtful gay couple after quarrel lost in thoughts, upset lovers consider break up, offended person disappointed by boyfriend

What actually helps—beyond pills, injections, and panic Ken Howard, LCSW, CST, is a gay men’s specialist psychotherapist and AASECT-Certified Sex Therapist with over 30 years of experience working with gay men, couples, and polycules. He provides psychotherapy to California residents and coaching to gay men worldwide, focusing on mental health, sexual confidence, performance anxiety, aging, … 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

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

Upset man in white t-shirt with facepalm using smartphone isolated on yellow

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

Gay Widowers: Navigating Loss, Identity, and Rebirth

man in mourning

Gay Widowers: Navigating Loss, Identity, and Rebirth By Ken Howard, LCSW, CST GayTherapyLA.com | GayCoachingLA.com Ken@GayTherapyLA.com | 310-339-5778 My name is Ken Howard, and I’ve been a gay men’s specialist psychotherapist and coach for over 33 years. I’ve been living with HIV/AIDS myself for 35 years, and like so many gay men of my generation, … Read more

Gay Men and Coping with the Forms of Betrayal

Gay Men and Coping with the Forms of Betrayal By Ken Howard, LCSW, CST GayTherapyLA.com | GayCoachingLA.com Call/Text: 310-339-5778 | Email: Ken@GayTherapyLA.com Introduction: What Is Betrayal? Betrayal is the violation of a person’s trust, often involving the breaking of implicit or explicit expectations in a close relationship. Psychologist Janis Abrahms Spring, Ph.D., defines betrayal as … Read more

Gay Men and How to Recover from a Breakup

Over my long (32 years in 2024) career in being a gay men’s specialist therapist, one of the most frequent reasons guys reach out to me to schedule a session is because they are dealing with the emotionally awful aftermath of the breakup of a relationship.  This kind of loss is especially painful; there are … Read more

Gay Men and Mixing Your Boyfriend with Your Friends

group of six men with beer bottles at party deposit photos March 2023

As a gay men’s specialist psychotherapist for over 30 years, life/career/relationship/executive coach, and AASECT Certified Sex Therapist, I hear about a lot of situations gay men face in the course of a week of client sessions in my full-time psychotherapy and coaching practice with gay men mostly in California but also all over the U.S. … Read more

Gay Men’s Dating Situations That Are “No-Go” – And Their Alternatives – PART ONE

gay couple interracial embracing deposit photo 8 22 22

Gay Men’s Dating Situations That Are “No-Go” – And Their Alternatives – PART ONE As a long-term (30 years in 2022) gay men’s specialist psychotherapist for individuals, couples, polycules, and AASECT Certified Sex Therapist (CST), I work with guys daily on relationships – finding them, improving them, and, in some cases, coping with ending them. … Read more