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Gay Mental Health: Mental Health Issues Facing Gay Men

Gay mental health can be challenged, often, by depression, anxiety or substance use disorder. Learn about gay depression and gays and addiction.

Many people aren't aware of this, but homosexuals face gay mental health challenges. As the Centers for Disease Control and Prevention (CDC) are clear to note, ". . . the majority of MSM [men who have sex with men] are highly resilient and able to cope successfully with many negative life stressors, such as those associated with homophobia and discrimination;"1 however, this doesn't mean that there aren't specific gay mental health challenges.

Gay Mental Health – Increased Risks

Homosexuality is not a medical or mental health disorder but the pressures placed on gay men such as discrimination and homophobia can have a negative impact on their health. According to the CDC, research has found that gay men are at increased risk of:

  • Major depression during adolescence and adulthood
  • Bipolar disorder
  • Generalized anxiety disorder during adolescence and adulthood
  • Suicide
  • Use of illegal drugs

Gay mental health issues also include substance use disorders like substance abuse and substance dependence. It is noted by the American Psychological Association that gay men also report a higher use of mental health services.2 (info on Gay Therapy, Gay Therapists, Gay Treatment)

Gay Mental Health – Talking to Your Doctor

The Gay and Lesbian Medical Association (GLMA) recommend talking about 10 things with your healthcare provider, three of which pertain to gay mental health.3

  1. Coming out to your doctor – in order to get the best gay mental health help possible, it's critical to come out to your doctor. If the doctor does not seem comfortable with you, it's time to find another doctor.
  2. Gay addiction treatment – it's critical to discuss any drug or alcohol use with your healthcare provider as gay men are at an increased risk for addiction issues.
  3. Gay depression or anxiety – Being gay and depressed or anxious is not uncommon but to get gay depression treatment, you must first make your doctor aware of the issue.

Gays and Addiction

Gay men are more likely to use tobacco, alcohol and other drugs and are more likely to use them in excess. It is thought that there are more gay addicts because of the stress society places gays under particularly due to homophobia. Reasons identified include:4

  • Sense of self as worthless or bad
  • Lack of connectedness to supportive adults and peers
  • Lack of alternative ways to view "differentness"
  • Lack of access to role models
  • Lack of opportunities to socialize with other gays/lesbians except bars
  • The risk of contracting HIV

Gay addiction prevention strategies include:

  • Public education and policy advocacy aimed at eliminating heterosexism and homophobia
  • LGBT cultural competency training for community-based agencies, programs and services, including those focused on substance abuse (e.g., police, health and social services, education, faith community, families and foster care)
  • Safer, alternative venues for LGBT youth and those in the process of forming their sexual identities to "come out."

Gay alcoholics may also find that seeking out gay Alcoholics Anonymous groups helpful. Gay Alcoholics Anonymous and other gay addiction support groups can be found here.

Additional Resources

Additional information on gay mental health issues can be found through mental health organizations including:

article references


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next: Gay Suicide
~ all gay articles
~ all articles on gender

Last Updated: 18 August 2016
Reviewed by Harry Croft, MD

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