National
Clinton talks N.Y. marriage in Pride speech
But no change in her opposition to marriage equality
Secretary of State Hillary Clinton spoke about New York’s new marriage law on Monday acknowledging its importance to the LGBT community and the Empire State — but she didn’t announce a change in her own stated opposition to marriage equality.
During a speech commemorating Pride month at the State Department, Clinton referenced legislation enacting same-sex marriage in New York as a monumental achievement for the supporters of LGBT rights in her audience.
A former U.S. senator from New York, Clinton called the passage of the marriage law a “historic vote” and said it “gives such visibility and credibility to everything that so many of you have done over so many years.”
Later during her speech, Clinton noted during the debate in New York a key vote toward the end was switched in favor of the marriage bill from a Republican senator from the Buffalo area whom Clinton said “became convinced that it was just not any longer fair for him to see one group of his constituents as different from another.” Clinton was presumably referring to State Sen. Mark Grisanti, a freshman senator who had sought office promising to oppose same-sex marriage.
“Senators stood up and talked about nieces and nephews and grandchildren and others who are very dear to them, and they don’t want them being objectified or discriminated against,” Clinton said. “And from their own personal connections and relationships, they began to make the larger connection with somebody else’s niece or nephew or grandchild and what that family must feel like.”
Despite the remarks and her suggestion that the lack of marriage equality in the state enabled discrimination against same-sex couples, the secretary has yet to endorse marriage equality.
Asked whether she supports gay nuptials in November during a forum in Australia, Clinton replied, “I have been a strong supporter of ending discrimination and particularly focusing on hate crimes and workplace bias and the like. I have not supported same-sex marriage. I’ve supported civil partnerships and contractual relationships, yet I am supportive of our states taking actions that they believe reflects the evolution of attitudes about this.”
Clinton’s remarks on the New York marriage win come at a time when President Obama is facing increased pressure to endorse same-sex marriage. Obama has said he’s wrestling with the idea of same-sex marriage, but has yet to endorse marriage equality. As a senior member of the Obama administration, Clinton could feel compelled to toe the line of the president when talking publicly about same-sex marriage.
Richard Socarides, president of Equality Matters, said he thinks it’s important that Clinton publicly state support for marriage equality just as he has called on Obama to declare support for same-sex nuptials.
“Given the office she holds, there are some constraints on her, but I’m not giving her a pass,” Socarides said. “I hope she would soon find the appropriate venue to go further and clearly articulate her support.”
Also during her 14-miunte speech, Clinton referenced the work the State Department has done in the past year to address LGBT issues overseas, including facilitating passage of a resolution at the United Nations recognizing the human rights of LGBT people worldwide.
“And with that we took a huge step forward in our work to refute the hateful suggestion that LGBT people are somehow exempt from human rights protections, and we made it absolutely clear that, so far as the United States is concerned and our foreign policy, and our values — that gay rights are human rights and human rights are gay rights,” she said.
Clinton’s remark that “gay rights are human rights” is a refrain from a line that she ad-libbed during her 2010 speech during a Pride event that received media attention and was echoed during other State Department events.
Identifying other accomplishments in the past year, Clinton also said U.S. ambassador to Italy David Thorne played a role in bringing Lady Gaga to Rome this month for a Pride concert.
“Now, as many of you know, Lady Gaga is Italian American and a strong supporter of LGBT rights,” Clinton said. “And the organizers of the EuroPride event desperately wanted her to perform, and a letter to her from Ambassador Thorne was instrumental in sealing the deal. Over 1 million people attended the event, which included powerful words in support of equality and justice.”
Additionally, Clinton said State Department workers help instigate action in Honduras in the past year after more than 30 LGBT people were murdered and investigations in these anti-gay crimes seemed to be heading nowhere.
“Then our embassy team got involved,” Clinton said. “They publicly called on the Honduran government to solve the murders, bring the perpetrators to justice, do more to protect all Hondurans from harm. Soon after, the government announced it was creating a task force to investigate and prevent hate crimes. And with the help of a United States prosecutor and detective, which our embassy arranged to be made available to assist in this effort, we are making progress.”
Clinton was warmly received during the event by her audience at the State Department, which consisted largely of State Department employees and LGBT rights supporters. The event was held by GLIFFA, or Gays & Lesbians in Foreign Affairs Agencies, the LGBT affinity group for State Department workers.
The complete text of Clinton’s speech follows:
Secretary of State Hillary Rodham Clinton
At an event co-hosted by the Department of State and Gays and Lesbians in Foreign Affairs Agencies (GLIFAA) in celebration of LGBT Pride Month
June 27, 2011
Dean Acheson Auditorium
Washington, D.C.
SECRETARY CLINTON: Thank you all. Thank you. Thank you all very much. Thank you.
Well, this is an especially momentous and extraordinary time for us to meet for the State Department’s annual Pride celebration, the third event we’ve had here at State since I became Secretary, and the first following the historic vote in New York, which I think gives such visibility and credibility to everything that so many of you have done over so many years, because I look out at this audience and I see a lot of familiar faces of people who have been on the frontlines for many years and have worked so diligently and smartly for the progress that we are seeing.
I do want to recognize, in addition to John, Patrick, and Arturo, who have already been mentioned, Under Secretary Otero and Assistant Secretary Posner and USAID Deputy Director Steinberg and Deputy Assistant Secretary Baer and all who have led our efforts, including Counselor Mills, to protect the rights and well-being of LGBT people worldwide. And I thank Jon Tollefson and GLIFAA for being an invaluable partner in coordinating personnel and policy matters here at State. I’m very honored to receive this award. It really belongs to all of you and so many others in recognition of the work that we’ve had the opportunity to do together to advance equality around the world.
It is an inspiration, however, to keep working, because we have a long way to go toward a world that affords all people the respect, dignity, and equality that they are entitled to. So in that vein, I wanted to share just a few stories from the past year that I hope will keep us going because they are stories of perseverance and creativity by our Foreign Service officers and civil servants who are representing the United States.
In Honduras, as many of you know, anti-gay violence increased significantly in 2009 and 2010. More than 30 LGBT people were murdered and the investigations into those crimes appeared to be going nowhere. Then our Embassy team got involved. They publicly called on the Honduran Government to solve the murders, bring the perpetrators to justice, do more to protect all Hondurans from harm. Soon after, the government announced it was creating a taskforce to investigate and prevent hate crimes. And with the help of a United States prosecutor and detective, which our Embassy arranged to be made available to assist in this effort, we are making progress. And I particularly want to thank and recognize Assistant Secretary Valenzuela, because it was his leadership on this issue that really made a difference.
In Slovakia, the country’s first-ever Pride parade last year ended in violence. So this year, our Embassy staff worked overtime to help make the parade a success. They brought together more than 20 chiefs of mission from other nations to sign a public statement of support for the march. They hosted a respectful, productive debate on LGBT rights. And on the day of the parade, our ambassador marched in solidarity right next to the mayor of Bratislava.
And then there is the work that our Embassy team in Rome has been doing. Two weeks ago, they played an instrumental role in bringing Lady Gaga to Italy for a EuroPride concert. (Laughter.) Now, as many of you know, Lady Gaga is Italian American and a strong supporter of LGBT rights. And the organizers of the EuroPride event desperately wanted her to perform, and a letter to her from Ambassador Thorne was instrumental in sealing the deal. Over 1 million people attended the event, which included powerful words in support of equality and justice.
And then there is the tremendous work that our diplomats have been doing in regional and international institutions to strengthen a shared consensus about how governments should treat their citizens. And we’ve made the message very consistent and of a high priority. All people’s rights and dignity must be protected whatever their sexual orientation or gender identity.
In March, President Obama and Brazilian President Rousseff announced their shared support for the creation of a special rapporteur for LGBT rights within the Inter-American Commission for Human Rights. And we have our Bureau for Western Hemisphere Affairs and our permanent mission to the OAS to thank for that.
Also in March, the United States led a major effort at the Human Rights Council in Geneva to get other countries to sign on in support of a statement on ending violence and criminalization based on sexual orientation and gender identity. In the end, 85 countries signed the statement, 18 more than ever had signed onto any previous UN statement on LGBT rights.
And in the very next session of the Human Rights Council, just two weeks ago after another major push by American diplomats in Geneva as well as our teams from IO, DRL, EUR, WHA, and other bureaus, the Council passed the first ever UN resolution recognizing the human rights of LGBT people worldwide. And it was especially meaningful that we had South Africa cosponsoring that resolution with us. And with that we took a huge step forward in our work to refute the hateful suggestion that LGBT people are somehow exempt from human rights protections, and we made it absolutely clear that, so far as the United States is concerned and our foreign policy, and our values – that gay rights are human rights and human rights are gay rights.
Now, it is not just momentous achievements like the Human Rights Council resolution that contribute to progress; it is the day-to-day work of our embassies and AID missions around the world to increase engagement around the issues affecting LGBT rights, especially in those places where people are at risk of violence, discrimination, or criminalization. That’s a concern that Johnnie Carson, our assistant secretary for African Affairs, who is currently on travel to Africa, raises regularly with his African leader counterparts; the op-ed that our ambassador to Barbados wrote in support of LGBT rights; the work that our Eric Schwartz, our assistant secretary for Population, Refugees, and Migration is doing to lead the training of humanitarian workers to better protect and assist LGBT refugees and asylum seekers; the discussions that undersecretary Maria Otero led about the human rights of LGBT people in our first Global Issues Dialogue with Norway.
And so I want to applaud all of our diplomats and our development experts who continue to reach out to those advocating around the world in Uganda, Malawi, Russia, Turkey, China, and so many other places. Our colleagues are meeting with human rights activists, health authorities, youth activists, sex workers, the full range of people who are involved in and working to protect LGBT people’s rights and lives. This is people-to-people diplomacy at its best.
Now, all this progress is worth celebrating, but we cannot forget how much work lies ahead. Because let’s just face the facts: LGBT people in many places continue to endure threats, harassment, violence – including sexual violence – in public and private. They continue to flee their homes and nations and seek asylum because they are persecuted for being who they are. They continue to be targeted for trying to build public support through pride activities such as parades. And what we have long thought is becoming the case, and that is if we can convince people to speak out about their own personal experiences, particularly within their own families, it does begin to change the dialogue.
If you followed closely, which I’m sure all of you did, the debate in New York, one of the key votes that was switched at the end was a Republican senator from the Buffalo area who became convinced that it was just not any longer fair for him to see one group of his constituents as different from another. Senators stood up and talked about nieces and nephews and grandchildren and others who are very dear to them, and they don’t want them being objectified or discriminated against. And from their own personal connections and relationships, they began to make the larger connection with somebody else’s niece or nephew of grandchild and what that family must feel like.
So we have to continue to stand up for the rights and the well-being of LGBT people, and sometimes it’s hard when you’re in the middle of a long campaign to see where you’re getting. But I’ve always believed that we would make progress because we were on the right side of equality and justice. Life is getting better for people in many places, and it will continue to get better thanks to our work. So I ask all of you to look for ways to support those who are on the front lines of this movement, who are defending themselves and the people they care about with great courage and resilience. This is one of the most urgent and important human rights struggles of all times. It is not easy, but it is so rewarding.
Pride month is a time for gratitude, for joy, and of course, for pride – pride in ourselves, in our families and friends, in our colleagues, in our community. And at the State Department, there are so many reasons for pride, and the same is true for all of our foreign affairs agencies represented here, from AID to the Peace Corps and others, because we do have so many talented people, and we have so many who are LGBT serving our nation with honor, courage, and skill. And shortly, our military partners will be able to say the same.
So think of the amazing work that has been done in the last year or two, because it truly is a great tribute to those who have fought for these rights, for those who have sacrificed for them, and mostly for our country, because it is our country and our values that truly are being put at the forefront.
And so I say to all of you, thank you. You make our country proud and you make me proud as the Secretary of State to work with you and serve with you every day. But please don’t forget that for every proud moment we can share together, there are so many around the world who live in fear, who live in shame, who live in such difficult circumstances. And our work must continue until they have the same opportunity that all of you and so many other Americans have, which is to be recognized for who you are and to be given the respect that you so richly deserve.
Thank you all very much.
Federal Government
Top Democrats reintroduce bill to investigate discrimination against LGBTQ military members
Takano, Jacobs, and Blumenthal sponsored measure
Multiple high-ranking members of Congress reintroduced the Commission on Equity and Reconciliation in the Uniformed Services Act into the U.S. House of Representatives and the U.S. Senate, aiming to establish a commission to investigate discriminatory policies targeting LGBTQ military members.
Three leading Democratic members of Congress — U.S. Rep. Mark Takano (D-Calif.), who is the House Veterans’ Affairs Committee’s ranking member and chairs the Congressional Equality Caucus; U.S. Sen. Richard Blumenthal (D-Conn.), who is the Senate Veterans’ Affairs Committee’s ranking member; and U.S. Rep. Sara Jacobs (D-Calif.) — introduced the bill on Tuesday.
The bill, they say, would establish a commission to investigate the historic and ongoing impacts of discriminatory military policies on LGBTQ servicemembers and veterans.
This comes on the one-year anniversary of the Trump-Vance administration’s 2025 Executive Order 14183, titled “Prioritizing Military Excellence and Readiness,” which essentially banned transgender servicemembers from openly serving in the Armed Forces, leading to the forced separation of thousands of capable and dedicated servicemembers.
In a joint statement, Takano, Blumenthal, and Jacobs shared statistics on how many service members have had their ability to serve revoked due to their sexual orientation:
“Approximately 114,000 servicemembers were discharged on the basis of their sexual orientation between WWII and 2011, while an estimated 870,000 LGBTQ servicemembers have been impacted by hostility, harassment, assault, and law enforcement targeting due to the military policies in place,” the press release reads. “These separations are devastating and have long-reaching impacts. Veterans who were discharged on discriminatory grounds are unable to access their benefits, and under the Trump administration, LGBTQ+ veterans and servicemembers have been openly persecuted.”
The proposed commission is modeled after the Congressional commission that investigated and secured redress for Japanese Americans interned during World War II. Takano’s family was among the more than 82,000 Japanese Americans who received an official apology and redress payment under that commission.
The press release notes this is a major inspiration for the act.
“Qualified servicemembers were hunted down and forced to leave the military at the direction of our government,” said Takano. “These practices have continued, now with our government targeting transgender servicemembers. The forced separation and dishonorable discharges LGBTQ+ people received must be rectified, benefits fully granted, and dignity restored to those who have protected our freedoms.”
“LGBTQ+ servicemembers have long been the target of dangerous and discriminatory policies—resulting in harassment, involuntary discharge, and barriers to their earned benefits,” said Blumenthal. “Establishing this commission is an important step to understand the full scope of harm and address the damage caused by policies like ‘Don’t Ask, Don’t Tell.’ As LGBTQ+ servicemembers and veterans face repugnant and blatant bigotry under the Trump administration, we will keep fighting to secure a more equitable future for all who serve our country in uniform.”
“Instead of righting wrongs and making amends to our LGBTQ+ service members and veterans who’ve suffered injustices for decades, I’m ashamed that the Trump administration has doubled down: kicking trans folks out of the military and banning their enlistment,” said Jacobs. “We know that LGBTQ+ service members and veterans have faced so much ugliness — discrimination, harassment, professional setbacks, and even violence — that has led to unjust discharges and disparities in benefits, but we still don’t have a full picture of all the harm caused. That needs to change. That’s why I’m proud to co-lead this bill to investigate these harms, address the impacts of discriminatory official policies like ‘Don’t Ask, Don’t Tell’ and the transgender military ban, and ensure equity and justice for our LGBTQ+ service members and veterans.”
Takano and Jacobs are leading the bill in the House, while Blumenthal is introducing companion legislation in the Senate.
Takano’s office has profiled and interviewed LGBTQ servicemembers who were harmed by discriminatory policies in the uniformed services.
The Commission on Equity and Reconciliation in the Uniformed Services Act is supported by Minority Veterans of America, Human Rights Campaign, Equality California, SPARTA, and the Transgender American Veterans Association.
In recent weeks, thousands of trans military members were forcibly put into retirement as a result of Trump’s executive order, including five honored by the Human Rights Campaign with a combined 100 years of service, all due to their gender identity: Col. Bree B. Fram (U.S. Space Force), Commander Blake Dremann (U.S. Navy), Lt. Col. (Ret.) Erin Krizek (U.S. Air Force), Chief Petty Officer (Ret.) Jaida McGuire (U.S. Coast Guard), and Sgt. First Class (Ret.) Catherine Schmid (U.S. Army).
Multiple career service members spoke at the ceremony, including Takano. Among the speakers was Frank Kendall III, the 26th U.S. Air Force secretary, who said:
“We are in a moment of crisis that will be worse before it is better. Members of my father’s and mother’s generation would ask each other a question: what did you do during the war? Someday we will all be asked what we did during this time. Please think about the answer that you will give.”
Uncloseted Media published this article on Jan. 24.
This story was produced with the support of MISTR, a telehealth platform offering free online access to PrEP, DoxyPEP, STI testing, Hepatitis C testing and treatment and long-term HIV care across the U.S. MISTR did not have any editorial input into the content of this story.
This story talks about addiction and substance use. If you or someone you know needs help, resources can be found here.
By SAM DONNDELINGER | In 2015, on the patio of Nowhere Bar, a queer nightclub in Louisville, Ky., music pulsed and bodies pressed as 23-year-old Lucas Pearson moved through the flashing lights and a blur of grinding limbs.
“I just randomly started talking to this guy,” he recalls. “He had this little spoon on a necklace, scooped out a hit of white powder, and handed it to me.”
Pearson sniffed it. Euphoria washed over him, time began to slow and the dancing bodies faded into a soft haze. For more than 10 minutes, Pearson felt “entirely present.” His social anxiety, depression, and any sadness he was feeling melted away.
While Pearson wouldn’t use ketamine again for the next five years, he says the feeling of ease the drug gave him was always “in the back of [his] mind.” So when he tried it for a second time in 2020 at a farm in upstate Kentucky, he liked the way it felt to disassociate from his childhood trauma.
“We got really messed up that night on it, and I was like, ‘I love this. I’ve missed this,’” Pearson told Uncloseted Media. “‘And I’m ready for some more.’”
Over the next three years, Pearson began using every day. Working remotely in the health care industry, no one checked in on him as long as he got his work done. He used ketamine at nightclubs, social events, game nights with friends and, eventually, at home alone.
“I was actively hooked on it,” he says. “I didn’t wanna do much of anything other than find that dissociating feeling. I just kept chasing it.”
While evidence suggests that most psychedelics have a lower risk of addiction than other drugs, ketamine is an exception, in part because it affects dopamine levels. In a 2007 bulletin from the Multidisciplinary Association for Psychedelic Studies, one researcher noted that after ketamine was invented in 1962, it developed a “reputation for insidiously trapping those who really knew better.” As a dissociative drug, ketamine induces a sense of detachment from one’s body, producing a trance-like state marked by pain relief, amnesia, euphoria, and a distortion of reality.
Despite declines in the use of other recreational drugs such as cocaine, ecstasy and nitrous oxide, ketamine use continues to rise, with one study finding that use increased by 81.8 percent from 2015 to 2019 and rose another 40 percent from 2021 to 2022. That increase is driven in part by ketamine’s growing legitimacy as a treatment for depression, anxiety, OCD, trauma, and even addiction.
As a result, ketamine clinics have proliferated across the U.S. with relatively few guardrails. At least a thousand clinics now offer off-label ketamine treatments outside of FDA-approved protections. Many commercial providers advertise same-day appointments and “almost immediate results.”
Alex Belser, a psychologist who studies psychedelic use in the queer community, says ketamine use has become pervasive among gay men. A 2025 study found that gay and lesbian adults in the U.S. are almost four times more likely to use ketamine than their heterosexual counterparts, and a 2011 study from the U.K. found that queer men were over three times more likely than queer women to use the drug.
Belser thinks ketamine use is so popular among gay men in part because of the high rates of loneliness, rejection, and trauma they experience. “Ketamine is not inherently good or bad. When used thoughtfully with integrity, with good protocols, it can be a really helpful medicine. But if left unregulated, with the amount of access and normalization we have, it can lead to addiction, harm, isolation, and bad outcomes,” he says.
Belser believes health misinformation is fueling a misunderstanding among gay men about the actual harm the drug can cause. “The medical and clinical communities have failed people by not adequately telling them that ketamine can lead to addiction and problematic outcomes,” he says. “It can serve people, but it can also damage people.”
‘Happy people don’t do ketamine’
Part of the appeal of ketamine is that dissociative feelings can relieve depressive symptoms, making it alluring to those who have trauma or mental health disorders. While properly regulated treatment works for some people, psychiatrist Owen Bowden-Jones says that he senses “the vast majority [of those addicted] are using it to self-medicate for emotional distress.”
“I always wanted to numb out my past,” says Pearson. “For the longest time, I saw ketamine as a possible way out.”
Pearson, now 33, was raised in a conservative and religious family. When he came out as gay to his mom at 16, he cried so much that he couldn’t speak and had to write it on a piece of paper and hand it to her.
“She stormed out of the house and ended up calling every member of the family and outing me. So that was really painful,” he says. “My whole childhood, I did not feel like I could be who I knew I was.”
“So when I picked up drugs, it was definitely a thought in my mind: This life that I lived as a child, I don’t want to feel it anymore,” he says. “I just want to numb it.”
One study shows that gay men are over three times as likely to develop PTSD compared to their heterosexual counterparts. Trauma can be one event or a “long string of daily hurts, such as … homophobia, bullying, and time spent in the closet,” according to Chris Tompkins, a licensed family therapist who works with gay men. Research shows that people who experience trauma are more likely to have addiction issues.
J, a 33-year-old marketing researcher based in Los Angeles, says his ketamine use began casually in his early 20s in New York’s queer nightlife scene, where the drug circulated freely. What started as an occasional escape intensified during the pandemic, when isolation, depression, and easy access turned ketamine into a daily habit.
“There’s a pretty fair connection between feelings of not being normal and my ketamine addiction,” J told Uncloseted Media. “I was bullied for being more feminine. My sexuality was a subject of speculation and that forced me to close down. So something like a dissociative drug is appealing because it either allows me to continue those blocks or to bring down the barriers.”
“There was a night when I had done K for the first time in a while, and the next couple of days, I felt so good,” he says. “I felt like my depression had lifted, and that feeling of doubt and fear I’d had throughout my life was totally gone.”
After that night, J, who asked to use a first initial to protect his identity, started using ketamine daily to chase the feeling of euphoria and relief. He got a prescription for ketamine treatment therapy, but he says it wasn’t enough.
“There were days when I would go do an infusion of ketamine and I would do more at home on my own. If I have the ability to escape feelings, to numb feelings, I will go after that.”
Many ketamine clinics in the U.S. advertise ketamine therapy as a cure-all. For example, the online clinic Better U promises that ketamine therapy will help you say goodbye to “Trauma,” “Chronic Stress,” “Depression and Anxiety,” “OCD,” “PTSD” and “Grief.”
What the clinic doesn’t note on its landing page is the possibility of addiction, which is what happened to J. While a common dose of ketamine is between 30-75 mg, J began using multiple grams a day. He spent thousands of dollars a month on ketamine and began structuring his life around the drug. “It stopped being about going out or having fun,” he says. “It just became what I did day in and day out.”
“Happy people don’t do ketamine,” Tasha, who is in recovery from a six-year-long addiction, told Uncloseted Media. She first tried the drug for fun at 17, but it became a problem after her father died when she was 26. At her peak, she was taking six to nine grams every day and up to 24 grams over the weekends.
“The wheels just fell off,” she says. “It’s an escapism drug — of course people with more trauma will do it more. You want to forget about everything so you take it and then it stops becoming fun and you don’t want to see your friends anymore. You just stay in your home behind closed doors sniffing K to get out of your head.”
The physical consequences of ketamine
Tasha didn’t know that chronic ketamine use can cause inflammation, ulceration, and damage or scarring to the bladder, liver, kidneys, and gallbladder. After using it for six years, she checked herself into the intensive care unit.
“I was just writhing in pain from K cramps, like a sharp stabbing pain under your ribs,” she says. “The trouble is, nothing works to fix them. The only thing that helps is doing more K. I had no idea it was so painful,” says Tasha, adding that she’s seen four people die from ketamine addiction in the last three years.
“There were times in my use where I would be screaming in bed in the worst agony I’ve ever felt in my life,” J says. “The only thing that made the pain better was using more drugs. It got to the point that I needed to have some amount of K in my system to function.”
“There is a massive explosion of ketamine use and addiction,” Mo Belal, a consultant urological surgeon and an expert on the severe bladder and kidney damage caused by chronic ketamine abuse, told Uncloseted Media. “The trouble is, it’s impossible to treat bladder and kidney damage when people are still using.”
Belal says that for those seeking treatment, there are no specific ketamine rehabilitation programs in the U.S. “Addiction and pain management services need to be involved in healing from ketamine abuse, because the drug’s effects often require specialized support.”
Belal says that during a one-hour rehab session, someone experiencing severe ketamine-related bladder pain might need to leave every 20 minutes, making it difficult for the patient to stay engaged.
“We need more awareness,” he says. “We need more centers for ketamine rehabilitation.”
Education and awareness
While there is some research about the effects of ketamine, Belser could not point to any studies that focus on how the drug intersects with gay men experiencing trauma. “The community of ketamine researchers and prescribers has been naive historically in understanding the habit-forming properties of ketamine,” he says. “What are the effects of ketamine use, good or bad, for gay men experiencing trauma, lifelong discrimination, and family rejection? We don’t know, because critical research hasn’t been funded.”
The Drug Enforcement Administration classifies ketamine’s abuse potential as moderate to low, a designation that may contribute to limited public education about its risks, including dependence and long-term side effects. Many people who encounter ketamine on the dance floor think it’s a healthy alternative to alcohol because they believe it’s non-addictive and it doesn’t give you a hangover.
“I did think that it was pretty safe when I was using and I didn’t think it was going to be addictive,” Pearson says.
Pearson, who has been clean for two years, says it wasn’t until he reached out to a friend who had recovered from ketamine use that he began getting clean. “I saw how happy my friend was in recovery, how normal his life felt. … And I knew that was the life I wanted.”
Similarly, for J, he felt alone in his ketamine addiction. It wasn’t until he found a queer-centered substance rehab program in LA that he felt some hope.
“It helped patch some of the missing pieces to my experiences in treatment before,” he says. “I think that relapse is a part of every addict’s story and every recovery story. But I think my relapses indicated that I still had some unresolved trauma and deep wounds that I hadn’t been aware of yet. And I think being around queer people in recovery has been helpful for me to feel a lot more comfortable with myself.”
Today, J is in therapy, continuing to break down the walls of his childhood trauma. Pearson is in a 12-step program after doing intensive therapy in his first few months of sobriety to help “clear up a lot of traumatic things that happened” in his past.
“I finally realized how far I’d drifted from everyone in my life — my friends, my family, even myself,” Pearson says. “I was chasing this feeling of disappearance, and it almost cost me everything. If I hadn’t stopped when I did, I don’t think I’d still be here. Getting sober gave me my life back, and I don’t ever want to lose that again.”
Federal Government
Trump-appointed EEOC leadership rescinds LGBTQ worker guidance
The EEOC voted to rescind its 2024 guidance, minimizing formally expanded protections for LGBTQ workers.
The U.S. Equal Employment Opportunity Commission voted 2–1 to repeal its 2024 guidance, rolling back formally expanded protections for LGBTQ workers.
The EEOC, which is composed of five commissioners, is tasked with enforcing federal laws that make workplace discrimination illegal. Since President Donald Trump appointed two Republican commissioners last year — Andrea R. Lucas as chair in January and Brittany Panuccio in October — the commission’s majority has increasingly aligned its work with conservative priorities.
The commission updated its guidance in 2024 under then-President Joe Biden to expand protections to LGBTQ workers, particularly transgender workers — the most significant change to the agency’s harassment guidance in 25 years.
The directive, which spanned nearly 200 pages, outlined how employers may not discriminate against workers based on protected characteristics, including race, sex, religion, age, and disability as defined under federal law.
One issue of particular focus for Republicans was the guidance’s new section on gender identity and sexual orientation. Citing the 2020 U.S. Supreme Court’s Bostock v. Clayton County decision and other cases, the guidance included examples of prohibited conduct, such as the repeated and intentional use of a name or pronoun an individual no longer uses, and the denial of access to bathrooms consistent with a person’s gender identity.
Last year a federal judge in Texas had blocked that portion of the guidance, saying that finding was novel and was beyond the scope of the EEOC’s powers in issuing guidance.
The dissenting vote came from the commission’s sole Democratic member, Commissioner Kalpana Kotagal.
“There’s no reason to rescind the harassment guidance in its entirety,” Kotagal said Thursday. “Instead of adopting a thoughtful and surgical approach to excise the sections the majority disagrees with or suggest an alternative, the commission is throwing out the baby with the bathwater. Worse, it is doing so without public input.”
While this now rescinded EEOC guidance is not legally binding, it is widely considered a blueprint for how the commission will enforce anti-discrimination laws and is often cited by judges deciding novel legal issues.
Multiple members of Congress released a joint statement condemning the agency’s decision to minimize worker protections, including U.S. Reps. Teresa Leger Fernández (D-N.M.), Grace Meng (D-N.Y.), Mark Takano (D-Calif.), Adriano Espaillat (D-N.Y.), and Yvette Clarke (D-N.Y.) The rescission follows the EEOC’s failure to respond to or engage with a November letter from Democratic Caucus leaders urging the agency to retain the guidance and protect women and vulnerable workers.
“The Equal Employment Opportunity Commission is supposed to protect vulnerable workers, including women, people of color, and LGBTQI+ workers, from discrimination on the job. Yet, since the start of her tenure, the EEOC chair has consistently undermined protections for women, people of color, and LGBTQI+ workers. Now, she is taking away guidance intended to protect workers from harassment on the job, including instructions on anti-harassment policies, training, and complaint processes — and doing so outside of the established rule-making process. When workers are sexually harassed, called racist slurs, or discriminated against at work, it harms our workforce and ultimately our economy. Workers can’t afford this — especially at a time of high costs, chaotic tariffs, and economic uncertainty. Women and vulnerable workers deserve so much better.”
