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Gay Therapy LA with Ken Howard, LCSW

Gay Therapy LA with Ken Howard, LCSW

By: Ken Howard LCSW
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Summary
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, SHA Certified Sex Therapist, Certified Psychiatric Social Worker (USC), longtime LGBTQ+ advocate and activist, and gay men's life/career/relationship coach with over 34 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) - 1997 Certified Psychiatric Social Worker - 1994 Certified Sex Therapist (Sexual Health Alliance, SHA) - 2021 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.copyright 2024 by Ken Howard, LCSW, CST Hygiene & Healthy Living Psychology Psychology & Mental Health Relationships Social Sciences
Episodes
  • I Can't Stop Thinking About My Ex: When a Gay Breakup Takes Over Your Mind
    Oct 19 2026

    Months after a gay breakup, you may still think about your ex every day. You might miss the sex, the companionship, or how you felt about yourself when he wanted you. Losing those parts of the relationship can make it harder to let go.
    In this episode of the Gay Therapy LA Podcast, Ken Howard, LCSW explores why you keep replaying the relationship and when thinking it through becomes rumination. He discusses rejection, aging, sex with an ex, open relationships, and the pull of checking his dating profiles and social media. He also considers how easily we remember the good times while overlooking what wasn't working.


    The episode offers ways to understand what you miss, set boundaries around contact and reminders, and rebuild friendships, routines, and self-worth after a breakup. Ken also discusses when persistent distress may call for additional support.

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    59 mins
  • The Gay High Achievement Paradox: When Success Isn't Enough
    Oct 2 2026

    You've built the career, earned the recognition, and reached goals your younger self once dreamed about. Why can success still feel exhausting—or strangely unsatisfying?

    In this episode, Ken Howard, LCSW explores the gay high achievement paradox: how the strengths that help gay men succeed can become difficult to set aside when it's time to enjoy the lives they've built. He considers the role of rejection and being underestimated, and the difference between achievement as a means of creating a fulfilling life and achievement as the foundation of your identity.

    The conversation also addresses the transition from skilled professional to effective leader, delegation and difficult workplace relationships, and why executive authority doesn't translate into equal partnership at home. Midlife, retirement, friendship, intimacy, and making time for postponed interests all raise a larger question: what was your success supposed to make possible?

    For gay men who want to explore these questions, learn about psychotherapy for California residents at GayTherapyLA.com or coaching at GayCoachingLA.com. Psychotherapy and coaching are distinct services; the appropriate approach depends on your needs and location.

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    36 mins
  • The Psychology of 9/11: Perpetrator Motivations and Our Reactions
    Sep 29 2026

    Ken Howard, LCSW, explores the psychology behind September 11 and its lasting aftermath—from absolutism and dehumanization to grief, survivor guilt, anniversary reactions, and resilience. Drawing on personal memories and his work with gay men, he considers how experiences of vulnerability and loss shape our sense of safety, while distinguishing trauma responses from PTSD.

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    43 mins
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