Ask the Doc
Dr. Olson welcomes your questions and comments about your sexual identity, coming out, sexual functioning, relationships, and how to face aging with optimism. Feel free to write him about any of these or related topics at firstname.lastname@example.org.
Dr. Olson will always respect your privacy. Although he may use the content of your message in a blog post, he will never disclose your identity, age, or specific location in his responses. Any information that might reveal your identity will be altered in such a way that it protects your identity. All questions have been edited and abbreviated for publication.
His responses are not to be considered medical advice.
My essay “Mature Gay and Bisexual Men and Suicide” in Psychology Today drew these questions from a reader: What drew you to psychiatry? Why the interest in suicide in mature gay and bisexual men? What accounts for their high rates of suicide and mental health issues, and are the rates different among younger gay and bisexual men? How does race factor into this? What can be done to combat high rates of suicide among mature sexual minority men?
I have always thought of psychiatry as a calling rather than a choice. To be successful, one must be able to accurately empathize with patients’ emotional pain. Our training allows us to step back from that pain and then apply some objective, rational thought as to the most appropriate intervention. Healing occurs through genuine warmth, accurate empathy, and unconditional positive regard for each patient. Continue reading
The following comment was submitted in response to my article “The Messy Realities of Bisexuality”: I am a male in my forties and have explored being sexual with men for about five years. I have a strong attraction to fit, muscular men but also to soft and sensual women. It seems that when I am in a relationship with a man, I think about what I am missing with a woman and vice versa.
Your comment is fairly representative of someone who is bisexual. But this kind of conflict exists for people who are gay and straight as well. Being committed to a relationship does not disconnect our attraction to others. We may still have powerful sexual urges to be with someone else. We just don’t need to respond to every sexual urge we experience. Continue reading
After I wrote “Why Older Gay Men Are Attempting Suicide at a Higher Rate,” I received a couple of poignant responses. One was from a sixty-six-year-old man who was struggling with the question of whether to come out to his parents and friends, the loss of his business, and several health challenges, including serious side effects from his medications. He said that he had “not ruled out” suicide but that he didn’t want to hurt his family or close friends. Another was from a sixty-one-year-old gay man from Australia who wrote about feeling invisible—even among close gay friends who were younger—and suggested that depression in mature gay men could be linked to rejection and ageism in the gay community. He is struggling with physical changes, including erectile dysfunction. Here is how I responded to them.
Neither of you is unique in what you have experienced. When I turned sixty years old, I also went through a difficult time for some of the same reasons you’ve mentioned. I had lost my mother, my stepfather, and a brother within six months, and some friends had died. I needed a knee and a shoulder replacement. My career had plateaued, and I thought it was on the decline. I had some difficulty with erectile dysfunction. All I could see for the future was a series of continued losses. Continue reading