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Gay Therapy LA with Ken Howard, LCSW, CST
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Gay Therapy LA with Ken Howard, LCSW, CST

Author: Ken Howard, LCSW, CST

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Gay Therapy LA with Ken Howard, LCSW, CST
A gay men's mental health, sex, and relationships podcast

If you've ever wished there were a therapy-informed podcast just for gay men, you're in the right place.

I'm Ken Howard, LCSW, CST – a gay men's specialist psychotherapist, AASECT Certified Sex Therapist, Certified Psychiatric Social Worker, longtime LGBTQ+ advocate, and gay men's life/career/relationship coach with over 32 years' experience working almost exclusively with gay male individuals, couples, and polycules.

On Gay Therapy LA, you'll get more than clichés or recycled pop psychology. This is a deep-dive podcast for gay men's mental health, sex, and relationships—rooted in real clinical experience with thousands of clients over three decades.

We talk about what actually shows up in gay men's lives:

Mental health for gay men: anxiety, depression, trauma, shame, internalized homophobia

Gay men's relationships: monogamy, open relationships, consensual non-monogamy, polycules, jealousy, trust, communication

Sex therapy for gay men: desire, performance, erections, ejaculation, kink, porn, HIV, PrEP, sexual confidence

Gay men and aging: body image, muscles, appearance pressure, midlife, older gay men, long-term HIV survivorship

Dating and intimacy: hookup culture, apps, ghosting, rejection, attachment, finding and keeping a partner

Gay men and success: career transitions, burnout, money, retirement, purpose, and building a life that actually feels good

Episodes are mostly just me—so you get unfiltered, no-nonsense, therapist-level insight without fluff, plus occasional guests whose expertise or lived experience can help you grow. Every episode is designed to give you practical tools, perspectives, and strategies you can use immediately in your life, not just "interesting conversations."

If you're a gay man who wants better mental health, stronger relationships, more satisfying sex, and a more successful, meaningful life, this podcast is for you—whether you're in your 20s, 40s, 60s, or beyond.

About the practice behind the podcast

Gay Therapy LA with Ken Howard, LCSW, CST is the podcast of my private practice:

Psychotherapy for gay men in California (online)

Coaching for gay men worldwide (online)

I'm the founder of GayTherapyLA.com and GayCoachingLA.com, based in West Hollywood, California, serving gay men all over the world via webcam and phone. My credentials include:

California Licensed Clinical Social Worker (LCSW)

Certified Psychiatric Social Worker

AASECT Certified Sex Therapist

Certified in Consensual Non-Monogamy and Polyamorous Families

Retired Adjunct Associate Professor in Social Work (USC)

Through both psychotherapy (California) and coaching (worldwide), I help gay men improve their mental health, strengthen their relationships, upgrade their sex lives, and maximize their quality of life and career, leveraging their past to enhance their future.

While this podcast cannot substitute for personal therapy and is provided for educational purposes only, the episodes reflect the kinds of themes and strategies I work on with clients every day.

Your questions, comments, ratings, and reviews are very welcome, as are suggestions for future episodes.

© 2025 Ken Howard, LCSW, CST. All rights reserved.
192 Episodes
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Ken Howard, LCSW, CST, gay men's specialist therapist, discusses the new movie, "Wicked: For Good" and its implications for gay men, in themes about silencing political voices, seeing things for what they are, and how to stay resilient during Trump 2.0 America.  
Many gay men fear psychiatric meds. Ken Howard, LCSW, CST, explains how the right medication can restore—not change—who you are, separating facts from stigma and myths about treatment and mental health.
Mid-life gay men still use apps like Grindr or Scruff; not just for sex, but for social connection, validation, and visibility.  Gay therapist Ken Howard, LCSW, CST explores desire, aging, open relationships, and how to use apps with intention instead of compulsion.
Why do gay men joke that "the Navy's the gayest branch" or "all Marines are bottoms"? In this episode, Ken Howard, LCSW, CST, explores how these myths reflect cultural anxieties about masculinity, sexuality, and belonging. Through the Six Principles of Sexual Health and 30+ years of clinical experience, Ken examines how humor, fantasy, and identity intersect—and how gay men can move from stereotype to sexual self-empowerment.
"Post-nut clarity" isn't just a meme — it reflects real neurobiological and psychological shifts that affect how gay men experience sex, emotion, and judgment. Gay men's specialist psychotherapist Ken Howard, LCSW, CST explores this normal post-orgasmic process through the lens of CBT, psychodynamic theory, and the Six Principles of Sexual Health, showing how self-awareness can turn confusion or shame into sexual self-empowerment and integrity.
Ken Howard, LCSW, CST, explores how Yom Kippur's themes of reflection, apology, forgiveness, and renewal resonate for gay men. A secular take on the Jewish Day of Atonement, this episode invites you to let go of shame, repair relationships, and embrace bold renewal.
Too often, gay men trade in "toxic currencies" like attention, sex, money, status, drama, and jealousy. They feel powerful in the moment but drain us over time. In this episode, Ken Howard, LCSW, CST, shares what healthier currencies look like — and how to build a richer, more grounded life.
Ken Howard, LCSW, CST, unpacks the political whiplash from Obama to Trump and its impact on gay men's mental health—exploring minority stress, cultural backlash, and strategies for resilience in a divided America.
Ken Howard, LCSW, CST, explains why lasting trauma recovery for gay men comes from evidence-based approaches like CBT and Narrative Therapy—not trendy quick fixes. Learn how to move beyond shame, grief, and rejection toward resilience and authentic connection.
Some therapists claim to be "welcoming to all" while secretly holding non-affirming values about LGBTQ+ identity and gay men's issues such as sexuality. In this episode, Ken Howard, LCSW, CST, exposes the harm, ethical breaches, and red flags of non-affirming therapy — and shows clients and parents how to spot it before it causes damage.
Ken Howard, LCSW, CST, explores "The Cinderella Syndrome" in gay men—the rise from rejection to confidence, and what happens when the glow-up fades. From body image to aging, learn how to build lasting self-worth, stay empowered, and thrive beyond appearances. Real talk, real tools, real growth.
Do you struggle with control, fear of abandonment, or always expect the worst? You might be a gay Adult Child of an Alcoholic (ACA). In this episode, Ken explores how unresolved childhood chaos shapes adult gay life—and how healing is possible
Losing a partner is devastating—especially for gay men, whose grief is often marginalized. In this episode, gay men's specialist psychotherapist Ken Howard, LCSW, CST, explores the emotional journey of gay widowers, including AIDS-era losses, the five stages of grief, coping strategies, and how therapy or coaching can help. Whether you're grieving or supporting someone who is, this conversation offers healing and hope.
Aging as a gay man can feel like becoming invisible—but it doesn't have to. In this episode, Ken Howard, LCSW, CST, shares insights from 30+ years of helping gay men reclaim sexual confidence, confront ageism, and embrace desire at any age. It's time to get real about erotic aging—and radically refuse to disappear.
What if Gilligan's Island was more than a goofy sitcom? What if it was a mirror for gay men's internal struggles with shame, identity, and survival? This episode explores how each castaway reflects one of the Seven Deadly Sins—and how these moral archetypes echo the messages many gay men internalize. Through humor, camp, and therapeutic insight, this episode reclaims "sin" as a source of healing, not harm.
What holds us back from achieving our full potential? In this episode, Ken Howard, LCSW, CST explores the unconscious barriers many gay men face—like self-doubt, fear of success, cultural pressure to stay small, and toxic professional competition. With insights from 30+ years of clinical practice, he shares empowering strategies from cognitive and positive psychology to help move past internalized limitations and build a life aligned with your true goals.
Discover how the Big Five OCEAN personality traits—Openness, Conscientiousness, Extraversion, Agreeableness, and Neuroticism—can help gay men improve relationships, communication, and self-understanding, with insights from therapist Ken Howard, LCSW, CST.  
Tired of flashy social media gurus? In this episode, Ken Howard, LCSW, CST, breaks down the difference between pop psych soundbites and real therapy that heals—especially for gay men seeking depth, substance, and actual growth.
In this episode, I explore the many ways gay men experience betrayal—in relationships, friendships, family, and professional life—and how we can heal from these wounds with clarity and strength. If betrayal has touched your life, listen in and consider therapy or coaching with me to reclaim your peace of mind and restore trust in yourself and others.
In this episode, Ken explores how gay men can reclaim positive masculinity—balancing strength, emotional intelligence, and authenticity amid today's political and cultural battles. Learn how evolving healthy masculinity empowers gay men personally, professionally, and within our larger society.
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