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Meth is still ravaging the LGBTQ community, we must address the crisis

Queer people at least twice as likely to use drug than straight counterparts

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(Photo by mikeledray/Bigstock)

As the opioid epidemic continues to dominate national news, another urgent crisis is wreaking havoc in communities throughout the United States. Methamphetamine addiction is on the rise, and it’s hitting communities hard, especially the LGBTQ+ community.

November 30 is National Methamphetamine Awareness Day, a poignant time to raise the alarm about the devastating impact of this drug and the reasons behind its growing prevalence within the LGBTQ+ community.

Based on 2020 and 2021 data compiled by the Substance Abuse and Mental Health Services Administration (SAMHSA), sexual minorities (gay, lesbian, or bisexual) adults were at least twice as likely to use stimulants in the past year as their heterosexual counterparts. Gay men were over four times more likely than straight men to have used meth in the past year.

As a mental health counselor and coordinator of the LGBTQ+ program at River Oaks Treatment Center in South Florida, I know firsthand how devastating meth addiction in this marginalized demographic can be. The National Institute on Drug Abuse notes that sexual minorities tend to enter treatment with more severe substance use disorders than those who identify as heterosexual, and I often find this to be the case in our patient population as well. Our LGBTQ+ patients face numerous challenges that may lead to substance use as a means of coping, such as discrimination, stigma, and trauma. 

Our LGBTQ+ patients talk often about feeling their needs and experiences are invalidated by those around them. Constantly feeling unsafe or unable to live as oneā€™s true self at a young age can have a lasting impact on a personā€™s mental health and is a risk factor for problematic substance use as a tool to manage shame and emotional pain. 

Another complicating factor is that for many queer people, there are few safe spaces, and one of the first ones they encounter is gay bars, where drinking and/or substance use is the norm. Meth is popular in gay nightclubs and parties because it causes euphoria, increases libido, and raises energy, enabling people to party for many hours before crashing. But while use of the drug often begins voluntarily, it quickly becomes compulsive and very difficult to quit. 

The brain quickly learns to link certain people, places, and activities with drug use, triggering uncontrollable cravings. Meth use is ubiquitous in the social circles or ā€œchosen familiesā€ of some sexual and gender minorities, making avoiding the drug uniquely difficult. Quitting meth may require them cutting ties and breaking contact with people theyā€™ve come to love and care about deeply.

Our LGBTQ+ patients sometimes express fear they wonā€™t be able to experience sex and other activities in the same way once they quit using meth. Indeed, it can take some time for someoneā€™s brain and body to return to normalcy after quitting. Methamphetamine has a profound effect on dopamine activity, a brain chemical associated with motivation and the urge to repeat pleasurable activities. Over time, this effect can limit someoneā€™s ability to experience pleasure from healthy activities. 

The effects of chronic meth use and withdrawal also complicate the early treatment and recovery process. Intense paranoia ā€” a common long-term effect of meth use ā€” makes it very difficult to trust people, a crucial facet of treatment that is necessary for building relationships with counselors, mentors, and peers. 

Distrust of clinicians and treatment programs is often heightened among LGBTQ+ patients, who often face even more stigma when entering treatment programs and have a distrust of institutions like law enforcement, which they may associate with addiction treatment. To further this point, some of our patients have had bad experiences in the past and worry about treatment being safe for them. Many of our LGBTQ+ patients also have complicated relationships with their families who might otherwise form the foundation of their support network in recovery.

These obstacles highlight the importance of specialized LGBTQ+ addiction treatment programs, in which patients are surrounded by peers who can relate to their experiences. Itā€™s crucial that treatment centers donā€™t just claim to be accepting of sexual and gender minorities but do the necessary work to make these patients feel safe and welcome, protecting them from harassment and mistreatment from both staff and other patients.

These programs also must work to address common issues that co-occur with addiction among LGBTQ+ patients, such as trauma, emotional turmoil, and interpersonal conflicts. For example, utilizing effective, evidence-based therapeutic approaches, such as dialectical behavior therapy (DBT). 

DBT is among the techniques we use in our programs. Originally developed to treat borderline personality disorder (BPD), DBT has been expanded to treat many mental health disorders that involve emotional dysregulation, which is something we often see among our patients in early recovery from meth addiction. 

The approach functions to enhance oneā€™s capabilities to regulate emotions, practice mindfulness, improve interpersonal effectiveness, and strengthen distress tolerance before practicing these skills and encouraging patients to apply them in their daily lives. DBT also works to improve a patientā€™s motivation to track and reduce their dysfunctional behaviors.

On a nationwide level, it will take significant work to disentangle the grip of methamphetamine on the LGBTQ+ community. With the pervasiveness of illicitly manufactured fentanyl ā€” a synthetic opioid that causes overdose in very small doses ā€” in the drug supply, the need for action has never been more immediate.

A large part of this work involves changing the perception of society toward methamphetamine addiction and especially queer people who struggle with this disease. Rather than viewing it as a moral failure, we need to see it for what it truly is: A public health crisis. Much like at the start of the HIV/AIDS epidemic, the disease of addiction is heavily stigmatized and too often, we place blame on those who are impacted rather than taking effective action to curb the crisis.Ā 

In addition to culturally competent addiction treatment, we desperately need more sober, safe spaces for the LGBTQ+ community. Upon exiting treatment, many find themselves on uncertain ground and in desperate need of sober friendships and networks that support their recovery. Substance-free community centers provide a useful model that can be implemented on a larger scale.

While these are trying times, I sincerely believe we can make a profound difference by confronting this issue with compassion and understanding. It will take a multi-faceted approach that involves the cooperation of treatment centers, queer people in recovery, allies, and the broader LGBTQ+ community.

Karah Moody, LMHC, CPP, MCAP, is a counselor and LGBTQ2+ Coordinator at River Oaks Treatment Center, an American Addiction Centers facility.

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Howard County exec: Inclusive communities are thriving communities

In Maryland, itā€™s more than a talking point ā€“ itā€™s a way of life

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Calvin Ball is the executive of Howard County, Md.

Every person, organization, and business has the opportunity to make inclusion a core mission. Yet, true inclusion requires more than intention. It demands action to ensure every person in our community can live authentically, embrace their potential, and thrive without fear of hate or harm. In Howard County, Md., we are doing our part to make inclusivity more than a talking point ā€“ itā€™s a way of life. 

The Human Rights Campaignā€™s 2024 Municipal Equality Index (MEI) awarded Howard County a perfect score of 100 for the third year in a row. At a time when LGBTQIA+ rights are at stake, the MEI and the rubric it provides for cities and towns across our country has never been more important. 

The MEI examines how inclusive municipal laws, policies, and services are in cities and towns across the country. The report scores cities across five domains: non-discrimination laws, municipality as an employer, municipal services, law enforcement and leadership on LGBTQ+ equality. We proudly achieved the highest marks in all five domains, which comes as no surprise. Itā€™s important to me that Howard County is a national model for implementing inclusive policies for our 17 protected classes in Howard County.

When I first took office as Howard County Executive in December of 2018, one of my first initiatives was hosting our very first Pride festival. It was the perfect time to celebrate and reflect upon the progress we made to advance civil rights and protections for our LGBTQIA+ neighbors. In June of 2019, Howard County proudly hosted its first Pride festival, with thousands of attendees, solidifying our commitment to our residents and neighbors. 

It was also ever important that our LGBTQIA+ residents had a seat in government operations. In 2022, I established Howard Countyā€™s inaugural LGBTIA+ Commission, which partners with county agencies, nonprofit organizations and other community groups to facilitate an environment of inclusion, communication, understanding and respect throughout the county. This Commission continues to advance policy and systemic changes for those with different gender and sexual identities. 

To further uplift our neighbors, for the first time in county history, in June of 2022 we proudly raised the Pride flag at the seat of Howard County government, symbolizing unity and inclusiveness. This meaningful action reflects our commitment to supporting, celebrating, and standing with all LGBTQIA+ individuals in Howard County, affirming that they are a vital, welcomed, and celebrated part of our community.

In 2024, our Office of Human Rights and Equity (OHRE) hosted various community events, workshops, listening and training sessions that attracted 4,000 attendees. Creating community spaces where people can freely share their thoughts fosters a collective sense of belonging. We want everyone to know that their voice matters. 

Additionally, more than 160 Howard County government employees received training from our Equity and Restorative Practices Unit last year. This pioneering initiative delves into the ways current leadership paradigms might perpetuate racialized dynamics. It is imperative we continuously examine our current practices to see where we might be lacking and devise ways to remedy our weaknesses. 

Across our country of thousands of cities and counties, we are proud to be counted among 130 MEI-rated cities that have earned the highest score of 100. This shows the immense progress local government is making to enact policies and legislation that protect the classes of sexual orientation and gender identity. By focusing on making a difference where people live, learn, and grow, we can make a bigger impact nationally combating hate and discrimination based on sexual orientation and/or gender identity. Because we know ā€“ when we foster inclusive communities we foster thriving communities. 


Calvin Ball is the executive of Howard County, Md.Ā 

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Thank you, Mr. President

Bidenā€™s legacy includes array of pro-LGBTQ actions

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President Joe Biden sits across the Resolute Desk in the Oval Office from Blade reporter Christopher Kane on Sept. 20, 2024. (Washington Blade file photo by Michael Key)

This week marks the end of President Joe Bidenā€™s administration, the most pro-LGBTQ leader our country has ever known. With his departure, our community enters a period of uncertainty and alarm over how trans Americans will be treated under Trumpā€™s tenure. 

Before we begin coping with that unfortunate reality, letā€™s take a moment to celebrate Biden. His legacy includes many landmark achievements, from ending the COVID pandemic and implementing the infrastructure bill to restoring Americaā€™s reputation around the world, supporting Ukraine, and standing up to Vladimir Putinā€™s aggressions.

Bidenā€™s advocacy on behalf of LGBTQ Americans will be a key part of his overall legacy. Never have we had a president so committed to our equality and inclusion.

One of the most memorable moments in Bidenā€™s long record of LGBTQ support came in 2012 when he famously endorsed marriage equality in a live TV interview days before President Obama did the same. It marked the first time a sitting vice president publicly supported marriage equality and Biden did it just six months before the election, something that even LGBTQ activists had advised against.

As president, Biden fought successfully to preserve marriage equality in the increasingly likely event that the Obergefell ruling is overturned by the Supreme Court. The Respect for Marriage Act ensures that the federal government and all U.S. states and territories must recognize same-sex and interracial marriages. Biden signed it in 2022 and held a massive event on the White House lawn bringing together hundreds of LGBTQ advocates from around the country to celebrate.

ā€œTodayā€™s a good day,ā€ he said during the signing ceremony. ā€œToday America takes a big step towards equality.ā€

Biden began his term on Jan. 20, 2021, and on that same day, issued an executive order establishing workplace protections for LGBTQ Americans and prohibiting discrimination in education, credit, health care, and housing. 

Biden ensured that his administration and the federal government looked like America, naming record numbers of out LGBTQ judicial appointees and senior staff. He gave us the nationā€™s first Senate-confirmed gay Cabinet member in Pete Buttigieg, thus opening the door for future LGBTQ top staff like Scott Bessent, Trumpā€™s pick for Treasury Secretary, whoā€™s gay. 

ā€œLGBTQ+ people have received a record number of federal appointments, including Cabinet members, judges, and around 14% of the administration,ā€ according to the Victory Fund. In addition to Buttigieg, he appointed Dr. Rachel Levine as the first out transgender person to hold an office that requires Senate confirmation. And he named Karine Jean-Pierre, a Black lesbian, as his press secretary.

His advocacy wasnā€™t merely symbolic. President Biden in June issued historic pardons for military service members who were discharged over their sexual orientation or gender identity under discriminatory policies of the past, like ā€œDonā€™t Ask, Donā€™t Tell.ā€

ā€œThis is about dignity, decency, and ensuring the culture of our Armed Forces reflect the values that make us an exceptional nation,ā€ Biden said at the time. ā€œWe have a sacred obligation to all of our service members ā€” including our brave LGBTQI+ service members: To properly prepare and equip them when they are sent into harmā€™s way, and to care for them and their families when they return home.ā€

Veterans who were discharged for their sexual orientation or gender identity were barred from accessing benefits through the U.S. Department of Veterans Affairs but veterans who obtain certificates of pardon can now petition for a change in their discharge status, which can facilitate their access to benefits.

On a personal note, I am grateful to President Biden and his talented and thoughtful communications team for granting the Blade the first-ever presidential sit-down interview with an LGBTQ newspaper. It was a moment Iā€™ve worked toward for more than 20 years, holding endless calls and meetings with President Obamaā€™s team trying to land that interview; and even working with Trumpā€™s team early on in the hopes he might talk to the queer media. But it took Biden to again make history for our community. The Bladeā€™s Sept. 20, 2024 cover photo of our White House reporter Chris Kane sitting across the Resolute Desk in the Oval Office from President Biden ā€” an image snapped by longtime Blade Photo Editor Michael Key ā€” fills me with immense pride. It was a moment that took decades of hard work and perseverance by pioneering queer journalists to realize. 

Thank you, Mr. President, for having our backs, not just for these past four years but throughout a long and impactful career in public service.  


Kevin Naff is editor of the Washington Blade. Reach him at [email protected].

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Trumpā€™s aggressiveness will cause havoc in the world

Incoming president admires Putin and Hitler

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Donald Trump speaks at the 2024 Republican National Convention in Milwaukee. (Washington Blade photo by Michael Key)

Some are asking if the majority of Americans really care, or even understand, what it means if Trump brings a wrecking ball to the rule of law, both here at home, and around the world. 

Our first indication will be how the public reacts, especially Trump voters, to what he does based on his promises to grant clemency to those sentenced for their actions during the Jan. 6, 2021 riot at the United States Capitol. Trump has called it a day of love; others have referred to it as his failed effort to stage a coup. There can be no debate about the actions of many in the crowd who stormed the Capitol that day, as they are on film. The question for many will be whether Trump grants clemency to any who were sentenced for just being there, or will he grant broad clemency to everyone, including those who were seen breaking windows, destroying property, and injuring police. Let us never forget 140 officers were injured protecting the building, and members of Congress we elected. 

Then there is the issue of the boundaries Trump crossed by calling Supreme Court Justice Alito before his case on the hush money sentencing was decided. Will Trump have these kinds of conversations with other justices when his administration, and even he personally, will have future cases pending before them? Will his administration potentially disregard a court ruling? 

Then we move on to the world stage. Trump has made statements to the effect that he would consider using military force to take Greenland and the Panama Canal. Would he actually consider invading another country without any provocation? Those words, even before any action is taken, make me think of Vladimir Putin and Adolf Hitler. Both men, Trump at one time or another, has said he admires. He has nominated as Director of National Intelligence a person who supported deposed Syrian dictator Assad and Putin. Then he said he would consider economic coercion to get Canada to become part of the United States. Remember, these are all sovereign nations. 

Just knowing that Trump, and many he has chosen to surround himself with, think like this, should frighten all decent Americans, as well as the rest of the world. Trump often says outrageous things like this without any real thought, or knowledge, as to what they entail, and what the repercussions would be. Remember his suggestion about swallowing bleach to battle COVID? Clearly, he often doesnā€™t know what he is talking about. Some think these statements are just meant as diversions, to take our attention from the outrageous things he is actually doing. Too often the news media takes the bait, and they along with the American people, end up losing track of the real and immediate damage he is doing to the nation. 

It is clear many of these outrageous thoughts seem to come from the last person who whispered in his ear. Today that is often Elon Musk, who has been getting involved in the politics of the United Kingdom, Germany, and other nations. Muskā€™s closeness to Trump seems based mostly on how much money he has given to Trump and his causes. Some think he may have even promised Trump a few billion dollars after his presidency is over. Other social media moguls, and billionaires, are now clearly trying to kiss Trumpā€™s ass. One who has clearly sealed his lips to Trumpā€™s rear end is Mark Zuckerberg of Meta. His announcement that Facebook will no longer fact check posts because he claims he believes in ā€˜free speech,ā€™ led to a wonderful meme I recently saw. It said, ā€œMark Zuckerberg, who passed away recently at the age of 36, a convicted pedophileā€¦ā€ It seems Musk, Zuckerberg, and others have now joined Trump in accepting lying on social media is fine in the name of free speech. Hey, it worked to get Trump elected, and a whole cable network, Fox News, has found how effective lying can be in generating viewers and poisoning the minds of the uneducated, and those who want to believe the bullshit they spout for their own benefit. 

We live in an uncharted time. I think itā€™s hard to predict what will happen in the next four years. Will people tire of this dangerous, liar, racist, homophobe, misogynist, felon, found liable for sexual assault? Or will they accept all that he does and speaks? I pray they tire of him, and rebel, before he destroys our country.


Peter Rosenstein is a longtime LGBTQ rights and Democratic Party activist.

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