Imagine walking into a pharmacy, prescription in hand, and being told, “Sorry, we don’t give that to people like you.” Now imagine the government says that’s perfectly fine—as long as it’s wrapped in words like “concern” or “safety.”

That’s not a dystopian movie plot. That’s United States v. Skrmetti.

On June 18, the U.S. Supreme Court upheld Tennessee’s SB1, a state law that bans gender-affirming care for minors. Puberty blockers. Hormone therapy. All of it. Not because the treatments are dangerous (they’re not), or untested (they’re not), but because the kids receiving them are transgender.

Let’s be clear: this isn’t regulation. It’s targeted denial. And it just got the Supreme Court’s stamp of approval.

Chief Justice John Roberts, writing for the majority, said SB1 doesn’t discriminate. He argued the law merely regulates treatment based on “age and purpose.” That’s a little like banning seatbelts—but only for gay people—and claiming it’s about “safety.” Here’s the truth: SB1 bans hormone therapy only when it’s used for gender transition. Those same drugs are still allowed for other conditions. That’s not neutral. That’s surgical discrimination, written into law.

Even Tennessee’s legal team admitted it: the law “only affects those who seek to transition.” That’s not an accidental loophole. That’s the entire point.

Even worse, the Court ducked the bigger question: Do transgender Americans qualify as a “suspect class” under the Constitution—meaning they deserve stronger protections against discrimination?

Historically, groups with a long track record of discrimination, limited political power, and immutable traits (like race or religion) have gotten this status. Trans people check every box. Yet the Court said nothing.

That silence wasn’t a technicality. It was a political decision. A willful refusal to say: “You matter. You count. You’re protected here.”

Let’s drop the pretense. This isn’t about medicine or morality. Gender-affirming care is backed by every major U.S. medical association—from the American Academy of Pediatrics to the AMA. It’s safe. It’s effective. And it saves lives.

But these laws don’t ban puberty blockers across the board. They just ban them for trans kids.

That’s not policy—it’s punishment.

We wouldn’t tolerate a law that banned mammograms for women, or insulin for diabetics, only if they’re queer. But that’s exactly what this is: identity-based medical apartheid.

Supporters claim it’s about protecting children. But you don’t protect kids by denying them care recommended by doctors and supported by science. You do that to control who they’re allowed to become.

Here’s the part that should make us all pause: Most Americans don’t agree with this decision. A recent Pew poll found that 64% of Americans support protections for transgender people. Nearly 60% support access to gender-affirming care. Among young adults, those numbers are even higher.

This isn’t a red state vs. blue state issue. It’s a basic civil rights question in the 21st century. The people are not divided. But our institutions—the courts, the legislatures—are lagging behind. Or worse, being weaponized.

This ruling leaves trans youth legally exposed and politically abandoned. But that doesn’t mean we’re powerless.

Here’s what must happen now:

· State legislatures must pass ironclad non-discrimination laws that protect transgender youth where federal protections now fall short.

· Congress must pass the Equality Act—in full—and enshrine civil rights protections for LGBTQ+ Americans nationwide.

· The media must stop framing this as just another “culture war.” This isn’t about ideology. It’s about constitutional rights—access to care, bodily autonomy, and equal protection under the law.

· And we the people must act. Vote. Call your lawmakers. Tell your stories. Make it clear that civil rights don’t depend on your zip code, political party, or gender identity.

This moment is more than a court ruling. It’s a moral test for a country that claims to believe in liberty and justice for all.

You don’t have to be trans to be alarmed. If the state can deny medical care to one group based on identity, what’s to stop them from doing it to you? Your kid? Your neighbor?

History will remember where we stood. Let it remember this: we stood with trans kids and their parents. Loudly. Unapologetically. And without retreat.

James Bridgeforth, Ph.D., is a national columnist on the intersection of politics, morality, and civil rights. His work regularly appears in The Chicago Defender and The Black Wall Street Times.

Earlier this week I was having lunch with my friend and neighbor at our deliciously default pasta spot where everybody knows your name and, as always, were shooting the breeze with the co-owner-slash-manager, whose warmth and wit is never 86’d and, in conjunction with our lust of carbs, always keeps us coming back. 

For the first time, we lightly breached the topic of politics. I know, I know, waters best left uncharted more often than not. Anyhow, his expression shifted from usual light-hearted charm to something more strained, notes of discomfort and chagrin. In response to our hesitance and likely cautious stares, he revealed that his husband – who also happens to be our server that day (yes, they work together, which is adorable, but not the point) – is a supporter of President Trump. That revelation, he admitted, has created serious tension in their relationship. 

This paradoxical information got my cogs turning in my mind – what is occurring in the mind of a queer-identifying person who favors such a political figure as our current president?

In this unkempt landscape of American politics, the alignment of LGBTQ+ folks with what are seen collectively as conservative ideologies, particularly open or not so open support for figures like President Trump presents quite the complex and often misunderstood phenomenon. This intersection of queer identity and conservative politics challenges conventional narratives and invites a deeper exploration into the psychological, social, and cultural factors that fuel such political affiliations.

Most find it a cognitive strain to comprehend such a contradiction. At first look, the support of LGBTQ+ folks for a person and figure like our current president comes across as self-loathing and straight-up-gay-up backwards. The Trump administration was marked by policies that many perceive as a blow to LGBTQ+ rights, including attempts to ban transgender folks from military service and the rollback of protections against discrimination in healthcare. Despite all of this, a surprisingly large number of the LGBTQ+ community expressed support for him/it/what-the-f*ck. Understanding this mentality requires a closer look at the psychological mechanisms at play.

One undeniable factor is the concept of system justification theory, which tells us that people can be and often are motivated to defend and rationalize the status quo, even when it may not align with their best interests. For some queer folks, aligning with conservative ideologies may serve as a means to gain acceptance in broader societal structures that value traditional norms and values. This alignment can provide a sense (a sense) of belonging and validation, even at the cost of personal identity and community solidarity.

Another, arguably obvious, key factor to consider is the presence of internalized homophobia, where queer folks internalize societal prejudices that are against their own identity and best interest. Research has shown that approximately 4 out of 10 gay Republicans view their homosexuality as a personal shortcoming and would prefer to be straight if given the chance. This internalized stigma can lead to a disconnection from the whole LGBTQ+ community and a preference for political ideologies that align with traditional values, even if those ideologies are not supportive of (their own) LGBTQ+ rights.

This internal conflict is even more complicated by the yearning to conform to societal expectations of traditional and arguably toxic masculinity. The concept of precarious manhood hints that some men feel the pressure to adhere to more traditional masculine norms to avoid being perceived as weak, lesser than, or effeminate. For some queer cismen, supporting conservative figures who embody these traditional masculine ideals is a way to assert their masculinity and gain societal acceptance, even if it means distancing themselves from their queer peers and identity. 

Trauma also plays an often overlooked role in shaping political identity – especially for queer folks. For some, early experiences of rejection, bullying, shame-inducing religious influence, or even familial abandonment may create deep psychological and emotional wounds that, gone unaddressed, never fully heal. Rather than seeking solace in queer spaces and groups that tend to be affirming, those with unresolved trauma may seek safety in systems that appear more rigid or authoritative – even when those systems have historically marginalized them. Supporting a figure like Trump, who attempts to project strength, dominance, and control, can feel like a form of self-protection or even empowerment. It’s a way of aligning with power rather than vulnerability, even if that power has been used to harm people like themselves. In this sense, political support can become not just ideological, but emotional, acting as an unconscious attempt to rewrite personal narratives of victimhood by choosing the “winning” side.

Looking past identity and other psychological factors, practical considerations also play their part in political affiliation. Economic policies championed by conservative figures, like tax cuts, deregulation, and a free-market approach, appeal to LGBTQ+ folks who tend to prioritize financial independence and personal perception of responsibility. For those who value financial independence and personal responsibility, these ideas can feel like a better fit than the social policies typically supported by more liberal politicians.

The phenomenon of queer folks supporting conservative figures like Trump serves as an indication to the intricacies of human identity and political affiliation. It challenges simpler narratives and necessitates a more nuanced look into the factors that influence our political choices.

Rather than simply casting, it’s worth one’s while to critically consider the underlying factors that shape political beliefs – especially when those beliefs seem to run counter to the interests of marginalized communities that they are (whether they like it or not) a member of. Psychological distress, unresolved trauma, internalized stigma, and a longing for some semblance of acceptance can all impact one’s political alignment in ways that aren’t always rational or self-preserving. Acknowledging the complexities of these influences can give way for a clearer view into how some queer people are drawn like mosquitos into a bright light toward ideologies or figures that undermine their rights. Understanding these dynamics is not a matter of justification but of clarity. Only through that clarity can we begin to appropriately and efficiently address the deeper forces at play in our collective political consciousness.

And the pasta was just okay that day.

The U.S. Agency for International Development — proudly my institutional home for several years of my international development career and an American institutional global fixture since November 1961 — is no more.

How will USAID’s closure impact LGBTQI+ people around the world, especially in poor, struggling countries (“the Global South”)? Time will tell, but “dire,” “appalling,” and “shameful” are appropriate adjectives, given the massive increase in HIV/AIDS deaths that follow the callous, abrupt, and unspeakably cruel cut-off of funding for USAID’s health and humanitarian programming in HIV/AIDS prevention, treatment, and care.  

Regarding LGBTQI+ people and issues, USAID worked in a tough neighborhood. In Africa alone, more than 30 countries in which USAID had programming still criminalize same-sex relationships, often to the point of imposing the death penalty. These fiercely anti-LGBTQI+ countries share harsh anti-LGBTQI+ punishments with most countries in the Middle East and North Africa. Other countries where USAID formerly worked retain colonial-era sodomy laws.

Where did USAID fit into all this turbulence? The agency was not allowed to transgress local laws, so how could it support the human rights of local LGBTQI+ people? USAID did so by building close and trusting relationships with local LGBTQI+ civil society, and by “superpower advocacy” for the universal human rights of all people, including those of us in the queer community.

I served at USAID’s Africa Bureau under the Obama administration, becoming the only openly transgender political appointee in USAID’s history. In that role, I was privileged to have a platform that caught the astounded attention of both queer people and of anti-LGBTQI+ governments around the world. If the president of the United States can elevate a transgender woman to such a senior position within the U.S. government, that open declaration of acceptance, inclusion, worth, and recognition set a precedent that many in the LGBTQI+ community worldwide hoped their countries would emulate. 

Serving as an openly queer person at USAID also afforded me the opportunity to meet with many fiercely anti-LGBTQI+ senior politicians and government officials from African countries who sought USAID funding. Uganda’s first woman speaker of the parliament, Rebecca Alitwala Kadaga and her whole delegation came to see me at USAID in Washington about such funding. I had some very frank (and USAID-approved) “talking points” to share with her and her team about President Obama’s strong and secular commitment to equal human rights for all people. My tense meeting with her was also an opportunity to educate her as to the nature of the transgender, nonbinary, and intersex community — we who are simply classified and discriminated against as “gay” people in Uganda and in most countries in the Global South. I also had the chance to represent USAID in the “inter-agency” LGBTQI+ human rights task team led by gay U.S. Ambassador David Pressman, whose effective leadership of that Obama-era initiative was inspirational.

Working closely with professional, capable, and caring USAID career employees such as Ajit Joshi and Anthony Cotton, and with the strong and open support of the USAID Deputy Administrator Don Steinberg, I helped to craft and promote USAID’s very first LGBTQI+ policy. Under President Obama, USAID also created the LGBT Global Development Partnership, a public-private partnership supporting LGBTQI+ civil society groups throughout the Global South. USAID funding also increased for programs promoting LGBTQI+ inclusion, anti-violence, and relevant human rights protections. This programming expanded further (albeit never adequately funded) during the Biden administration under the able leadership of USAID Senior LGBTQI+ Coordinator Jay Gilliam and his team. 

So what did it all mean? Has USAID left a footprint for the global LGBTQI+ community? Will its absence matter?

In my view, that answer is an emphatic yes. International development and humanitarian response go to the heart of recognizing, respecting, and caring about universal human dignity. USAID converted those ethical commitments into tangible and meaningful action, again and again, and modelled for the world what it means to truly include all persons. 

My time serving at USAID was a high point of my career, being surrounded by the best of American civil servants and foreign service officers. For me, “USAID Forever” remains my battle cry. Let’s start thinking of how we will rebuild it, beginning in three years.

Chloe Schwenke is a professor at Georgetown University’s McCourt School of Public Policy.

Ketamine therapy was once on the fringe, but now makes up a fast-growing field in the world of Mental Health. Derek Du Chesne of Better U, a mental health service in West Hollywood, shares how his team attempts to make psychedelic care safer, smarter and more accessible.

Mental health is finally getting the attention it deserves and as our understanding of it deepens, so does the range of tools available to support it. In recent years, psychedelic-assisted treatments like ketamine are gaining serious ground and a growing number of clinicians have turned to these as promising alternatives to more traditional methods. Enter Du Chesne, creator of Better U, with the goal of making ketamine therapy more accessible and personal. In our conversation, Du Chesne shares the mission behind Better U, the challenges faced by underserved communities and how his team is aiming to reshape the mental health landscape one patient at a time.

Can you share what Better U is all about?

I’m the founder and CEO of Better U. We’re a telemedicine-based alternative wellness platform, currently operating in 35 states. We primarily offer ketamine therapy for conditions like depression, anxiety, PTSD and suicidal ideation. We also provide services in sexual health, clinical weight loss and holistic psychiatry.

You’ve had your own experience with psychedelic therapy. Can you talk about how that journey inspired Better U?

Six years ago, I never imagined I’d be doing this. I had used psychedelics recreationally, but ketamine never interested me. I saw it as a horse tranquilizer nothing I’d ever take seriously.

I had been working in alternative health, specifically cannabinoids mainly on the supply chain side across several industries. In 2019, I traveled to about 40 countries for work and we raised around $40 million in capital. That year, my company made $85 million in revenue and was heading into a $1.2 billion acquisition. Personally, I was also about to get married. Within six weeks, both my career and my relationship unraveled. The company let me go just before my equity vested and I later found out my fiancée had been unfaithful while I was on the road.

Everything I had built my identity around collapsed. I spiraled into a deep depression, tried therapy, psychiatry, and antidepressants. None of it helped. Eventually, I became suicidal. A close friend intervened and brought me to a ketamine clinic. I was extremely skeptical, especially since a single session cost $1,600. But about 15 minutes into it, I felt like I could breathe again for the first time in months.

The treatment helped me separate from the constant, negative thought loops. It created space between me and my pain, helping me see that the things that happened didn’t define me. That clarity changed everything. I no longer felt like I had to carry shame or blame for what others had done. It gave me peace.

Shortly after, a friend suggested I get out of my environment. Everything in my home reminded me of the past. I went to The Bahamas for a reset: sun, exercise and healing. That period helped me recalibrate.

Months later, I was invited to Stanford by a friend whose sister leads epidemiology there. At dinner, I met someone involved in psychedelic research. I shared my experience and he invited me to visit their depression clinic and psychedelic research lab. That’s when I realized the transformative potential of these therapies. I sat with hospice patients receiving psychedelic treatments. People from all walks of life have similar, profound responses. It was incredibly moving.

That’s when I started thinking: how do we make this affordable and accessible? My first ketamine session was powerful, but afterward, there was no follow-up, just a “see you next week.” It felt transactional. I wanted to build something more thoughtful, especially for people like those in my small hometown in Wisconsin where mental health care is rare and stigma is high.

Better U was born from that idea.

Better U has facilitated over 230,000 sessions for around 18,000 patients nationwide. A large portion of your clients identify as LGBTQ. Why do you think ketamine therapy resonates so deeply with that community?

The LGBTQ community is incredibly diverse, and so are the challenges its members face, from gender dysphoria and identity struggles to rejection from family, friends, or society. That rejection often comes right at the moment someone begins living as their authentic self. The emotional toll can be devastating and in many cases, the suicide rates, especially among trans individuals, are alarmingly high.

Ketamine therapy creates space. It allows someone to step outside of the emotional chaos, the shame, fear, judgment and look at themselves without that mental noise. When you can separate your identity from the voices in your head or the reactions of others, there’s clarity. You begin to realize, “This pain isn’t about who I am, it’s about others’ inability to accept me.” That shift can be life-saving.

Many of our LGBTQ clients come to us after years of self-medicating with alcohol, drugs, or even unhealthy relationships. Others feel like they’ve hit a wall with traditional talk therapy. As we age, our brains get more set in their patterns. Ketamine disrupts those patterns. It can help people access a deeper level of understanding and healing, especially when other methods have stalled.

What’s powerful is that many patients don’t come in intending to stop drinking or using substances. They come for anxiety, depression, or suicidal thoughts. But after a few sessions, they’ll say, “I realize my drinking is tied to social anxiety,” or “I use because I feel like I have to numb myself to be accepted.” The therapy helps them see that those coping mechanisms aren’t serving them anymore.

We’re based in West Hollywood, so we’re deeply embedded in this community. In cases of suicide attempts, local hospitals like Cedars-Sinai often reach out to us because ketamine has become one of the most effective tools for treating suicidal ideation.

That said, it’s not a cure-all. If someone is abusing ketamine recreationally, we won’t treat them with it. It’s not safe or appropriate. But in a clinical setting, when properly dosed and supported with integration care, we’ve seen almost no cases of addiction. It can be a powerful tool for healing when used with intention.

Trauma-informed care is a term that gets used a lot in mental health these days, but what does it actually mean to you  and how do you apply that framework at Better U?

To me, trauma-informed care means creating a system where every person interacting with a patient, from intake to integration, is trained to recognize, respect and respond to trauma. At Better U, we’ve built multiple layers of support to reflect that. While our welcome team handles basic screenings and eligibility, it’s our clinicians, integration therapists and success team who are most deeply trained in trauma-informed practices.

The unfortunate reality is that many ketamine clinics are founded by anesthesiologists—people who understand how to use the drug medically, but have little or no training in mental health. You can see it when you look at their teams: no psychotherapists, no psychiatrists, no trauma-informed staff. That’s dangerous, especially with a treatment that has the potential to surface deeply emotional material.

At Better U, we made sure to embed trauma-informed care into our clinical culture. Our doctors like Dr. Zaa Faul—a dual-board-certified addiction specialist and Army veteran—and Dr. Jamie Brooks, have deep expertise in both mental and physical health. Our success team, which supports patients after their sessions, is mostly made up of licensed therapists and professionals with years of experience in crisis care, psychedelic research and emotional integration.

Trauma-informed care also means learning how to hold space for people in distress. When I was the only person speaking to patients in our early days, I got yelled at, cussed out, blamed, not because patients were “bad” people, but because they were in pain. Maybe they hadn’t slept, or fasted before a session and were feeling raw. Maybe they were grieving or reliving trauma. You have to meet people where they are, understand that it’s not personal, and guide them toward healing without judgment. That’s where nonviolent communication becomes essential too. It’s a big part of how we train our staff.

Ultimately, it’s not just about delivering a treatment. It’s about helping people feel seen and safe enough to transform. And when you do that well, you get to witness incredible things, like someone processing deep grief or suicidal thoughts in a matter of weeks, instead of years. That’s the beauty of this work.

Let’s say I’m a potential patient who’s hesitant of undergoing ketamine therapy. What would you say to ease my mind?

Sure. First, I’d ask, have you ever had any experience with psychedelics?

[Then, I’d explain] most people who come to Better U, probably over 95%, have never had any experience with psychedelics. So it’s completely normal to feel anxious going into a first session and entering an altered state of consciousness. Especially if it’s unfamiliar.

I want to be transparent—our program isn’t a microdose. It’s a full, immersive experience.

That said, let me walk you through what the process actually looks like so you know what to expect.

After a consultation with a doctor to make sure this is a safe and appropriate treatment for you, you’ll receive a kit in the mail. That includes a blood pressure cuff, a journal, a “brain box,” and other tools to support your experience.

Then, before your first session, you’ll have a mandatory preparation meeting with one of our therapists. That’s where you can ask any remaining questions or talk through any lingering anxiety. You can even request a group session if you want to hear what others are feeling.

We also start very slowly. Your first dose is intentionally low — it won’t feel like a full psychedelic trip. It’ll feel more like a medication-enhanced meditation. It’s really just a way to help you dip your toe in and see how your body and mind respond before we increase the dose.

Is it safe?

Yes, incredibly safe, when done properly. Our protocols are built to prioritize your safety at every step. We’ve worked with thousands of patients and have seen incredibly low rates of any negative outcomes, especially when compared to traditional psychiatric medications.

And to be direct, while this work can be uncomfortable at times, it’s not always sunshine and rainbows, it’s also where the breakthroughs happen. This treatment acts like a mirror, helping you see what’s going on inside, but from a different, often clearer, perspective. And sometimes just that shift in perspective can change everything, from how you relate to yourself to how you engage with the world around you.

Where do you see Better U going in the near future, and how do you see it shaping the future of mental health?

Right now, one of our primary focuses is on insurance credentialing for all of our providers. Most of our patients come to us already on medications – antidepressants, benzodiazepines, Adderall, and so on—and as things currently stand, we can’t legally give them a plan to taper off or discontinue those medications.

So, let’s say someone goes through eight ketamine sessions with us and feels amazing, but they’re still on Xanax or an SSRI—we can’t formally help them get off of it. I think a huge issue in the U.S. right now is over-diagnosis and over-prescription. So by getting our doctors credentialed to accept insurance, including Medicare and Medicaid, we can create six month plans.

For example, to help patients reduce or discontinue medications that may no longer be serving them. At the very least, we want to help people lower their dosages to give themselves a fighting chance. Because right now, mental health care in this country is incredibly broken.

We’re also implementing AI.  We’re about to launch a 24/7 companion app that provides continuous support. I think one of the reasons Alcoholics Anonymous has been so successful is the sponsor model. We’re building something similar: an AI “sponsor” or companion that can provide round-the-clock mental health and physical wellness support. Think of it as an AI therapist that works alongside the human element.

Looking further ahead, we’re also preparing for the future of MDMA-assisted therapy, psilocybin and other emerging treatments. There’s a lot coming and we’re positioning Better U to be at the forefront of it all.

The sirens cut through the night, jolting me from sleep. My heart pounds as I lie in bed, listening to the explosions outside. I don’t have to run — my Airbnb bedroom is a “mamad,” a reinforced bomb shelter built into the apartment. Though the windows are sealed, I can feel the building shake with each blast. This is my reality now.

I arrived in Tel Aviv just before the escalation with a delegation of North American LGBTQ leaders. We came to stand in solidarity with Israel’s LGBTQ community, which has increasingly been isolated by the global queer movement. After the delegation’s five-day mission, I had planned to stay an extra week. But on my first night here, the war broke out.

Despite the fear and chaos, I’m proud to be here. While I’m not a permanent resident of Israel — I live in Los Angeles, home to the largest Iranian Jewish community in the U.S. — I feel like I’m exactly where I’m meant to be. I work in both Iranian and Jewish advocacy spaces, and being here during this pivotal moment is an act of presence, of witness, and of resistance.

The adrenaline of seeing Israel strike back against the IRGC gave way to the sobering realization: I am in a war zone. But I know I’m safer here than I would be in many other places — because Israel protects its people. With shelters. With missile interceptors. With warnings. With a government that values civilian life.

In Iran, people don’t have that. The regime in Iran — and I use that term deliberately, because the regime is not the people — cut off internet access to prevent civilians from receiving IDF warnings before strikes. They wanted maximum casualties. They wanted suffering. They wanted images to manipulate. The same regime that imprisons, tortures, and executes LGBTQ people. The same regime that stripped my family, and millions of others, of their home.

So, when I heard the same anti-Israel activists who have spent the past 20 months calling to “globalize the Intifada” — a clear genocidal chant — adopt the new catchphrase “Hands Off Iran,” my heart sank. This is not solidarity — it’s erasure. These people defend the very regime that forced my parents to flee, tearing our family apart.

Romanticizing the Iranian regime with protest signs and slogans isn’t just tone-deaf. It’s prioritizing aesthetics over truth, trend over substance, and optics over people. It’s especially painful when I see it coming from my LGBTQ peers.

Growing up queer in the Iranian Jewish community during the ’80s and ’90s wasn’t easy. It was LGBTQ spaces that taught me how to stand tall in my truth — how to live authentically and reject shame. But now, those same spaces often turn their backs on me because I’m a Zionist, a widely misunderstood movement which simply calls for Jewish self-determination.

The hypocrisy of the current anti-Israel rhetoric is glaring. The “Hands Off Iran” movement is misguided, providing cover for a regime that tortures its citizens. Yet these activists were nowhere to be found during critical moments like the 2022 “Woman, Life, Freedom” uprisings, when Iranian women risked their lives burning their hijabs in protest. After Mahsa Amini was murdered simply for showing a little hair, those cheering “queers for Palestine” said nothing. This silence in the face of tyranny is not progressive — it’s dangerous.  

For me, this conflict is not theoretical — it’s personal. I’ve witnessed firsthand how the Iranian regime targets LGBTQ people, religious minorities, and women. In Israel, I’m free to be who I am — a queer Iranian Jew. If we fail to stand with Israel, we fail to protect the values of freedom, human rights, and dignity. Israel is more than just a country — it’s a refuge for people like me, and it must remain that way.

As I write this, a fragile ceasefire is in place. But even with the quiet, the clarity remains. Israel is more than just a nation. It’s a refuge. And it’s worth standing up for — not because it’s flawless, but because it’s real. And because without it, people like me — queer, Iranian, Jewish — would have nowhere to turn.

Matthew Nouriel is a digital producer at the Tel Aviv Institute, Community Engagement Director at JIMENA, and a queer Iranian Jewish activist. He lives in Los Angeles.

The Michael Gottlieb Health Center is latest APLA facility to open, making it the eighth location in L.A. County to offer accessible healthcare services.

APLA Health recently opened its brand new the Michael Gottlieb Health Center in West Hollywood with a glitzy ribbon-cutting featuring a bevy of local politicians and community leaders on Friday, June 13. The new location, APLA’ eighth facility, will help the organization provide dedicated LGBTQ-inclusive health services to its more than 22,000 patients.

The new health center boasts 10 exam rooms offering primary, HIV and sexual health care, as well as mental health services. It also includes APLA’s first pharmacy and headquarters for the Alliance for Housing and Healing.

The WeHo location is named after Dr. Michael Gottlieb, the groundbreaking physician and
researcher who in 1981 co-authored the first medical report identifying the illness that
would later become known as AIDS. He later spearheaded important research on the
progression and treatment of HIV/AIDS and co-founded the American Foundation for
AIDS Research. He spent the last four years of his career at APLA, retiring in 2023.

“I’m honored to help dedicate this health center with my name on it,” Gottlieb told a
packed audience in the new center’s waiting room. “The center is named for someone
who is not of the community, but I’m proud to have my name up there, and grateful for a
community that has confided in me and trusted in me for decades now, and I continue
to stand with you in these difficult times in all the issues you’re facing.”

All of the speakers at the opening ceremony noted the difficult political climate for queer
people, immigrants, and health care under the new Trump administration in Washington.

APLA has already been forced to lay off its PrEP Navigation Team from its
Baldwin Hills location, as the federal government has terminated all contracts on HIV
and STD prevention with providers in LA County.

West Hollywood Mayor Chelsea Byers says this moment is an opportunity for the
community to come together to build a strong response.

“We have this opportunity to understand what we are able to do as a local community
against the backdrop of an administration like you had in the 80s,” said Byers. “I wasn’t totally there that whole time. But this link between past experience and present moment is really critical. It’s heartening to see so many community leaders. It’s a really amazing moment we have as a community. At a time when care is needed to be extended to more than ever
before I’m grateful to APLA for making such a beautiful space where care can shine so
bright in our city.”

U.S. Rep. Laura Friedman (CA-30) agreed with that sentiment.

“We have seen this administration deliberately demonize members of our community.
They have demonized immigrants, minorities, our trans community members. They’ve
turned their back on the LGBT community, cruelly cutting funding for AIDS prevention
and STDs. And yet, coming into West Hollywood and this community, and into this
room, we see there’s a tremendous amount of caring and love,” said Friedman. “That is
how we change things in this country, by living those values every day.”

“At a time when the federal government is no longer a partner in anything medical, this
facility is going to provide an incredible and needed safety net for patients,” she said.
Despite these threats, APLA Health CEO Craig Thompson says the organization is
committed to serving everyone who needs care.

“The need for people for health care is going to continue regardless of what the federal
government does around funding, and we’re committed to being there to provide that
health care in all the different ways we possibly can,” he says.
One of the new ways APLA’s new facility will improve service to its patients is through
its new in-house pharmacy.

In addition to fostering closer connection between a patient’s doctor and pharmacist, APLA will offer free delivery at no charge to patients and will help consolidate prescriptions to make it easier for patients to receive and take their medicine.

“We’ve been wanting to close the loop on comprehensive care and offer a pharmacy for
our patients, that way they can get all the support withing one organization,” says Rich
Kowalski, APLA director of pharmacy.

While many Angelenos celebrated the 55th annual L.A. Pride and mainstream news outlets like ABC7 and FOX11 news covered the celebrations, the reality for many other Angelenos involved tear gas, rubber bullets and breaking news coverage from community-led outlets like CALÓ News.

If we were to take a step back into the history of Pride, we would be angered by the amount of violence and pain that led to the protests on the dawn of June 28, 1969. The Stonewall uprising took place as a result of police raids at the now-infamous Stonewall Inn on Christopher Street in New York City. The night that has gone down in history as a canon event for queer and trans life began when police raided the Stonewall Inn and arrested multiple people. The arrests and the police brutality involved, led to an uprising that lasted a total of six days.

Marsha P. Johnson and Sylvia Rivera were credited as being the first people in that historical moment to start the movement we now know and celebrate as Pride. They were Black and brown, people who transformed our notions of fear and action, modeling the mantra that we must act in order to not live in fear. The people at the Stonewall Inn on that night in June all those years ago, and all of the queer and trans people now, have something deeply unsettling in common.

We both live in a constant state of fear and anxiety.

We live in such a major state of fear that anxiety, depression and other mental health issues —  including substance abuse disorders — tend to be particularly prevalent in the LGBTQ community. According to Mass Gen, the U.S. is facing a mental health crisis, with nearly 40% of the LGBTQ population in the U.S. reported experiencing mental illness last year, a figure of around 5.8 million people. 

Pride began as the very type of protest that went on this past weekend over the U.S. Immigration Customs Enforcement (ICE) raids, where people have been taken into custody, reporters shot with rubber bullets and tear-gassed, and where union president David Huerta was taken into custody and charged with alleged federal conspiracy charges.

Over the weekend, I celebrated Pride. I admittedly celebrated being queer, while my other communities experienced fear in the face of arrests, tear gas to the eyes and baton blows to the head. It was an internal battle I was not prepared for and a real battle on the streets I was not ready to experience. It made me feel weak and more than anything, I felt tired. I felt scared and I felt like I was not prepared for what was to come from these arrests and this violence. 

I am a proud child of immigrants. My mother is Colombian and migrated here in the early 80s, settling down in West L.A and building a life with children, houses and her religious community.

My father migrated here in the mid-to-late 80’s from Mexico, where he and his family were hardworking farmers. He has worked at his job, without rest, for over 35 years. He rose up the ranks from line worker to general manager. He does not miss work. He follows every rule and he is never late. Both are documented, but only because of luck and the ease of getting papers back when there weren’t so many bureaucratic steps to gaining citizenship or a green card legally.

My parents and their extended family are proof of a now-distant American Dream, one in which we gain status, we become homeowners and business owners, have children and send them off to college to learn things that our parents can’t even imagine.

Though they did the best they could, my parents had other challenges and barriers to their success. So I worked hard in order to succeed for them. I did it for all of the people in my communities. I did it to raise the statistics on Latinx people, LGBTQ people and former foster youth who go on to college despite the odds and get higher education degrees. 

My road to where I am now was paved with uncertainty, food insecurity, homelessness and many other factors that pushed and pulled me back. The analogy I can think of to accurately compare myself to is a catapult. I was pulled down with weights that were added on more and more, until one day I catapulted forward into the life I now have the privilege to live. Though I still struggle in many ways, it is the first time in my life that I am not in survival mode. It’s the first time in my life that I get to exist as a queer person who can enjoy life, build a friend group and establish deep connections with people. It’s also the first time I get to enjoy Pride as someone who is single and who has spent the past 18 months healing from my from my last relationship.

It was the first time in my life, as a lesbian who’s been out for over a decade, that I truly planned to enjoy Pride with my groups of friends.

While I was there this weekend, my internal battle began and I felt torn between celebrating my life and my queerness and covering the ICE raid protests happening not too far from Sunset Blvd.

What I didn’t expect was to see so many other people at Pride, completely oblivious and completely disconnected from the history of Pride, instead glorifying corporate brands and companies that have remained silent over LGBTQ issues, while others have gone as far as rolling back their Diversity, Equity and Inclusion initiatives.

If Marsha P. Johnson or Sylvia Rivera were there at that moment, they would have convinced us to merge our Pride celebration with the protests. They would have rallied us all to join forces, and in the spirit of Pride, we would have marched for our immigrant community members, fighting for their right to due process.

I’m not sure if I made the right decision or not, but the next 60 days will say a lot about every single one of us. We will have to learn when to act, how to react and when to find pockets of joy to celebrate in, because those moments are also acts of resistance.

The Trump administration vowed to strip away rights and has made it their mission to incite violence, fear and anxiety among all working class, BIPOC and LGBTQ people, so it is important, now more than ever, to unite and show up for each other, whether you’re at a Pride celebration or a protest.

The next 60 days will raise our anxiety and fear, but we must remember to also take breaks, celebrate wins, relish in community, hug your loved ones and use whatever amount of privilege that you have, to show up for the communities that are hurting the most in these moments. 

Juneteenth is also coming up soon and I hope to see more of us rally around our Black brothers, sisters and siblings, to not only fight for our rights, but to continue celebrating ourselves and each other.

In the words of Marsha P. Johnson: “There is no pride for some of us, without liberation for all of us.”

A lot happened at last weekend’s high school state track and field championship meet in
Clovis, Calif. Parents of cisgender student-athletes booed the one and only transgender
girl competing. Police and security officers showed up in large numbers to keep
protestors apart and safeguard the competitors. Police made an arrest outside the
stadium after a demonstrator brandishing a transgender pride flag allegedly assaulted a
man described as a conservative activist and caused damage to his vehicle.

The trans student — 16-year-old AB Hernandez — finished a winner. But she wasn’t “the” winner.

As CBS News reported, “Hernandez took home first place medals in both high jump and
triple jump and she placed second in the long jump event. Following a rule change by
the California Interscholastic Federation, a co-winner was named in each of the three
events in which Hernandez placed.”

You didn’t misread that. Hernandez shared the podium with “co-winners.”

As the Blade reported last week, the CIF introduced a new “pilot entry process” that for
the first time, allowed judges to score trans athletes separately from cisgender
competitors, so there were three winners in every event: a cisgender male winner, a
cisgender female winner and a trans student-athlete winner.

The new policy was announced hours after President Donald Trump threatened to pull
“large scale federal funding” from the state if officials allowed trans athletes to compete
according to their gender identity.

Despite the policy change, the U.S. Department of Justice announced on social
media it was investigating State Attorney General Rob Bonta, State Superintendent of
Public Instruction Tony Thurmond, the Jurupa Unified School District, and the CIF for
potential violations of Title IX, as the Blade reported.

So what happens now? As KXTV reported, President Trump issued another threat to
pull funding on Monday in a post to his Truth Social account, not naming Hernandez but
labeling her “a biological male” and using his favorite derogatory nickname for
California’s Democratic Gov. Gavin Newsom.

“A Biological Male competed in California Girls State Finals, WINNING BIG, despite the
fact that they were warned by me not to do so. As Governor Gavin Newscum fully
understands, large scale fines will be imposed!!!”

Now, the pundits are weighing-in. Sara Pequeño wrote in USA Today how she was
encouraged to see Hernandez share the 2nd place podium with Brooke White and “put
their arms around each other.”

“They’re setting an example for how all of us should treat our trans neighbors, i.e.,
treating them like human beings, not enemies,” she wrote.

As Pequeño noted, Save Women’s Sports, an anti-trans advocacy group, could only
identify five trans students in the entire United States who were competing on girls’
teams from kindergarten through grade 12 in 2023. “That group’s entire existence is to
hate trans athletes, and they found very little to hate,” she wrote.

According to the president of the NCAA, there are fewer than 10 student-athletes
who publicly identify as transgender out of the more than 500,000 competing at the
collegiate level.

Pequeño was not alone in finding joy in the rules change that brought cisgender and
transgender girls together on a podium, each of them a “co-winner.” So did self-
proclaimed “trans advocate” Cyd Zeigler.

He’s one of the co-founders of the LGBTQ+ sports site Outsports, who in 2023
infamously came close to endorsing Florida Republican Gov. Ron DeSantis for
president, only to offer his regrets, following a backlash from readers. Zeigler penned an
op-ed Wednesday originally titled “California trans athlete policy is something everyone
can embrace.”

“Everyone?” Not this sports editor.

He called the new CIF policy “the best possible path in 2025 to trans participation in
sports.”

In celebrating this change, Zeigler also trashed “goal-post-moving trans advocates” and
policies in California and Connecticut that allow “a trans girl to run in boys track meets
and, without a medical transition, later compete in girls meets,” meaning high school
competitions. “That’s bad policy,” declared Zeigler without evidence.

That policy in Connecticut has stood since 2011 and is enshrined in state law, and so far
has withstood legal challenges once again being heard in federal court.

Outsports at some point changed the headline of his screed to “New California trans
athlete policy is something we can embrace” and apparently made another significant
choice: Despite quoting the outlet’s one and only remaining transgender contributor,
Karleigh Webb, who opposes the rules change, Zeigler did not mention her by name.
Why?

In an article published before the championship, Webb wrote: “If AB Hernandez wins,
why should she have to share the spoils with someone else if’s not a tie? That’s what
professional transphobes like Jennifer Sey and Riley Gaines try to sell. Awarding a
duplicate medal gives their nonsense credence to the detriment of the sport and the
athletes.”
Webb is right. Zeigler and the CIF and Gov. Newsom are wrong. You either win, or you
lose, or if you prefer, you come in second, third, whatever. But “co-winners?”

That’s a crock.

Imagine if the Dodgers and Yankees shared the World Series trophy. Why shouldn’t the
49ers also win the Super Bowl alongside the Chiefs? Maybe Kamala Harris should be
declared a “co-winner” of last November’s election?

Personally, I’m glad to see Hernandez embraced by her cisgender peers. I’m relieved to
know that crowds cheering these amazing girls last weekend drowned out the hecklers
who showed up to boo a child. I’m encouraged that even if she had to share the win,
Hernandez was given her rightful place among the teens competing and proved she
was not only worthy of competing but did not win in every event.

So, she’s hardly “unbeatable.” Most trans athletes actually lose, as Zeigler wrote almost
six years ago, back before he started echoing anti-trans inclusion activists Martina Navratilova, Renee Richards and Nancy Hogshead-Makar.

If he really thinks the CIF “co-winners” rule is going to silence anti-trans forces, I think
he’s going to be very surprised by Riley Gaines and her crowd.

While it’s easy for Zeigler to concede public opinion has shifted, he should know
better than to blame those who pushed for inclusion, when it’s clear that conservative
voices in media and politicians, like his, are the ones responsible for influencing that
move to reject trans women’s right to compete in women’s sports. It’s a pendulum swing
that in time will undoubtedly swing back, once the science proves that trans women and
girls don’t always win. In fact, researchers have already proven some trans athletes are
at a disadvantage compared to their cisgender competitors.

Just as Parker Molloy reported that a Republican-commissioned study on gender
affirming care in Utah actually found “that youth who received care before age 18 had
better outcomes, especially around depression, anxiety and suicidality. Hormonal
treatments were associated with positive mental health and psychosocial functioning
outcomes.”

I believe the science is on the side of transgender Americans. Americans love a
winner. Not a “co-winner.”

Editor’s Note: Since this article was first published, more information on Andry’s case has become available.

UPDATE: On June 4, a federal judge ruled in favor of the ACLU and Democracy Forward in J.G.G. v. Trump, in which deported gay stylist Andry José Hernández Romero is one of the lead plaintiffs. Describing the Venezuelan deportees’ situation as Kafkaesque, Judge James E. Boasberg said the plaintiffs would likely prevail in their complaint about being denied due process, the New York Times reported.  Trump officials, Boasberg wrote in his 69-page ruling, “spirited away planeloads of people before any such challenge could be made. And now, significant evidence has come to light indicating that many of those currently entombed in CECOT have no connection to the gang and thus languish in a foreign prison on flimsy, even frivolous, accusations.”

“Absent this relief,” the judge wrote, “the government could snatch anyone off the street, turn him over to a foreign country and then effectively foreclose any corrective course of action.” He ordered the Trump administration to give the deportees the due process they have been denied.  

On Friday, June 6, Rep. Pramila Jayapal (WA-07), Ranking Member of the Immigration Integrity, Security, and Enforcement Subcommittee, will host a shadow hearing Kidnapped and Disappeared: Trump’s Lawless Third Country Disappearances at which Andry’s attorney Lindsay Toczylowski will testify.

The juxtaposition is morally excruciating. The very air in West Hollywood is electric with
queer joy and the excitement of WeHo Pride, but it’s more than a celebration of our ongoing
movement for liberation and equality. We’ve been waiting for a moment to exhale and
stop the clamor of the Trump horror show.

What can we do to stop this overwhelming dictatorship campaign that is gleefully
enforcing Project 2025 through a deluge of cruel Executive Orders, demonizing and
erasing anything under Diversity, Equity and Inclusion initiatives and LGBTQ while dispatching masked ICE agents to snatch anyone Trump’s White Supremacist terrorist administration tags for deportation.

Among those swept up in Trump’s frenetic crusade is Andry Hernandez Romero, a 32-
year-old gay hair stylist and makeup artist who fled harassment and threats of violence in Venezuela in May 2024, after speaking out against authoritarian dictator Nicolás Maduro. After navigating the complex app designed to streamline the byzantine U.S. lawful entry process, last August Romero faced a U.S. border official in San Diego. With no criminal history, he demonstrated a “credible fear of persecution” to proceed with an asylum case.

Imagine what Romero felt — so close to freedom, to opportunity, to unabashed queer joy.

Then came that Trumpian twist.

During a physical exam, officials fixated on Romero tattoos of crowns with the words “Mom” and “Dad.” The agent apparently assumed that Venezuelan gangs accept gays because he suspected Andry had gang affiliations and does not fact check because Tren de Aragua does not use crown tattoos for gang identification.

Romero landed in detention awaiting his asylum court date. But one week before the
March 13 hearing in San Diego, Romero was abruptly transferred to a facility in South
Texas, resulting in his absence in court. The hearing was postponed to March 17 when
the immigration judge again asked where Romero was.

“He was removed to El Salvador….we just found out today,” the ICE lawyer replied. The judge questioned the legality of Romero’s deportation without a removal order.
On March 14, Trump invoked the Alien Enemies Act — a 1798 law used during a
declared war — to target immigrants as government “enemies” who had “infiltrated”
America. Secretly, ICE deported Romero and 137 other Venezuelans to El Salvador’s
notorious Terrorism Confinement Center, with Trump paying dictator President Nayib
Bukele to incarcerate the kidnapped immigrants.

The world watched as Andry and his shackled fellow prisoners were displayed on TV
brutally forced off the plane and forced to kneel as agents roughly shaved their heads.

TIME Magazine photographer Philip Holsinger reported that Romero was being slapped while crying out for his mother, “I’m not a gang member. I’m gay. I’m a stylist.”

Trump called the Venezuelans “rapists,” “savages,” “monsters” and “the worst of the
worst,” claiming they were thoroughly vetted. But ProPublica reviewed each case of the
Venezuelan deportees and reported that the Trump administration knew that “the vast
majority” of the 238 Venezuelan immigrants ”had not been convicted of crimes in the
United States before it labeled them as terrorists and deported them, according to U.S.
Department of Homeland Security data that has not been previously reported.”
Lee Gelernt, the American Civil Liberties Union’s lead attorney fighting the deportations,
told ProPublica that the removals amounted to a “’blatant violation of the most
fundamental due process principles” and subjected the deportees to life imprisonment.
There have been numerous attempts to look for a humanitarian bone in the Trump
administration’s body politic, most notably gay immigrant Rep. Robert Garcia’s heated
exchange with Homeland Security Secretary Kristi Noem during a May 14 congressional hearing. Garcia (D-Long Beach) went to El Salvador for a welfare check
but was denied access to Romero.

“He has had no access to lawyers or family since he has been taken over a month now,”
Garcia told Noem. “His mother just wants to know if he is alive.”

“I don’t know the specifics of this individual case. This individual is in El Salvador and
the appeal would be best made to the president and to the government of El Salvador
on this,” replied Noem.

Garcia pushed back.

“You and the president have the ability to check if Andry is alive and is
not being harmed. Would you commit to at least asking El Salvador if he is alive?”

Nope.

“This is a question that’s best asked to the president and government of El
Salvador,” she said.

Noem’s callous disregard for life and suffering is unsurprising. The former governor of
South Dakota blithely noted in her political memoir that she shot and killed her 14-
month-old dog Cricket when the puppy misbehaved. “I hated that dog,” Noem wrote.
She also shot a goat she didn’t like.

“In neither case did Noem show any doubt or remorse; quite the contrary, she sought to
cast her action as a signifier of tough-minded realism that would burnish her appeal as a
politician from a rural community,” wrote Sara Amundson, president of the Humane
Society Legislative Fund.

So if Noem thinks callousness is cool, imagine how she feels about someone she might
deem as sensetive?

“Under the Constitution, every single person has a right to due process, and that means
they have a right to notification of any allegations the government is making against
them and a right to go into court and prove that those allegations are wrong if that’s the
case,” Lindsay Toczylowski, President of the Los Angeles-based Immigrant Defenders
Law Center who is representing Romero pro bono, told NBC News San Diego April 11.

“In Andry’s case, the government never gave us that opportunity. In fact, they didn’t even
bring him to court, and they have forcefully sent him to El Salvador without ever giving
us any notice or without telling us the way that we could appeal their decision.”

On May 27, Immigration Judge Paula Dixon granted a U.S. Dept of Homeland Security motion to dismiss asylum proceedings for Romero scheduled for the following day.

“We should all be incredibly alarmed at what has happened in Andry’s case. The idea
that the government can disappear you because of your tattoos, and never even
give you a day in court, should send a chill down the spine of every American. If this can
happen to Andry, it can happen to any one of us,” said Toczylowski.

Andry’s life depends on us holding the Trump administration accountable for what they
have done to him,” Toczylowski said. “We will continue to fight until Andry is safe and
free.”

Romero is a lead plaintiff in the American Civil Liberties Union’s and Democracy Forward’s J.G.G. v. Trump case in which Romero’s friend and mother gave statements that are now evidence saying Romero “was persecuted both for his sexual orientation and for his refusal to promote government propaganda” while working as a makeup artist at the TV network in Caracas, according to CNN.

But Project 2025 booster Kevin D. Roberts doesn’t care, having ordered the Trump
administration to delete “the terms sexual orientation and gender identity….out of every
federal rule, agency regulation, contract, grant, regulation, and piece of legislation that
exists.”

So do Trumpland judges care about the raison d’etre for asylum or is that too DEI?
NBC News reported that Romero’s dismissal order “allowed for the possibility that the
case be reopened if Hernandez returns to the U.S.”

That’s why we the people, must rise up and resist.

“As the son and grandson of Japanese Americans who were rounded up and forced into
camps without due process, I know all too well that Andry is not the first person to be
unjustly taken by the government,” says out Rep. Mark Takano (CA-39), Chair of the Congressional Equality Caucus. “Every American should be alarmed by how openly the
Trump Administration is taking people off the street and locking them away in a foreign
prison without so much as a day in court — all because of their tattoos. This fight is not
over yet, but every day it drags on puts Andry and others’ lives in danger. I stand with
Andry, his family, his lawyers, and our Constitution in rebuking President Trump’s cruel
and illegal attacks, and hope that justice is swiftly served.” 

Longtime activist Cleve Jones urges all LGBTQ people and allies to take action.
“We don’t know if he’s dead or alive,” Cleve says. “I look at [Romero] and he’s like my little
gay brother who is now in this terrible situation where he — if he is still alive — is probably
being subjected to horrendous brutality on a daily basis.”

But Cleve is also angry at the lack of response to this urgently important case.

“If you want to be intersectional and not just quack about it, look at this case,” Cleve
says. “This young man stands at the intersection of our fight for LGBT equality, for
immigrant rights, and for due process under law.”

San Francisco Pride and New York City Pride rejected his request to name Andry an
honorary Grand Marshal. But, Cleve says, “I’m happy that a number of pride
celebrations have done that. Others have stepped up and are organizing fundraisers. I
see there’s one coming up in New York. But everybody should be talking about Andre.
Free Andre. Free Andre. It’s so important!”

Please note: To support Romero’s case and others like it, the Immigrant Defenders Law Center is selling a T-shirt that says “Asylum is a Human Right, found here.“

Let’s get one thing straight (well, not too straight), mental health awareness is having its moment — and it’s about damn time.

For LGBTQ+ folks, mental health is not a trend. It is survival. In a time when therapy is finally making its way into casual brunch talk (please stop referring to drinking mimosas as “self-care”), and TikTok is where so many go to share their experiences, we sat down with a psychologist who’s been doing the work long before it was mainstream. Equal parts clinician, advocate and reality TV veteran, Greg Cason offers an authentic and insightful look at queer resilience, the dangerous return of bad policy and why healing often begins with three brave words: I need help.

What does this time signify for you both personally and professionally?

Personally, I am thrilled about how far we’ve come in de-stigmatizing mental health, especially in the LGBTQ community in my lifetime. Professionally, it’s a reminder that my job isn’t just in the therapy room, it’s also about education and advocacy. Social media has helped normalize mental health talk and organizations like National Alliance of Mental Health (NAMI), have been the backbone of that effort. It’s not perfect, but we’ve gone from whispers, to full-blown open dialogues and that’s powerful.  But our work is not over.  

The current administration in D.C. is taking apart decades of needed research, bringing back discrimination against our LGBTQ brothers and sisters and instituting a “health” agenda based on fringe theories as well as giving voice to influencers over experts.  We’ve come a long way, but it’s fragile and if we don’t stand up to the current assaults, we will find ourselves back to the limitations and attitudes that prevailed before most of us were born.

This year’s theme, “Turn Awareness into Action,” emphasizes moving beyond recognition, to tangible change. How can people take meaningful steps to support and promote mental health?

For you personally: start small.

Check in on your friends — really check in. Advocate for better mental health policies at work or school. Normalize therapy. Share your own experiences and together we also need to act.  We can’t fall for the constant demonization of members of our own and other communities.  We must band together to stand up for the less fortunate and to push back against new assaults. If you truly want to improve your mental health, connect with your community.

What are some common mental health issues faced by queer folks and how does therapy address them?

Higher rates of anxiety, depression, substance use and trauma — much of it rooted in or exacerbated by rejection, discrimination, or internalized shame. Therapy helps untangle those experiences, identify core beliefs, and replace harmful narratives with empowering ones. It’s about rebuilding a sense of self that the world may have tried to tear down. 

Even so, therapy is not the only solution.  Don’t underestimate the power of community support groups such as Alcoholics Anonymous (AA) and similar organizations.  These are powerful resources that not only help you with issues like substance abuse, but also help you to rebuild community and connection.  

What’s one myth about queer mental health that you’d like to call out and nip in the bud?

That being LGBTQ causes mental health problems. That’s flat-out wrong. The issue isn’t our identities — it’s the way society treats us. Remove the stigma, support queer folks and the mental health gap shrinks dramatically.  But an honorable mention for a rising tide of a disproven and harmful therapeutic approach called “Conversion Therapy.”  

Though it promises to change sexual and gender orientation, the only thing it does is shame [LGBTQ people] into silence and produce further trauma.  It’s sad when politics and religion drive health priorities without any consideration of science and human functioning.

As a practicing psychologist, how have you seen the conversation around mental health change and evolve, especially within our LGBTQ community?

It used to be shrouded in silence — now it’s becoming part of our culture. I see LGBTQ people openly discussing therapy, boundaries and healing in casual conversations.  That’s revolutionary. But I cannot help but think it was born out of necessity.  

When AIDS was first identified in 1981, the world also saw therapy as only for those who were mentally ill. But it became a necessity for our community.  The ever-present fear of disease and dying was commonplace in our community, combined with the constant assaults from politicians, religious professionals, family, and even friends, we had to identify people that we could open-up to and seek support from.  

Those were dark and difficult times and we have progressed in ways that seemed impossible back then.  That shift is showing up in the language, the pride, and the resilience of our community.

Your particular practice focuses on Cognitive Behavioral Therapy (CBT). How does CBT serve as an effective tool in addressing mental health challenges in our LGBTQ communities?

I always have to laugh — (CBT) has a very different connotation in our community. But in my world, it stands for the more mundane psychotherapeutic modality. (CBT) is powerful because it helps people understand how their thoughts shape their feelings and behaviors.

That said, it also has a dark past. (CBT) techniques were once used in “Conversion Therapy” to try to change sexual orientation — which is now widely recognized as both unethical and harmful. Today’s (CBT) is different. It’s science-based, jargon-free and focused on helping people recognize and replace harmful beliefs shaped by family, religion, or society.

But it’s not just about thoughts. We also work on behavior change, emotional regulation and achieving goals. It may not sound sexy, but I’ve seen it transform individuals, couples and groups.

I was lucky to do a fellowship with Albert Ellis, one of (CBT’s) pioneers. He taught me two things I always keep close: First, we’re all fallible, fucked-up human beings — and that’s okay. Second, change takes work and practice.

And, as another mentor once said, “change may take a while… so pack a lunch.”

You once starred on Bravo’s LA Shrinks. Did your time in reality television provide you with any new perspectives on psychology or on yourself?

Oh absolutely. Being on “LA Shrinks” was both a wild ride and a mirror (albeit cracked, at times). It reminded me that therapists are human too — flawed, funny, and fully visible. It also deepened my empathy for clients in the public eye. Having your life edited for entertainment is… let’s just say, psychologically complex.

Reality television has become a significant portion of most entertainment and media these days. In what ways and to what scale do you believe it has impacted the mental health of our queer communities?

Reality TV is a double-edged sword. On one hand, it gives visibility to LGBTQ stories — sometimes for the first time. My husband and I were married on the show and that meant so much to me to share that reality with those kids out there like me who grew up without any gay role-models or any hope for a relationship or normal life.  On the other, it can flatten people into caricatures. The audience forgets they’re watching a curated narrative — not a whole human being.

I have known some people who were portrayed in a certain way that did not capture their full character, and they suffered as a result. The danger lies in mistaking visibility for authenticity. Reality TV can inform, inspire, or exploit — and often does all three at once.  Nonetheless, I cannot tell you how many people said they watch reality TV while they did other things like ironing or laundry.  They said it was having their friends with them.  That always made me smile.

As someone who’s both a therapist and a public figure, how do you personally stay grounded while continuing to hold space for others?

I have always believed that it is important to leave the therapist at the office. There are people in my profession that don’t allow themselves to be vulnerable in their relationships, silly with their friends, and thrilled to be home alone with a pint of ice-cream and a remote control. We are humans first. So am I.  As for anyone approaching me because they saw me on TV or now listen to my podcast, I am always flattered.  I realize they are offering me a gift.  I don’t have to question the gift or tell them that it is not my size.  Rather, my only job is to graciously accept. Doing that has only made my heart grow larger, not my ego.

What advice would you offer to encourage people who hesitate to seek help and begin their journey toward healing?

Therapy doesn’t mean you’re broken — it means you’re brave. Start with one conversation. One resource. One step. You don’t have to commit to a lifetime of therapy — just be open to the possibility that healing is available and that you deserve it.

Looking ahead, what changes or improvements would you like to see in mental health care for the LGBTQ community?

Access, affordability and cultural competency. We need more LGBTQ therapists — and more allies who understand our lived experiences. A personal desire of mine is that therapists focus on science rather than cultural trends or social media diagnoses and treatments.  I know the era of social media is making everything a popularity contest.  But I hope we can also not forgo expertise just to follow the latest fad.

Whether you’re starting therapy, advocating for others, or simply sharing your story — remember: awareness is only the beginning. Action creates change.