Two Bottoms, Two Tops:  A Gay Men’s Relationship Dilemma – Now What?

In my private practice specializing in gay men’s therapy and coaching (for over 28 years), and more recently specializing more in sex therapy issues, one of the challenges that guys bring to me fairly frequently in asking for help is the dilemma of being in a very good relationship that neither partner wants to leave, … Read more

Gay Men’s Sexuality: Three Types of Erectile Dysfunction and Their Interventions

Gay Men’s Sexuality: Three Types of Erectile Dysfunction and Their Interventions [Warning:  This is an adult clinical discussion of sex therapy topics provided by a licensed clinical social worker and trained sex therapist.  It is not restricted adult content, nor is it literary erotica or “pornography,” but reader discretion is advised if you are sensitive … Read more

Gay Men’s Relationships: Reconciling the Living Room with the Bedroom

How to enjoy gay pride parades.

Gay Men’s Relationships: Reconciling the Living Room with the Bedroom In my long career (27 years) working with gay male couples as a therapist and relationship coach, I tend to see the same problems gay male couples have in therapy over and over – but, fortunately, there are often similar solutions.  One of the professional … Read more

Topics in Sex Therapy for Gay Men:  Overcoming Fear of Topping

[WARNING: CONTAINS SEX THERAPY CONTENT NOT SUITABLE FOR UNDER 18] In part one of this two-part article on gay men’s fears in sex, I discussed the fear of bottoming.  In this part, we look at gay men who have a fear of topping instead. I’ve been a specialist in therapy and coaching for gay men … Read more

Three’s Company: The Right Way and the Wrong Way to Have a Gay Men’s Three-Way

A therapist’s office (similar to a physician’s or lawyer’s office) is a place to talk about things that would be difficult to talk about almost anywhere else except behind closed doors at home.  This is why psychotherapy has a long tradition of strict confidentiality:  what’s said in therapy, stays in therapy, with the exception of … Read more