47689647_365430577540758_6500220925600858112_n_365430574207425Coming to terms with your sexuality can be a challenge, and so can learning how to comfortably express your gender. Add in disease, fear and stigma and a culture full of homophobia, racism and sexism. All of these things — and many others — have a profound impact on the mental health of gay men. Gay mental health is a major concern for our community that sadly doesn’t get the attention it deserves.

There are so many issues gay men must contend with, but HIV is one of the most significant. Our community has endured 37 years of an ongoing epidemic. We’ve lost hundreds of thousands of our friends and lovers, witnessed the past and current indifference of a hostile government and experienced the fear and guilt that came with survival. HIV has left an indelible mark on our state of mind, yet we still haven’t really stopped to take stock of its impact on our individual and collective psyches.

In the midst of a continuing epidemic, what possibilities exist for the resurrection of gay men’s psyches? What resources are available to us and what kinds of programs need to be developed?”

We have endured a collective trauma, but there was no plan in place to address the very real mental health concerns. In 2018, we still lack the structures to cultivate the mental health and wellness of our community.

Sex is a very powerful through line in our culture; our relationship to sex has a major influence on how we view ourselves. Religion calls us sinners, society tells us we’re immoral and even our own community can accuse us of being “dirty” and “whores.” It requires a great deal of personal fortitude to foster a healthy sexuality in the midst of such pressures. It’s even more difficult to attempt alone.

Our bodies help us achieve sexual pleasure. But, our relationship to our bodies can be just as fraught as our relationship to sex. Body shame is what holds many of us back, and it is an especially powerful deterrent to sex for those who don’t fit into the young, white, fit, able-bodied, hung, masc images reinforced as primarily desirable by the media, advertising, fitness, pornography, beauty and fashion industries.”

Our culture has constructed a very narrow beauty standard. It’s a standard that most of us will never meet yet it’s difficult to escape its reach. The pressure to meet these ridiculous gay male beauty standards can be exhausting, demoralizing, and wears down your mental health.

One can’t talk about gay mental health without exploring the very real issue of loneliness.

Suicide and HIV aren’t the only things killing men in our community. One other important factor is substance abuse. Drugs can be very attractive if they create the illusion of alleviating one’s depression, isolation, or self-stigma — but they are only illusions. Gay men require real, tangible solutions to help improve our mental health. The response to gay mental health needs must be just as intense and determined as our response to HIV.

One solution is to build healthy and meaningful social networks in men’s lives.

The best antidote against pain of minority stress and other ick involved in being a human being in the second decade of this century is to have good, solid friends who give a damn about you. It’s not about who you’re having sex with. It’s about having good people you can talk with about who you’re having sex with (or the ick of being a human being in the second decade of this century).

We can’t ignore the mental health of our community. We can’t tolerate the stigma or embarrassment that is usually associated with mental health. We must bring it front and center and confront it head on. We’ve marshaled the community to respond to a health crisis before, and we can do it again. It’s critical to our survival.


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