In considering the combination of gay men, sex, and crystal, a number of considerations come to mind for mental health professionals and researchers. For the first part, discussing gay men and sex, care must be taken to avoid generalizations, just as care would be taken to demonstrate cultural competency and absence of prejudice in discussing any subgroup of the general population. Why is it that gay men (excuse me, “men who have sex with men”) are still subject to a certain scientific, distancing condescension that is widely recognized as off-limits (rightfully so) for any other American minority?