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.
I am a self-identified gay man who recently stumbled across your book, Finally Out, and it raised some points that I want to ask you about. It seems to me that sexual desire may be learned rather than instinctual. Aren’t instincts and intelligence mutually exclusive? If homosexuality is a biologic instinct, in other words, hard-wired, wouldn’t it just die out?
The debate about whether being gay is nature versus nurture is one that has gone on for a long time and undoubtedly will continue for a long time. I usually say that 99% of our brain functions at a primitive or primal level and 1% at a rational level. Of course, these numbers are chosen arbitrarily to make a point. Continue reading
I’m very new to all of this. In fact, I’ve never been with a man sexually, although I’ve thought about it for a long time. I find myself vacillating between excitement and nervousness over the anticipation. I made eye contact with someone at the gym today but wasn’t sure what to do next. I’m considering a weekend at a clothing optional resort, hoping to explore the gay community a bit more. I’m looking for one that isn’t too seedy but one where I can have some good conversations with other like-minded men.
Of course, you’re nervous as well as excited. All very normal. Cruising goes on everywhere. Eyes meet, when a glance is held for a bit longer than the look between heterosexual men. It’s the initial communication of some interest. Once you’re aware of it, you become a participant without even intending to. It’s a learned response, and once learned, it never goes away. All it means is that you’ve developed some comfort in looking at another man. Heterosexual men are usually uncomfortable with it and will look away quickly. Continue reading
Can you give me advice? I’m in my mid-60s, married for over thirty years. I always had a good sex life with my wife but also enjoyed sex with men on the down low. She busted me a couple of years ago when she found my Craig’s List searches on my computer. She said I could continue to have sex with men, but never without her knowing, and she even suggested having a 3-way. She’s alcoholic, and her drunken stupors, being overweight, and poor self-esteem pushed me into my carnal desires! She said today she’ll quit drinking if I give up having sex with men. Our three kids are raised and know the situation. But I’m so confused! I don’t want to turn into an old gay man, but am I already?
This is a complicated situation, and life is full of predicaments where there don’t appear to be any good choices. It can feel very hopeless at times. As I mentioned in my book, Finally Out, I also had a good sex life with my wife, although I know now (as does she) that it wasn’t as good as we thought back then. Continue reading
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