Men who have sex with men/MSM
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