National
Despite ‘relentless attacks,’ optimism for future of LGBTQ movement
National LGBTQ Task Force leaders address Creating Change Conference
Despite being hit with an unprecedented 300 or more anti-LGBTQ bills introduced in U.S. state legislatures over the past two years, the nation’s LGBTQ community at the same time has seen some important advances and there is reason for optimism, according to a March 19 LGBTQ State of the Movement address delivered by two key movement leaders.
Kierra Johnson and Mayra Hidalgo Salazar, executive director and deputy executive director of the National LGBTQ Task Force, offered a detailed assessment of where things stand today for LGBTQ people in the United States during the organization’s 22nd Annual Creating Change Conference, which was held virtually March 19-20.
Since it began in 1987, Task Force officials have said the Creating Change Conference has served as the LGBTQ movement’s preeminent organizing, skills-building, and networking event.
Johnson and Salazar said the political attacks on LGBTQ rights and other progressive causes coming in the midst of the COVID-19 pandemic have forced LGBTQ leaders and activists to adopt new strategies for responding to the attacks.
“We are doing this in the face of storms that have kept coming,” Salazar said. “In just the last year, there have been relentless attacks to gut voting rights, the right to protest, abortion access, and trans youth health and rights,” she stated in the address delivered jointly by the two women.
“There have been 100 anti-trans bills and over 300 anti-LGBTQ bills considered in state legislatures across the nation,” she continued, adding that a record number of deportations of immigrants, a “barrage” of racial injustice in the U.S. and abroad, and new and ongoing wars and conflicts, “have left many of us feeling afraid, disconnected, and powerless.”
Johnson continued those thoughts by saying, “We know that you are tired. Many of you are afraid and rightfully so…But I know that I’m talking to a group of people who know that these events, these feelings, they’re no reason to stop the work – anything but,” Johnson said. “These are the reasons we do the work. This is why what we do is so important, why you are showing up today, and tomorrow and it is the difference between the light at the end of the tunnel going out entirely and growing brighter and nearer for us and for generations to come.”
Salazar cited what she called optimistic data showing that more people are coming out as LGBTQ than ever before at an earlier age, with young people identifying in greater numbers as bisexual and nonbinary.
“Now some of you may be wondering, is there something in the water?” she continued. “Of course, the answer is no! But more people coming out and the fluidity in how they identify has everything to do with the work you and we have done and do every single day to build a world where people can embrace themselves – and be embraced – in every aspect of their lives.”
As a further sign of optimism, Johnson noted the political climate for LGBTQ people coming from the White House has changed for the better since January 2021.
“After four years of relentless attacks on LGBTQ+ rights, the Biden-Harris administration has brought more LGBTQ+ visibility and begun undoing the damage of Trump’s anti-LGBTQ policies – from protecting the civil rights of every LGBTQ+ person, to ensuring that LGBTQ+ Americans are leaders at every level of the federal government,” Johnson said.
“Together with you, we have successfully backed more queer, women, people of color candidates to join the White House than ever before,” Johnson told conference participants.
Among the LGBTQ White House appointees, she and Salazar said, are Gina Ortiz Jones, a lesbian and Iraq war veteran serving as the U.S. Undersecretary of the Air Force; Pete Buttigieg, who is serving as the first openly gay Cabinet Secretary confirmed by the U.S. Senate; Admiral Dr. Rachel Levine, who is serving as director of the U.S. Public Health Service at the Department of Health and Human Services and who became the first openly transgender person ever confirmed by the U.S. Senate; Reggie Greer, a Black gay man serving as White House Director of Priority Placement and Senior Adviser on LGBTQ+ Engagement; Ambassador Chantale Yokmin Wong, the U.S. Director of the Asian Development Bank who became the first out lesbian and first LGBTQ person of color with the rank of ambassador in U.S. history; and Mehgan Maury, a former National LGBTQ Task Force official now serving as Senior Adviser to the Director of the U.S. Census Bureau and the first nonbinary member of the Biden administration.
“Contrary to what many would have us believe, we have also made progress in the states,” Johnson stated in her remarks. She and Salazar pointed to bills providing various types of LGBTQ supportive services or protections that have passed in New Jersey, Oregon, Colorado, Washington State, and New Mexico in the past two years.
“And finally, to those of you – advocates, organizers, change makers – in Florida, Georgia, Ohio, Texas and Michigan – thank you for your tireless work and non-stop efforts to stop the devastating bills ravaging their way through your state legislatures and making their way to the desks of your governors,” Johnson said.
“You are showing the country and the world that trans kids matter, that Black Lives Matter, that saying Trans and Bi and Lesbian and Gay matters,” added Johnson. “While we’ve had some setbacks in these sessions, the work you’ve done means those losses are temporary. You are building long-term sustainable power,” Johnson said.
“Together we will use all the tools in our toolbox – from the streets to the courts to the pews and pulpits, to the media to the ballot box – to overturn and overcome these wretched attacks and take back our democracy from extremists who will do anything to sustain the status quo or worse, roll back the gains we’ve won,” according to Johnson.
Following is the text of the full remarks delivered by Kierra Johnson and Mayra Hidalgo Salazar in their LGBTQ State of the Movement Address on March 19 before the Creating Change Conference as provided by the National LGBTQ Task Force:
Johnson: Welcome to the State of the Movement 2022. Convening virtually was not what we envisioned for Creating Change this year. Like you, last spring we were hopeful that we would soon turn a corner and leave our COVID-19 lives behind. Then Delta and Omicron dished a dose of reality that was more devastating than we thought possible. We saw the light at the end of the tunnel, and then swiftly the tunnel got longer, until the light was all but impossible to see.
Johnson: We are now beginning our third year under the cloud of a global pandemic. While we’ve necessarily become pros at adapting to these changing conditions: moving the work forward, getting our kids to school, taking care of elders, navigating other health crises and wearing masks everywhere we go, COVID continues to have a deep impact on our health and well-being and on our community’s ability to fight back. Like you, we also hold the tension of trying to stay focused on how we show up in our work to build a different world, while acknowledging the challenges of shouldering sickness, the passing of friends and family, and the frustration of dreams deferred.
Salazar: And, because we are brilliant, creative and resourceful, we also found new and beautiful ways of building and being in community – like virtual events with magical moments we only dreamed possible, became reality.
Salazar: We are doing this in the face of storms that have kept coming. In just the last year, there have been relentless attacks to gut voting rights, the right to protest, abortion access, and trans youth health and rights. There have been 100 anti-trans bills and over 300 anti LGBTQ bills considered in state legislatures across the nation. And if that wasn’t enough to overwhelm us, the record deportations of immigrants under the Biden administration, the barrage of racial injustice here at home and abroad, and new and ongoing wars and conflicts, have left many of us feeling afraid, disconnected, and powerless. At any given moment, we are experiencing changes moving at an unbearable pace.
Johnson: We know that you are tired. Many of you are afraid and rightfully so. Be tired. Be angry. Be frustrated, confused, sad, be ALL of those things. But I know that I’m talking to a group of people who know that these events, these feelings; they’re not a reason to stop the work — anything but. These are the reasons we do the work. This is why what we do is so important, why you are showing up today, and tomorrow and it is the difference between the light at the end of the tunnel going out entirely, and growing brighter and nearer for us and for generations to come.” Congresswoman Ocasio Cortez recently reminded us that a resigned cynical working class that has given up is exactly what our opponents want. But she also reminds us that things are changing and that it is up to us to share good news and enjoy the good news and remind each other that we are having success and we are winning.
Salazar: Data is showing us that more people are coming out as LGBTQ than ever before and they are coming out earlier, with young people identifying in higher numbers as bisexual and nonbinary. Now some of you may be wondering, is there something in the water?! Of course, the answer is no! But more people coming out and the fluidity in how they identify has everything to do with the work you and we have done and do every single day to build a world where people can embrace themselves—and be embraced—in every facet of their lives.
Johnson: After four years of relentless attacks on LGBTQ+ rights, the Biden-Harris administration has brought more LGBTQ+ visibility and begun undoing the damage of Trump’s anti-LGBTQ policies— from protecting the civil rights of every LGBTQ+ person, to ensuring that LGBTQ+ Americans are leaders at every level of the federal government Together with you, we have successfully backed more queer, women, people of color candidates to join the White House than ever before including:
Salazar: Gina Ortiz Jones, a gay woman and Iraq veteran serves as the 27th U.S. Under Secretary of the Air Force – she identifies as an Ilocano, a member of a Filipino ethnolinguistic group. KJ: Secretary of Transportation Pete Buttigieg, who is the first openly gay Cabinet Secretary confirmed by the U.S. Senate MHS: Admiral Dr. Rachel Levine, Head of U.S public health efforts at the Department of Health and Human Services, who is the first openly transgender person ever confirmed by the U.S. Senate.
Johnson: Reggie Greer, a Black gay man now serves as White House Director of Priority Placement and Senior Advisor on LGBTQ+ Engagement. MHS: Ambassador Chantale Yokmin Wong U.S. Director of the Asian Development Bank, the first out lesbian and first LGBTQ person of color with the rank of ambassador in U.S. history.
Johnson: AND our own Mehgan Maury, who led our Queer the Census campaign and now serves as Senior Advisor to Director Robert Santos at the Census Bureau, the first non-binary member of the administration’s team.
Salazar: And we need more action, support, and resources from the White House to address the escalating attacks on our humanity and our rights. We need progress that goes beyond the pre[1]Trump status quo. The rights of LGBTQ+ people must be solidified to capture the full breadth of our experiences and face the onslaught of growing racism, xenophobia, homophobia and transphobia. MHS: And there is a bill in congress right now — The Equality Act – that if passed would move us forward in holding elected officials accountable at the federal level and in every state, expanding and protecting the civil rights of LGBTQ people, people of color and women.
Johnson: With each year more cross-movement, cross issue, cross community partnerships are created, and they are deepening. Whether creating new messages and frames to engage the community and address the state attacks on LGBTQ people, to creating interfaith strategies to assert a progressive religious and spiritual perspective to beat back discriminatory religious exemptions, to inspiring and supporting more BIPOC, Young People and Queer people to vote Commented [MS1]: i don’t want to uplift this as a win, especially while we are at/on the brink of another war Commented [MS2]: moving and advocate directly with legislators, we are fortifying our foundation for the hard work ahead!
Johnson: Contrary to what many would have us believe, we have also made progress in the states! New Jersey enacted a law that adds gender nonbinary to medical data collection. Oregon passed a law to add LGBTQ people to priority populations definition for workforce development programs and increases funding. Colorado passed a bill to support older people from diverse, racial, cultural, socioeconomic, gender and ability groups in community planning; health services and infrastructure.
Salazar: Washington State passed two bills – one that preserves a person’s ability to access abortion care, making the language trans-inclusive. And another that makes incarcerated folx medical records confidential, including for trans-affirming care and gender identity. New Mexico passed a bill to stop LGBTQ people from being blamed for people assaulting or murdering them, barring use of the so-called Panic defense.
Johnson: And finally, to those of you—advocates, organizers, change makers—in Florida, Georgia, Ohio, Texas and Michigan – thank you for your tireless work and non-stop efforts to stop the devastating bills ravaging their way through your state legislatures and making their way to the desks of your Governors. You are showing the country and the world that trans kids matter, that Black lives matter, that saying Trans and Bi and Lesbian and GAY matters. While we’ve had some setbacks in these sessions, the work you’ve done means those losses are temporary. You are building long term sustainable power. Together we will use all the tools in our toolbox— from the streets to the courts to the pews & pulpits, to the media to the ballot box—to overturn and overcome these wretched attacks and take back our democracy from extremists who will do anything to sustain the status quo or worse roll back the gains we’ve won.
Salazar: We are far from powerless. From weighing in on presidential appointments to engaging with civil rights leaders on strategies to ensure that our communities have access to the right to vote. We have been connecting with national and state partners, advising hill staff and Members of Congress and engaging LGBTQ people in a range of issues including the Equality Act and the Texas abortion ban. We have won protections in the workplace and nondiscrimination policies continue to pass in cities and states across the country. Actors, Athletes and musicians are exclaiming their pride and queering the media at every turn igniting a new force of queer and allied activism. Carl Nassib, Kal Penn, Tommy Dorfman, Hikaru Utada, Kehlani and Billy Porter are just a few of the celebrities that have come out in the last year as trans, non-binary, queer, HIV positive, and Pansexual. They are showing up and out as queer pop icons, public figures for a new generation looking for themselves boldly reflected in media, culture and politics. We must remember how we got here. We must celebrate our successes as forward momentum. We have much to be proud of…But we are FAR from done.
Salazar: In January of this year, Gov. Kristi Noem (R-SD) signed into law the first anti-trans bill of 2022. In doing so, she banned transgender girls from playing school sports. From there it has
been almost impossible to keep up with the barrage of attacks. Arizona, Alabama, Indiana, Kentucky, Oklahoma, New Hampshire and South Dakota and just a few of the states that introduced measures that target trans and nonbinary youth, their families and their communities.
Johnson: As if that wasn’t enough, in addition to the unabated and unrelenting state attacks on LGBTQ+ legislation, our communities have also been hit with attacks on reproductive rights, voting rights, and the erasure of the history and impact of BIPOC people in this country. In states across the country, the legislature has waged a triple threat of bad bills targeting our access to information, bodily autonomy, and ability to participate in our democracy. These are the foundation of personal, community and political power!
Salazar: The far-right has bemoaned for years that progressives have been trying to “censor” them, it is indeed the far-right taking steps to censor content of all kinds – from critical race theory to LGBTQ inclusive curricula, effectively erasing the diversity of people in this country and any accurate or inclusive understanding of our shared history. Book bans, which seem like an outdated tactic of fascist dictators, are back in style. The simple act of have a rainbow flag or Black Lives Matter sticker on your classroom door, meant to communicate a safe space, is now off the table. Imagine how our young people must feel as they are stripped of the symbols and information that made them feel safe and affirmed.
Johnson: Access to our most basic right to engage in our democracy is also at stake. The right to vote, our right to protest is being suppressed, curtained, blocked and gerrymandered at every turn.
Salazar: Finally, our self-determination and personal agency is also being threatened. Given the sharp rise in anti-LGBTQ laws passed over the last 8 years and what we are seeing now, it is no surprise we’re now experiencing what the American Medical Association has declared “an epidemic of violence against the transgender community,” most notably the skyrocketing rate of murders against trans women of color. The ability to make decision about who you are, how you walk through the world in your truth and have control over your own body are at the core of the anti-trans bills mentioned above and all the attempts to restrict abortion rights and access to reproductive related healthcare.
Johnson: If this feels familiar there is a reason – 40 years ago it was gay & lesbian teachers that were being targeted — today it’s trans kids and their parents.
Salazar: 40 years ago, it was Anita Bryant who was pulling out worn out tropes about “grooming” – and today it is Governors like DeSantis and Abbott recycling these tropes to spread misinformation about our community.
Johnson: 20 years ago, it was gay, lesbian and bisexual people being accused of trying to destroy the sanctity of (Christian) marriage and today it is loving families and allies of LGBTQ youth being accused of taking away “parental rights” when working for the safety and futures of all youth.
Johnson: Any historian or longtime Movement activist will tell you this cycle Is just that – a constant, sometimes subtle, sometimes direct, concerted effort to use queer people, reproductive freedom and democracy as the bait to push the buttons of conscious and unconscious homophobia, transphobia, sexism, misogyny, racism, Christian hegemony and classism in our country.
Johnson: This is our time, our opportunity to commit to building deeply and broadly across movements. To collaborate across issues and communities. We cannot win if we continue to organize in silos and ignore the WHOLE chess board. There is an opportunity to build intersectional partnerships, engage a larger base, and create solutions that have greater impact on more people. We must fight back. Now, for the remainder of this important election year, in every state facing anti-LGBTQ, anti-choice and anti-voting rights legislation.
Johnson: There is a lot at stake in this time but where there are challenges there are opportunities for us to learn, grow and succeed! Our political success will only ever be temporary if we’re not invested in building the power of the people. We win because more and more people are in coalition with us. But we know from the movements that came before ours that to hold onto those successes, our institutions and those in power must be willing to take action with us and we must be vigilant in holding them accountable.
Salazar: Today we are launching Queer the Vote and commit to building a robust and connected base of voters working across issues across communities to rebuild and strengthen our democracy. It is critical that queer people and our allies mobilize to take action, build power and create change whether that’s contacting your elected officials, providing testimony, or donating money and resources. And of course, above all else, if you are eligible, make sure you are registered to vote and turn out at the polls. Claim your power, use your voice, support your community and Queer the Vote!
The kind of change we imagine can take generations, and the Task Force is in this for the long haul – we’ve been at it for almost 50 years, and we won’t stop until we are all free. The pathway to liberation is long and if we are going to make it we must remember what we are working towards. We are organizing for our civil rights. We are demanding that our full humanity is honored and affirmed. And we are fighting for our democracy.
Johnson: We have already imagined the world we want…the world we deserve. Now we must have courage to act with and for our community to bring it into existence. The theme of CC22 is Remixed. A remix: a piece of media which has been altered or contorted from its original state by adding, removing, and/or changing pieces of the item. Our 2022 Creating Change theme Remixed refers not only to having pivoted from an in-person event to a digital one. Remixed is also a vision for how we can evolve as a movement. We have an opportunity to experiment and to play. To be responsive to what is new while benefiting from the wisdom, expertise, and talent of the past. I can’t wait to get back into the studio with you! We look forward to creating new sounds, covering some old tunes and remixing a new movement for the future…by us and for us. Forever together, we are powerful!
Johnson: Be You, Be Well and enjoy the rest of your Creating Change ‘22 remixed experience!
Salazar: Sea tú. Y que lo pasen delicioso. [Be you. And have a delicious time.]
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.”
