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Advice

There’s hope beyond HIV

Diagnosis doesn’t mean the end of life and dreams

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HIV, gay news, Washington Blade
HIV, gay news, Washington Blade

You can have a perfectly wonderful, fulfilling life, even if it doesn’t seem possible at this moment. Many people are successfully living with HIV.

Dear Michael,

 

I am a 24 year-old gay man and I recently became HIV-positive.

 

I’m angry at myself for so badly screwing up my life. Basically I feel like I have flushed my future down the toilet. I’m also feeling very alone.

 

I haven’t told any of my friends because I am so afraid they will judge me. As far as I know, none of them are positive.

 

I’m not dating anyone and now I can’t see how I will ever be in a relationship. I see myself as damaged goods and don’t feel like anyone would want to date me.

 

Even if someone were interested in me, I think my sexual and romantic feelings are dead.  Considering where they’ve gotten me, I don’t want to ever go down that road again.

 

I always imagined I’d have a husband, some kids, good health and a long life. Now there’s a giant question mark after all those dreams. So I don’t really know what I have to live for.

 

I am despondent. What can I do to feel better?

Michael replies:

You can have a perfectly wonderful, fulfilling life, even if it doesn’t seem possible at this moment. Many people are successfully living with HIV.

The first thing you must do is find support. It’s an awful thing to feel as alone as you do with a seemingly terrible secret. The reality is you don’t need to be alone and HIV is no longer a disaster.

If you’re living in Washington, please contact Whitman-Walker Health Clinic. They offer a support group for people who are newly diagnosed with HIV (whitman-walker.org/service/behavioral) as well as a group to help people navigate life with HIV that may be helpful to you down the road a bit.

There, you’ll meet others who have been through everything you are now facing. They will be able to tell you and show you that you can have a fine, full life with HIV. You will gain a supportive peer group to talk with and learn from. All of this will help you feel better.

If you don’t live in D.C., please find the nearest HIV support group and go. It will help you save your own life.

Now may not be the time to tell all your friends, because you are feeling bad about yourself and may not have the strength or presence of mind to best take this step. But if you have any really close friends whom you can count on for loving support without judgment, telling them about your status may reduce your feelings of isolation and give you some relief.

Yes, it’s possible that some of your friends will be unsupportive or reject you, just as it’s possible that some men won’t be interested in dating you. But you will also have friends who will be there for you, just as there will be guys who are interested in you once you’re feeling better and back on your game.

I’m wondering how well you’re taking care of yourself. When we feel as awful as you describe feeling, it’s common to stop eating properly, exercising or getting adequate sleep. Without good self care, we spiral downward and feel even worse.

As you want to feel better, please make the effort to treat yourself well right now, even though you are feeling low. Doing so is likely to improve your mood.

I don’t know if alcohol and/or drug use was involved in your HIV conversion, as it is for so many gay men. Substance abuse is entrenched in LGBT culture as a means to push away the isolation, distress, anxiety, depression and pain that many of us face. But it actually makes everything worse.

If you are using or feeling tempted to use as a way to try and feel better, please seek out help for this right away. Again, Whitman-Walker in D.C. has a number of great substance treatment programs.  If you live elsewhere, look for something similar, preferably gay-friendly. I know many people who are alive today because they started attending Alcoholics Anonymous, Narcotics Anonymous or similar 12-step groups. Others find help through alternatives such as SMART Recovery.

I know you are in a bleak and hopeless place right now, but don’t despair. You won’t always feel this way. Many people have walked the same path before you and are now thriving.  If you take steps to move forward, you’ll be able to enjoy a life that can include the dreams you’ve had for yourself.

 

Michael Radkowsky, Psy.D. is a licensed psychologist who works with gay couples and individuals in D.C. He can be found online at personalgrowthzone.com. All identifying information has been changed for reasons of confidentiality. Have a question? Send it to [email protected].

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3 Comments

3 Comments

  1. Micheal Roben

    July 31, 2015 at 3:48 am

    There is a herbal Dr who can cure HIV and other deadly diseases with the use of natural herbs. He is from Africa and he is a great herbal doctor and he can also cure you as well if you are having the virus And other deadly disease and here is is email address [email protected] OR [email protected]
    Website: great-drariba.webs.com..

  2. Micheal Roben

    July 31, 2015 at 3:48 am

    There is a herbal Dr who can cure HIV and other deadly diseases with the use of natural herbs. He is from Africa and he is a great herbal doctor and he can also cure you as well if you are having the virus And other deadly disease and here is is email address [email protected] OR [email protected]
    Website: great-drariba.webs.com

  3. Josh Riley

    July 31, 2015 at 12:07 pm

    Great advice Michael Radkowsky. I would also add that new tools and understanding about HIV prevention and care–like pre-exposure prophylaxis and treatment-as-prevention–have essentially leveled the playing field for many in terms of HIV. In other words, as our understanding of prevention and care becomes more sophisticated, HIV becomes much less of a “deal breaker”, nor even much of an issue at all, in relationships. I have seen the stigma and separation based on status begin to melt away. I have every faith that you will find the love you want regardless of your status or the status of your partner.

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Advice

Working from home is taking over our lives

We need to create boundaries and return to offices

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working from home, gay news, Washington Blade

Back in the late 1980s when I was a young financial analyst at a New York bank, I’d leave the office at five and go home to my little Upper West Side studio. With no cable, internet, or cellphone, a landline was my only connection to the outside word till I went back to work the next day.

What was it like? Tranquility is the word. Surrounded by Manhattan, I was as isolated as a monk in a cell, with uninterrupted hours to read a book, cook, or listen to an album. And of course I could go out on the town without a work crisis reaching out to ruin my plans.

I’ve been thinking back to those days a lot, lately. Working as a psychologist, I’m hearing more and more clients complain lately about how much time they’re putting into their jobs. Folks have been working from home for a year now, and as the months have gone by, many of us are spending more and more hours on the job.

What’s going on? I hear a few justifications.

First, many people tell me that they don’t feel they have an excuse not to reply when they get a text or email from a boss or colleague after normal work hours. After all, what else would they be doing? This is especially true of my single clients who don’t have children. Even dinnertime isn’t off limits.

Second, as the pandemic drags on and most of us have so few sources of fun and stimulation, people are turning more and more to their jobs for something — anything — to keep them occupied.

And, of course, there’s the reality that we’re working from our homes. There’s no physical boundary keeping work at work.

So while it’s great not to have to commute or wear pants, working from home is making it even easier for our jobs to take over our lives than they already were. Put bluntly, this sucks.

We all need a break from work. Every day. Your job likely isn’t paying you for 16-hour days. Even if it is, you need to have some fun, rest, and recharge your brain.

Of course we can’t shut ourselves off from the world as completely as I did in those pre-internet/cellphone days. But we need to draw a boundary, even if it means disappointing our employers and colleagues by doing so. I’m not talking about not doing your job. I’m just talking about setting a limit on how much of your life you are willing to give to your work.

Standing up for your own well-being can be scary. There may be real risks in terms of job security and compensation. Only you can decide for yourself when it is vital to say “no.” But advocating for yourself is necessary at times. To quote Hillel, an ancient Jewish sage: “If I am not for myself, then who will be for me?”

Taking action on your own behalf is also a skill you want to develop, because it will help you in all areas of your life. If you can’t say “no” in order to eat dinner uninterrupted, watch a movie you’d like to see, spend time with someone you love or get a good night’s sleep, you’re going to get chewed up and spit out by others, quite a lot.

Recently, I’ve been reading that D.C.’s downtown is in danger of financial ruin. As many people may not be be returning to the office after the pandemic, some believe that the whole web of service businesses may collapse.

I’m hoping that the doomsdayers floating this theory are wrong, and that as the pandemic ends many of us will head back to the office, at least much of the time. We need to get back to setting a stronger boundary between work and the rest of our lives.

Yes, we’ll be helping our city rebound. And we’ll also be making a big step toward taking care of ourselves, by re-constructing a life that’s about way more than work.

Michael Radkowsky, Psy.D. is a licensed psychologist who works with gay couples and individuals in D.C. He can be found online at michaelradkowsky.com.

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Advice

ADVICE: Despair vs. resilience in trying times

Coronavirus lockdown has many down but you’re stronger than you think

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As the COVID-19 crisis goes on without our having any clarity about how or when this crazy situation will improve, most everyone I know is super-anxious about getting sick, fed up with being locked down or both. Is there a way for us to get through this any easier? 

Here’s a start: Acknowledge that there are no guarantees in life.

When we accept that life is going to throw all sorts of challenges at us and that there is sometimes nothing we can do to stop these challenges from coming, that leaves us with one great option: Work on becoming more resilient so we can better deal with the hard stuff, including the very hard stuff.

This is called resilience. Being able to pick ourselves up, dust ourselves off and keep going forward. Cliché, yes, but it’s what we need to do if we don’t want life to beat us down.

Good news: resilience is a trait we are born with. As I’m writing these words, I’m watching my 4-month-old, who recently learned to turn from his back onto his belly, trying to turn from his belly onto his back. He’s been at this for days, and has succeeded just once. He keeps crying and trying. He won’t give up. That’s resilience.

Further good news: If you’re LGBT, you likely have already done some work in this area. All the difficulties that we experience as we grow up — struggling to accept an identity that’s stigmatized, teasing, rejection and worse — and here we are. How? All of us found a way to keep moving forward in our lives rather than letting circumstances defeat us.

Of course, this is pretty much true of anyone who has been through tough times and survived. Many of our elders who experienced the Depression, wartime, or worse tell us that they aren’t fazed by the virus or having to stay at home. Having endured previous struggles, they know they can do their best to endure this one.

That’s what all of us must keep in mind now. Knowing that we have had the resilience to get through past difficulties can support us in getting through this new hard time.

Another important point to keep in mind: When we give our suffering meaning, it helps us endure the suffering. Reminding ourselves that striving to endure this tough period will make us even more resilient can actually help us to more easily endure it.

Other ways we can strengthen our own capacity for resilience: 

Do our best to take care of ourselves, of course. When we eat well, find a way to exercise, get adequate sleep and take breaks from virus-worrying through meditation or just focusing on something pleasant or uplifting, we’re less anxious and better able to keep calm. The ability to soothe ourselves is key to being resilient.

Stay connected to people around us so that we don’t wind up feeling isolated and alone, which can deepen feelings of hopelessness. We all need supportive friends and family whom we can ask for assistance when we really need it to survive. Knowing that they are there is part of feeling resilient. And if we’re able to help others in some way — dropping off groceries for an elderly relative or neighbor, or simply being willing to listen — we’re likely to feel stronger and more able to cope.

Appreciate what we have. This can include a roof over our head, food to eat, people and companion animals we love and simply being alive right now. Doing will serve us much better than lamenting.

While none of us will live forever, we all want to stay in the game as long as we can. Striving to be resilient can help us keep going forward through life with the belief that if it’s possible to survive, we have a good shot at doing so. And that belief can give us hope, determination and a positive outlook.

Michael Radkowsky, Psy.D. is a licensed psychologist who works with gay individuals and couples in D.C. He can be found online at michaelradkowsky.com

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Advice

ADVICE: Nerves easily fray while social distancing

Look within to avoid unnecessary tension with your significant other

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social distancing advice, gay news, Washington Blade

For many years, I’ve told couples I work with that being in long-term relationships is like taking a long journey by ship in a very small stateroom. You know, the kind where the couch unfolds to be a bed, you have to step over your partner’s legs to get to the bathroom and there’s no place to stow the suitcases. You have to find a way to stay calm, not drive each other crazy and enjoy the voyage.

I’d never actually traveled by boat, so this was just my theory. So when my husband and I were lucky enough to take a journey by ship up the Norwegian coast a few years back and had a cabin exactly as I’d envisioned (i.e. teeny), I discovered I was right. Despite the unbelievably gorgeous scenery right out our porthole, after a few days we could see how easy it would be to get irritable with each other.

Now here we all are in a much more difficult situation. We’re stuck at home, on top of each other, trying to do our jobs while taking care of companion animals and children, attempting to avoid an invisible enemy that could be anywhere.  We can’t go out on deck to watch Norway float by. Instead, we’ve got the television to look at, keeping us posted about all the bad and scary news.  

So it’s natural that as our nerves fray, we’re going to get irritated by our mates. They’re in the way. We don’t like their tone. They aren’t doing enough or responding when we ask a question. We feel like we’re the one doing everything.  

Sound familiar?

It makes sense that we react like this at such a stressful time, but when we do, it’s all downhill from there. In our current predicament, we don’t have the usual escape outlets that let us take a break and come back to our spouses calmer and with a refreshed attitude.  

What to do? Here are some simple strategies to help you, your significant other and your relationship through this extraordinarily miserable period:

Don’t point fingers: Think about what you can do to make the situation better rather than focusing on what your spouse should be doing. And then do it. This is a great strategy even in normal times. Remember, we have very little power to get another person to do something, but lots of power over our own behavior. So if we want things to change, we should look first to ourselves.

Be generous: Does your spouse feel strongly about something? Now is likely not the time to get into a struggle over whose say goes. Unless you have good reason to go in the other direction, be generous. Again, this is a policy worth adhering to when we get back to normal (soon, I hope!).

Take responsibility for soothing your own anxiety: This is always a great idea, but especially now. Yes, when we’re worried about something it feels great to get a hug and be told everything will be OK. But right now, your partner is just as anxious as you are and likely without the bandwidth to soothe you. Moreover, none of us really know that everything will be OK. 

So the best thing you can do when you’re anxious is look to yourself to find ways to keep as calm as you can, under the current circumstances: Meditation, slow deep breaths, whatever exercise you can find to do, striving to be in the present, working to accept uncertainty — these are all ways you may be able to help yourself feel even a little more calm.

And if you’re able to reach out and offer your spouse some loving reassurance — even if none of us know how this will end — so much the better.  Giving your partner emotional support is always a good move.

Michael Radkowsky, Psy.D. is a licensed psychologist who works with LGBT couples and individuals in D.C. He can be found online at michaelradkowsky.com. All identifying information has been changed for reasons of confidentiality. Have a question? Send it to [email protected].

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