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Holidays can exacerbate depression among LGBT people

Family pressures, political disagreements create stress for many

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Greg Jones, gay news, Washington Blade
Greg Jones, gay news, Washington Blade

Dr. Gregory Jones (Photo courtesy of Gregory Jones)

Are LGBT Americans more susceptible to depression?

Numerous studies suggest discrimination, homophobia and even family rejection leave this population particularly vulnerable to this condition and other mental health disorders. And while there are no reliable statistics to indicate specific rates of depression among LGBT Americans, local mental health providers with whom the Washington Blade recently spoke said the holiday season can exacerbate symptoms.

“The holiday season has a lot of associations with family, togetherness and unfortunately many people in the LGBT community have experienced some family loss, whether it was the loss of relationships, being ostracized or not accepted,” Dr. Gregory Jones of District Psychotherapy Associates in D.C. told the Blade. More than 70 percent of his patients are LGBT. “So often times during the holiday season, people feel reminded of this.”

Dr. Marc Dalton, director of Dalton Psychiatric Services in D.C., noted family along with money and general hard times contribute to depression during the holidays. Like Jones, he said relationships with friends, family and significant others “can become more paramount” during this time of the year.

“Stress is more relevant when you have to leave and go back to your family,” Dalton said. “When you have trouble with family accepting you and understanding your lifestyle, the stress of bringing someone back into that environment and how they’re going to treat that person, how they are going to treat you together. It’s already stressful for someone in heterosexual relationships when they bring someone into the family and having to navigate those social waters.”

Dalton added family members with different political and religious beliefs can cause further stress. He and Jones both noted LGBT people are sometimes unable to visit relatives because they have either shunned or rejected them because of their sexual orientation or gender identity and expression.

“I often times encourage them to kind of turn to family of choice, so they often then feel more susceptible to feelings of rejection from friends if they’re available,” Jones said. “It’s a time of year that is a mile-marker that most everyone can recognize, think back and reflect on their experiences. For those who do not have an ideal support system, the holidays can be tough.”

Depression affects estimated 17 million Americans

The American Psychological Association notes those with depression may exhibit a lack of interest and enjoyment from daily tasks, significant weight loss (or gain,) insomnia and a lack of energy and concentration. Some may experience persistent thoughts of death and even suicide.

The 2011 Centers for Disease Control and Prevention study found lesbian, gay and bisexual youth are four times more likely to attempt suicide than their heterosexual counterparts. Doctors Arnold Grossman of New York University and Anthony D’Augelli of Pennsylvania State University noted in a 2007 study in the American Association of Suicidology that nearly 50 percent of young transgender people have “seriously” considered suicide, and a quarter of them have attempted to take their own life.

The National Institute of Mental Health estimates 17 million American adults live with depression during any given year-long period. Medications, psychotherapy and/or a combination of both treatments can prove effective in treating those with depression.

Stigma remains barrier to treatment

The Dec. 14 massacre at Sandy Hook Elementary School in Newtown, Conn., that left 20 students, six teachers and administrators and the alleged gunman’s mother dead has sparked renewed calls to reform the country’s mental health system. Stigma, however, remains a significant barrier to those with depression and other mental health conditions from seeking treatment.

“People internalize that going into therapy or seeking mental health treatment is a sign of weakness,” Jones said. “I actually consider it a sign of strength. It’s knowing when to reach out and when things are beyond your scope of control and abilities.”

Access to mental health care providers can pose another challenge.

Those of a higher socio-economic status who live in D.C. and other urban areas may have better access to psychologists, psychiatrists and other mental health providers. Those who rely upon an insurance company or public assistance for their health care, however, may not have as much access to affordable and competent mental health care professionals.

An additional hurdle those with depression and other conditions face is a lack of mental health providers who are comfortable treating their LGBT patients’ unique needs.

“Even though we’re trained in our particular medical school or if you’re a psychologist if you go through your Ph.D. studies or your clinical studies, some folks are still not good at it, are not ‘gay’ or LGBT-affirming,” Dalton said. “That’s really important for a lot of my friends who I’ve talked to. They really want that security.”

Resources

The D.C. Department of Mental Health’s website contains a list of local providers and other information for those who are suffering from depression and other mental health disorders. Whitman-Walker Health offers group therapy sessions and a variety of other services and treatment options to those with mental health-related issues.

The Trevor Project, the Mautner Project and the Association of Gay and Lesbian Psychiatrists provide additional resources on suicide prevention and LGBT-specific information on other mental and general health-related issues.

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Health

AIDS Healthcare Foundation announces 3 million people globally in its care

Los Angeles-based group lauded ‘historic milestone’

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An AIDS Healthcare Foundation float in the Lima Pride parade in Lima, Peru, on July 1, 2023. (Photo courtesy of Jacob Kessler)

The AIDS Healthcare Foundation, a Los Angeles-based nonprofit group founded in 1987 that has become the world’s largest HIV/AIDS organization, has announced it has three million people in care around the world.

In a statement released on May 26, the organization, known worldwide as AHF, said the latest accomplishment reflects its global commitment to HIV prevention, care, and treatment. It says the accomplishment comes at a time when AHF marks the 25th anniversary of its first global programs launched in South Africa and Uganda in early 2001.

The statement says the three million people in care milestone also comes while the group approaches the 40th anniversary of its founding in 1987.

“Today, AHF provides lifesaving services in 50 countries across Africa, the Americas, Asia, and Europe, supporting millions of people living with HIV through a network of 1,056 global clinics, 79 healthcare centers in the U.S., 67 pharmacies, 96 wellness centers, 26 Out of the Closet thrift stores, outreach programs, and community partnerships,” the statement says.   

“This accomplishment is far more than a number — it represents 3 million individuals whose lives have been touched by compassion, commitment, and the belief that healthcare is a human right,” Condessa M. Curley, the AHF board chair, said in a statement. “We extend our deepest gratitude to every member of the AHF team whose dedication made this milestone possible,” Curley said.

The AHF website notes the organization was founded in 1987 in Los Angeles as a network of hospices committed to “fighting for the living and caring for the dying” at a time when there was no effective treatment for HIV/AIDS. A statement on the website says since that time AHF has greatly expanded, converting its hospices into healthcare centers “and building a new paradigm for HIV care both in the United States and around the world.”  

The statement adds, “Under the leadership of president and co-founder Michael Weinstein, AHF has grown from a group of friends dedicated to creating dignified hospice care to the largest AIDS organization in the world.” It says Weinstein “has been at the forefront of creating cutting-edge healthcare and advocacy programs and continues to drive the organization forward with the aim of saving more lives around the world.”

The statement announcing the milestone has also come at a time when more than 40 million people worldwide are living with HIV, “while hundreds of thousands continue to die annually from AIDS-related illnesses despite the availability of effective treatment.”

It says AHF’s response has included an expansion of its prevention and public health programs worldwide. In 2025 alone, according to the statement, AHF and its affiliated programs provided nearly five million free HIV tests globally and distributed more than 54 million free condoms, “underscoring the organization’s continued emphasis on both prevention and treatment.”

In D.C. AHF operates health care centers at 1701 K St., N.W., Ste. 400 [202-293-8680], 650 Pennsylvania Ave., S.E., Ste. 310 [202-350-5000], and 1647 Benning Road, N.E., Ste. 300 [202-350-5000]. 

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Cannabis Culture

LGBTQ people, weed, and mental health: what you need to know

Community uses marijuana at much higher rates than general population

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(Photo courtesy of NORML)

Uncloseted Media published this story on May 7.

By SPENCER MACNAUGHTON | In 2025, the global cannabis market size was valued at nearly $103 billion. By 2034, that number is expected to explode by roughly 1,400 percent to more than $1.43 trillion.

In short, as an increasing number of countries legalize marijuana use, everyone is starting to consume a lot more weed. And LGBTQ people tend to use cannabis at much higher rates than the general population. One study found that 55 percent of lesbian and 45 percent of gay young adults use marijuana, compared to about 33 percent and 37 percent, respectively, of their straight counterparts.

As LGBTQ people face a mental health crisis, the mainstream stereotypes that depict weed as an antidote for anxiety, panic and depression aren’t painting the full picture. And that could be exacerbating the mental health struggles so many queer people, and especially youth, face.

Here’s what the research demonstrates about marijuana and its effects on mental health:

  • Multiple studies suggest a link between marijuana use and an increased risk of mental health disorders, including schizophrenia, depression and anxiety in individuals who are genetically predisposed.
  • One study found that daily marijuana use, especially among younger people, makes some individuals seven times more likely to develop psychosis.

The increase in higher-potency strains of marijuana could pose unknown risks. In 1995, the average content of Tetrahydrocannabinol (THC) in confiscated marijuana was less than 4 percent. In 2022, it was more than 16 percent. Researchers don’t know the full extent of the impact that these higher concentrations can have on mental health and especially on younger people whose brains are still developing.

  • systematic review of studies published between 2013 and 2025 found damning results for the mental health of young cannabis users:

They were 51 percent more likely to experience depression, 58 percent more likely to experience anxiety, between 50 and 65 percent more likely to experience suicidal ideation and 80 to 87 percent more likely to have attempted suicide.

  • While the above stats paint a grim picture, there is also some research that suggests benefits of cannabis use:
    • A 2025 systematic review found that “medicinal” weed showed some efficacy in relieving withdrawal symptoms of opioid use disorder. THC use has been associated with improvement of post-traumatic stress disorder symptoms, bipolar symptoms and sleep quality.
    • Other studies found that THC administered in a controlled setting was associated with a decrease of symptoms and adverse effects for a range of mental health disorders, including schizophrenia, psychotic symptoms, and anorexia nervosa.

Beyond what we pulled from academia, there is an astounding lack of information about the interplay between weed and mental health. As we dive deeper into Mental Health Awareness Month, I hope advocacy organizations, influencers and news outlets ramp up their coverage of this important topic that affects the countless LGBTQ weed smokers, many of whom are already struggling.

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Health

UPDATED: Trans-led HIV clinic in Portsmouth struggles amid funding cuts

As states across the U.S. cut funding for HIV care this small clinic in Va, is still fighting

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Nyonna L. Byers (Photo courtesy of Nyonna L. Byers)

Two years ago, Nyonna Byers, a transgender woman from Portsmouth, Va., founded Ending Transmission of Sexual Infections (ETSI) Health Clinic to support a community she saw struggling with rising HIV rates. Now, as costs continue to climb and funding for HIV healthcare initiatives is being cut across the United States, Byers says her transgender identity has made it harder to secure the financial support her clinic needs to survive.

Portsmouth, with just under 100,000 people, is right across the Elizabeth River from Norfolk.

“We’re an HIV-led organization here in Portsmouth, providing services throughout the Hampton Roads area,” Byers told the Blade. “As a trans-led organization—with me as the founder and executive director—I’ve received a lot of rejection when it comes to funding. That’s one of the main reasons why we’re struggling to keep the clinic open. Without funding, we can’t provide HIV treatment or care, and then we’re just a theoretical organization—we can’t be impactful in the community we serve.”

She said the data clearly shows a need for increased investment in HIV care in Portsmouth, but the response from leadership has not matched the urgency of the crisis.

“Portsmouth is one of the smallest cities with one of the highest HIV rates, and there are very few HIV-led organizations or clinics here. The need is urgent, but the response doesn’t match it. We’re doing the work on the ground, but we’re not getting the support to sustain it. That disconnect is what’s hurting people the most.”

That need, Byers explained, continues to grow as ETSI struggles to meet the financial demands of the life-saving work it provides.

Portsmouth has one of the highest HIV prevalence rates in Virginia, with roughly 736.9 cases per 100,000 people—a rate that exceeds both state and national averages.

“Leaders like the mayor and city council don’t focus on public health or social health. They focus more on development—building the city up physically—rather than investing in the health of the people. I’ve applied for funding multiple times and been denied. Every time I’ve asked for resources, I’ve been turned away.”

When asked why, Byers said the answer felt clear to her.

“I honestly believe I was denied funding because I’m trans. I told the mayor I was going to go public with it, because it’s not fair. We’re on the ground doing the work to end HIV, and we’re still not getting the support we need. That’s not just frustrating—it’s harmful.”

While she said local support has been lacking, Byers noted that the state has stepped in—though the funding still falls short of what is needed to sustain the clinic long term.

ETSI Health Clinic was included as a recipient of funding in the Virginia 2027–2028 Senate budget, receiving $50,000 per year from the Virginia General Fund. Byers specifically credited State Sen. Lillie Louise Lucas with helping secure that funding, which she said did not come from city leadership.

Byers shared that she has given up a lot to keep ETSI afloat, but the costs just keep coming.

“I’ve worked a lot of contracts—jobs paying $30 to $40 an hour—and poured that money into my clinic. But the downside is that I’m struggling personally. I’ve lost cars, I’ve lost a house—I’ve lost a lot to keep this clinic going. This work has cost me almost everything.”

Nyonna L. Byers and HIV/AIDS activist Jeanne White-Ginder (Photo courtesy of Nyonna L. Byers)

She added that the impact of federal policy shifts is also being felt locally. As the Trump-Vance administration continues to roll back what it has described as unnecessary “DEI” spending, Byers said those decisions are affecting clinics like hers.

There was a time when the clinic was able to receive funding from Sentara Cares, the philanthropic program of Sentara Health, a not-for-profit healthcare system based in Virginia and North Carolina, but now they can’t.

“We had funding from Sentara Cares for three years, and it helped keep us going. Then when DEI initiatives started getting rolled back, that funding stopped. I was told directly that because of federal policy changes, they couldn’t fund the clinic. I broke down during that meeting, because it felt like they were really saying they couldn’t support us because of who we are.”

That lack of funding is compounded by broader gaps in healthcare access in the region. Portsmouth—the ninth most populous city in Virginia—does not have a hospital.

“There’s very limited access to care in Portsmouth. We don’t even have a hospital—people have to be transported to Norfolk. We’ve had high rates of syphilis, and the health department is only open a few days a week. A lot of people don’t trust it, and that leaves entire communities without care.”

Byers made it clear that this is more than a passion project for her—it is her life’s calling, and she would do nearly anything to keep it going.

“To be honest, I would go back to sex work before I let my clinic close. This is something I built from the ground up. I built this clinic with money I earned myself. I’m not going to let it disappear without a fight.”

She also pointed to gaps in education and outreach, which she says exacerbate HIV rates despite the availability of preventive measures.

“There’s almost no marketing or education about PrEP in the Hampton Roads area. If you go to places like D.C. or Atlanta, you see billboards and campaigns—but here, you don’t see anything. If people don’t see it, they don’t know about it. That lack of awareness is putting people at risk.”

It is also a deeply personal fight, she explained.

“I’ve lost friends to HIV. People say you can’t die from HIV anymore, but you can if you’re not in care. I’ve seen it firsthand, and that’s what motivates me to keep going. HIV doesn’t have to be a death sentence—but without support, it can become one.”

The Blade reached out to Portsmouth Mayor Shannon E. Glover for comment.

Glover disputed Byers’ claims that her clinic was treated unfairly, including her allegation that her transgender identity played a role in funding decisions.

“There’s no issue with Miss—with her and her organization. We have been in discussion, and quite frankly, the claims that she made as it relates to ‘we’re not treating her equitably and fairly because of her [being] transgender’ that is totally untrue,” Glover told the Blade via phone call. “I’ve talked to Miss Nyonna on a number of occasions, and that is categorically not true.”

Glover added that the city provides funding to various organizations and said he had directed Byers to seek support elsewhere.

“So I’m not understanding what her issues are,” he said. “But in any event, you know, we have funding that we provide to organizations. I’ve recommended other organizations to her. I’ve recommended that she go to the state where they have more flexibility with their budget and they could help her. So that’s what I’m prepared to tell you today. I’m not going to answer any questions. I just wanted to respond that her claim that we are mistreating her, not treating her fair, is totally untrue.”

To donate to ETSI, visit their donation page at ESTIhcvas.org/donate

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