Best Practices for Working with LGBT Elders

LGBTQ Older Adults

Lesbian, gay, bisexual and transgender (LGBT) populations, in addition to having the same basic elder care needs as the general population, experience disparities and barriers related to sexual orientation and/or gender identity or expression. Many avoid, delay, or receive inappropriate or inferior care because of perceived or real stigma and discrimination by care providers and institutions. The stigma associated with sexual orientation and gender identity impedes access to important programs, services and opportunities.

Below is a recommended set of best practices based on recommendations made in a nationwide report titled “Improving the Lives of LGBT Older Adults” released by Services and Advocacy for Gay, Lesbian, Bisexual and Transgender Elders (SAGE), a national organization that provides services and advocacy for GLBT elders. These best practices will help reduce some of the stigma LGBT elders face and will improve culturally competent service delivery.

General

• Sexual orientation and gender identity are, like certain other demographic and personal characteristics, relevant to health care delivery; some illnesses including breast cancer and depression are more prevalent among LGBT populations and LGBT patients are less likely to have accessed regular screenings.

• Every person has their own sexual orientation and gender identity. These are two distinct identities that describe a particular person. So, for example, while a non-transgender person can be straight, gay, lesbian or bisexual, so too can a transgender person be straight, gay, lesbian or bisexual.

• If a patient or care recipient does disclose his or her sexual orientation or gender identity to you, this information should be treated with great sensitivity, respect and confidentiality. If his or her sexual orientation or gender identity is relevant to the care they are receiving, this information should only be disclosed to others on a need to know basis.

• LGBT elders are more likely to be single, childless and estranged from families-of-origin; LGBT elders may well have developed “families of choice.” Consequently friends and partners of LGBT patients and care recipients should be given the respect and access usually given to a spouse or relative, where legally permissible. Medical practitioners should be sensitive to a possible need for caregiver assistance at home.

Intake

• Approach the interview showing empathy, open-mindedness, and without rendering judgment.

• Intake forms should use the term “relationship status” instead of “marital status,” including options like “partnered.” When asking—on the form or verbally—about a patient’s significant other, use terms such as “partner,” in addition to “spouse” and/or “husband/wife.”

• Respect transgender clients by making sure all office staff – especially staff charged to process intakes – are trained to use a patient’s preferred pronoun and name. The patient should be asked to clearly indicate this information on their medical record in a manner that allows the health provider to easily reference it for future visits.

• Consider adding a “transgender” option to the male/female check boxes on your intake form. This will help capture better information about transgender clients, and will be an immediate sign of acceptance to that person. Do not list transgendered as an alternate sexual orientation (like lesbian, bisexual, or heterosexual). Gender identity and sexual orientation are distinct.

• Ask LGBT seniors (clients) about a personal history of hate crimes/violence. As you may already know, victims of violence are at increased risk of post-traumatic stress disorder. Depression and anxiety are also more prevalent among LGBT persons, a probable result of stigma and discrimination.

Office Environment

• Disseminate or visibly post a non-discrimination statement stating that care will be provided to all patients, regardless of age, race, ethnicity, physical ability or attributes, religion, sexual orientation, and/or gender identity and expression.

• Providers should create a welcome and friendly environment for LGBT staff and patients and should refer patients to competent providers when follow-up or specialist visits are necessary.

• Healthcare providers, including nurses and volunteers in medical, social and housing facilities should be trained on factors that affect older HIV-positive patients, sexuality, isolation, stigma, comorbidity issues and others.

• Include LGBT specific media, signs and posters that include relevant information for LGBT persons in public areas.

• Provide in-depth training for staff members on the impact of homophobia and its effects on providing culturally sensitive care for LGBT patients. Proper use of language is also vital in establishing a welcoming environment.

• Participate in provider referral programs through LGBT organizations.

• Do not list transgender as an alternate sexual orientation (like lesbian, bisexual, or heterosexual). Gender identity and sexual orientation are distinct.

Congressional LGBTQ+ Equality Caucus Congratulates Jessica Stern

Congressional LGBTQ+ Equality Caucus Congratulates New U.S. Special Envoy for LGBTQI+ Rights

Stern Appointed New U.S. Special Envoy for LGBTQI+ Rights

The LGBTQ+ Equality Caucus recently expressed to Jessica Stern,  who has been named by President Biden to serve as the U.S. Special Envoy to Advance the Human Rights of LGBTQI+ Persons.

“On behalf of the Congressional LGBTQ+ Equality Caucus, I am proud to congratulate Jessica Stern on her appointment to serve as U.S. Special Envoy to Advance the Human Rights of LGBTQI+ Persons at the State Department,” said Equality Caucus Chair David N. Cicilline (RI-01). 

“Jessica is a true leader in this arena and brings the vision and expertise necessary to excel in this role. Leaders like Jessica will make a crucial difference as we reassert America’s leadership on global LGBTQI issues. The Caucus looks forward to working with her in her new capacity to both shine the spotlight on human rights abuses happening around the world and develop plans to combat them.”

Founded in 2008, the mission of the Congressional LGBTQ+ Equality Caucus is to promote equality for all, regardless of sexual orientation or gender identity. The Caucus, which is led by the nine openly LGBTQ+ members of the House of Representatives, is strongly committed to achieving the full enjoyment of human rights for LGBTQ+ people in the U.S. and around the world.

Phoenix Gay Bars, Restaurants, and Clubs

Phoenix LGBT Community

Anvil
Energetic gay bar with regular theme nights, including live dancers, karaoke & open-mike events.
anvilbaraz.com

Stacy’s at Melrose
This gay- & lesbian-friendly nightclub features Gothic architectural elements, DJs & karaoke.
stacysatmelrose.com

Cruisin’7th
This unassuming, gay-friendly joint features live entertainment, including drag shows & karaoke.
cruisin7th.com

Pat O’s Bunkhouse Saloon
This unassuming, bear- & leather-friendly area gay bar offers darts, pool & karaoke nights.
www.bunkhousesaloonphx.com

The Rock
Gay nightspot offering a bar area with karaoke & a showroom with comedy & drag performances.
therockdmphoenix.com

Boycott Bar
Classic bar drinks with themed events & drag shows in a dimly lit space with disco lights & DJs.
boycottbarphx.com

Kobalt
Happy hours & regular theme nights from karaoke to trivia keep this gay bar hopping.
www.kobaltbarphoenix.com





Photograph by Ms. Phoenix

Astraea Intersex Human Rights Fund

Astrea Lesbian Foundation Intersex Human Rights Fund

The Intersex Human Rights Fund supports organizations, projects and timely campaigns led by intersex activists working to ensure the human rights, bodily autonomy, physical integrity and self-determination of intersex people. The fund is a program of the Astraea Lesbian Foundation for Justice.

Astraea launched the Intersex Human Rights Fund in 2015 to honor the resilience, creativity and growth of intersex activism and to ensure the human rights of intersex people. The Fund supports organizations, projects and timely campaigns led by intersex activists working to ensure the human rights, bodily autonomy, physical integrity and self-determination of intersex people.  The Intersex Human Rights Fund currently funds over 50 intersex organizations and projects all over the world.

For more information, visit the Astraea Lesbian Foundation for Justice website.

Meeting at Larry Kramer’s House as a Pandemic Began

AIDS Activist Andy Humm

Positive Thoughts
40 Years Ago: Meeting at Larry Kramer’s House as a Pandemic Began
By Andy Humm

Something was killing us gay men in 1981 and no one knew what was causing it. That summer there was one alarming article about it in The New York Times on July 3 (“RARE CANCER SEEN IN 41 HOMOSEXUALS”) based on a CDC report and two articles by out gay Dr. Larry Mass in the gay New York Native, including “CANCER IN THE GAY COMMUNITY.” While there were many gay groups in those days none of us stepped up to coordinate a community-wide response whether through a sense that health authorities would address it (ha!) as they did with Legionnaire’s Disease in 1976 or fear that a community that had just officially ditched the mental illness label in 1973 would now be linked with a deadly physical malady.

It took Larry Kramer, an Oscar-nominated screenwriter (for Women in Love), to bring us together. These cases hit his friends in the Fire Island fast lane hard. I only knew him as the author of the secret-spilling novel Faggots that had been condemned in gay movement circles.

Larry had also written an op-ed piece in the Times after the assassination of Harvey Milk in 1978 praising gay political muscle in San Francisco and condemning his hometown: “We are not ready for our rights in New York. We have not earned them. We have not fought for them.” (“Fuck him,” I thought at the time as a spokesperson for the 50-group Coalition for Lesbian and Gay Rights that campaigned for our gay rights bill. We had the votes for it in Manhattan — a much larger place than San Francisco — in 1971 when the Gay Activists Alliance first conceived it. But Queens was then Archie Bunker territory. And Staten Island? Fuhgeddaboudit. Who is this guy who has never been to one of our meetings?)

But when Larry wanted to get things moving, he called everyone he knew — friend and foe — and many who he did not. So as one of the “gay leaders” he looked down on, I got invited to a packed gathering at his Washington Square apartment on August 11, 1981, to hear from the doctor quoted in the Times, Alvin Friedman-Kien. Larry wanted us to raise money for research since none was forthcoming from government.

If all you know about this was Larry’s dramatization of it in the HBO version of The Normal Heart you don’t know what happened. (It is not in his searing stage version.) On HBO, a doctor is explaining what she is seeing with gay patients and flippant gay men are shouting, “C’mon, honey. I have an orgy to get to.”

As Larry later wrote more about the devastation of AIDS, he was indeed vilified by some for being “anti-sex” for saying things like, “Just stop fucking!” But at that gathering 40 years ago we listened intently, respectfully, and full of dread as the soft-spoken Dr. Friedman-Kien described the devastation he was seeing in his practice and hearing from other physicians treating gay men. You could have heard a pin drop.

We did not know what was causing clusters of deadly pneumocystis carinii pneumonia and the disfiguring purple lesions of Kaposi’s Sarcoma, an otherwise slow-moving cancer mainly of older Mediterranean men. We knew the gay patients were immunosuppressed but not why. Recreational drug use? Multiple STIs from multiple partners? There was even speculation about a viral agent — a prospect too frightening to contemplate with its attendant threat of quarantine. But the conclusive identification of HIV as cause would not come until three years later. We needed research.

If memory serves, Larry passed the hat at that gathering. I recall going back to Dignity, the gay Catholic group I still belonged to, and reproducing Dr. Mass’s article for our 300 members. At the next board meeting we voted for a $1,000 donation to this research effort — a very large sum in those days in a community with very little tradition of philanthropy. Most gay people were afraid to write checks to gay causes lest it expose them in a deeply homophobic culture.

Larry himself reportedly went to Fire Island and stood on the dock with a tin can to collect money for the effort and netted a total of $60. He did organize his friends into forming the Gay Men’s Health Crisis — but that would not be incorporated until 1982 to provide services and education that the government was not. He wanted GMHC to be much more aggressive in its advocacy to the point that he got removed from the board — a turn of events well-portrayed in his play, The Normal Heart.

Why wasn’t our response quick and intense? Some of it was denial and fear. You can see that now in the early lack of response to the devastating COVID pandemic today. The reports out of Wuhan in the early winter of 2019-20 ought to have put a worldwide public health response into action immediately. But we dithered and wished it away instead. (I have a copy of the New Yorker magazine a month before the city was locked down and there is not one word about COVID.)

In 1981, this was hitting us when we were still “pre-teenage” as a movement. It had only been 12 years since the Stonewall Rebellion and while that had sparked an explosion in gay activism, we were still a relatively powerless, underfunded, and mostly volunteer movement. Most gay people were not out — they just hoped to be left alone. I wrote for the gay New York City News back then and it was months before the health crisis became a regular subject. We did step up the fight for gay rights because without civil rights how were we to get the system to respond to our health crisis?

The Times and other mainstream media ignored it. There was no national TV news feature on it until Joe Lovett’s piece on ABC’s 20/20 in 1983 — the same year Michael Callen and Richard Berkowitz published “How to Have Sex in an Epidemic” based on the limited knowledge we had then and when GMHC was able to fill Madison Square Garden for a celebrity-studded circus benefit. Dr. Mass did keep writing about it for the Native but had an article (“The Most Important New Public Health Problem in the United States”) rejected by the Village Voice.

We did pass the city gay rights bill in 1986 and I went into AIDS education for youth at the Hetrick-Martin Institute. By 1987 though — impatient with the community’s response to “the plague” — Kramer gave the speech that led to the formation of ACT UP. Activism — fueled by desperate, dying people — got into high gear. But it would not be until 1995 that effective treatments were developed, by which time millions had died and millions more had been infected.

Politicians and human beings in general are loathe to admit they have a plague in their midst. That’s how they get out of control. The question about so many challenges we now face — from the pandemic to climate change — is when we are going to trade some short-term comfort for long-term survival. Those meetings need to be convened everywhere — from dinner tables to town halls to Congress.

Andy Humm, a gay activist since 1974, has been co-host with Ann Northrop of the weekly national GAY USA television show since 1985. This column is a project of TheBody, Plus, Positively Aware, POZ and Q Syndicate, the LGBTQ+ wire service. Visit their websites http://thebody.com, http://hivplusmag.com, http://positivelyaware.com and http://poz.com for the latest updates on HIV/AIDS.

Los Angeles Gay Bars, Restaurants, and Clubs

Los Angeles Gay bars

Eagle LA
Long-standing gay hot spot caters to a leather-wearing crowd, with cheap beer nights & DJs.
eaglela.com

Akbar
Lively, gay-friendly bar with an unpretentious vibe, tiny dance floor & well-stocked jukebox.
www.akbarsilverlake.com

The Abbey Food & Bar
Cocktails & shared plates are served at this lively gay lounge with outdoor terraces & dance floor.
www.theabbeyweho.com

Redline
Bumping gay bar & pub serves up classic bar bites plus a DJ spinning tunes in a large space.
www.redlinedtla.com

Precinct
Spacious, brick-lined gay bar with lively events, cocktails & a small menu of American grub.
www.precinctdtla.com

Micky’s West Hollywood
Hopping, 2-story gay nightclub with a lounge, dance floor & patio. Open late Friday & Saturday.
www.mickys.com

Fubar
Edgy East Village gay bar transplanted to WeHo offers a dark interior & high-energy crowds.
www.fubarla.com

Revolver Video Bar
Upbeat, events-packed gay bar featuring contemporary styling, go-go dancers & video mash-ups.
revolverweho.com

Club Tempo
Drag shows & live bands are attractions at this gay-friendly nightspot with a Latin cowboy theme.
www.clubtempocowboys.com

Bayou
Easygoing hangout with Mardi Gras decor serving pub fare with a Cajun twist, cocktails & beer.
www.thebayouweho.com

Trunks
Unassuming neighborhood gay bar with billiards, sports TV, patio seating & a laid-back vibe.
trunksbar.com







Photograph by Jacob Avanzato

Must Read Classics for the Bisexual Community and Allies

Bisexual Books

Beautiful Mind:
A Biography of John Forbes Nash, Jr., Winner of the Nobel Prize in Economics
Sylvia Nasar’s detailed biography of the man, his achievements, and his descent into mental illness is as affectionate towards its subject as it is probing into the often oddly parallel worlds of academia and mental hospitals, genius and madness.
Purchase A Beautiful Mind

Getting Bi
Voices of Bisexuals Around the World
A collection of 220 personal essays from 185 bi+ authors from 42 countries edited by Robyn Ochs and Sarah Rowley.
Purchase Getting Bi: Voices of Bisexuals Around the World, Second Edition

Elegy for Iris
A biography of noted literary critic, novelist, activist, bisexual, and wife Iris Murdoch.
Purchase Elegy for Iris

Bisexual and Gay Husbands
Their Stories, Their Words
This collection of real e-mails from an Internet mailing list offers an intimate look into the lives and thoughts of gay and bisexual men who are married to women. Men at all stages of the coming out process share their experiences, secrets, pain, and hope. Klein is a psychiatrist and editor of the Journal of Bisexuality.
Purchase Bisexual and Gay Husbands: Their Stories, Their Words

Bisexual Politics: Theories, Queries, and Visions
A collection of essays by bisexual activists.
Purchase Bisexual Politics: Theories, Queries, and Visions (History Makers (Lucent))

Hybrid
Bisexuals, Multiracials, and other Misfits Under American Law
Ruth Colker here argues that our bipolar classification system obscures a genuine understanding of the very nature of subordination. By rejecting conventional bipolar categories, we can broaden our understanding of sexuality, gender race, and disability.
Purchase Hybrid: Bisexuals, Multiracials, and Other Misfits Under American Law

The Bisexual Option
Bisexuals are often misunderstood and feel that they don’t belong as they are not truly accepted by straights or gays in most cases. To generalize, straights think we are gays in denial, while gays think we are gay but our ‘gaydar’ is off, so to speak. This book gives comfort to the bisexual who is looking for their identity and where they fit in the scheme of things.
Purchase The Bisexual Option: Second Edition

Blessed Bi Spirit
Bisexual People of Faith
A collection of essays on bisexual people of faith.
Blessed Bi Spirit: Bisexual People of Faith

Bisexual Spaces
A Geography of Sexuality and Gender
Where are all the bisexuals? This elusive subject is explored in provocative fashion by Clare Hemmings in Bisexual Spaces. In a society dominated by an either/or mentality, bisexuality often defies explanation.
Purchase Bisexual Spaces: A Geography of Sexuality and Gender

Bi Lives
Bisexual Women Tell Their Stories
Bi Lives contains 18 in-depth, revealing interviews with bisexual women. They include bisexual political organizers, such as Lani Ka’ahumanu; women who identified as lesbians; disabled women; nurse-midwives; visual and performance artists; and an HIV-positive woman.
Purchase Bi Lives: Bisexual Women Tell Their Stories

Baltimore Gay Bars, Restaurants, and Clubs

Baltimore Gay Bars, Restaurants, and Clubs

The Drinkery
Long-running gay bar & local hangout with kitschy decor offering TVs & lively karaoke shows.
fb.com/The-Drinkery-100853806626567/

Mixers
Narrow, long-standing gay bar for cocktails, drag shows, karaoke & ladies’ nights in unfussy digs.
mixersbaltimore.com

Baltimore Eagle
Your neighborhood Leather Bar
baltimoreeagle.com

Leon’s Backroom
Cocktails & pub grub offered in a laid-back watering hole with kitschy decor & karaoke.
facebook.com/leonsbackroom

Ziascoz Bar & Lounge
Gay bar with an all welcome feel. Lots of fun
www.facebook.com/ziascoz



Photograph by Ted Eytan

Victory Fund Endorses Malcom Kenyatta

Malcom Kenyatta

Victory Fund has endorsed Malcom Kenyatta for the United States Senate in Pennsylvania. If elected Kenyatta will become the first out gay man ever elected to the United States Senate. His primary election takes place May 17, 2022, and the general election is November 8, 2022.

The Victory Fund writes…

Representative Malcolm Kenyatta currently serves as Vice-Chair of the Philadelphia Delegation, as a member of the Governor’s Task Force on Suicide Prevention, and on a host of committee leadership positions. As the first openly LGBTQ+ person of color and one of the youngest members elected to the PA General Assembly, he is deeply committed to creating an equitable and inclusive society. As a legislator, he has championed proposals to address generational poverty, raise the minimum wage, protect workers’ rights, increase access to mental healthcare, stem the rise of gun violence, and protect our digital infrastructure. 
 
In 2016 and in 2020, he was elected as Delegate to the Democratic Convention, both times garnering the second-highest vote total of any delegate in the Commonwealth. He has also appeared on local and national media outlets to discuss systemic poverty, affordable education and childcare, and making government more accountable to citizens. He was the subject of an award-winning short documentary about his election run, ‘Going Forward’ produced by Seven Knot Productions, which premiered on ‘The Atlantic Magazine Selects’ in 2018. In 2020, he was chosen by President Joe Biden to give the keynote address at the Democratic National Convention along with a group of other ‘Rising Stars.’ He was one of twenty Electoral College votes cast for Joe Biden and Kamala Harris. 

Malcolm lives in the same neighborhood he grew up in North Philadelphia with his partner, Dr. Matthew Jordan Miller. 

Learn more about Malcom at: www.malcolmkenyatta.com

When Your Partner is Struggling with Addiction

When Someone You Love is Struggling with Addiction

It’s tough enough when a friend has a problem with drugs or alcohol. It’s even more complicated when your partner does. It’s simply harder to see things objectively or to separate yourself from the effect of your partner’s addiction when you’re so emotionally, physically, and often financially intertwined. He needs help, and you need help. So who’s left to help the relationship? Can we both get through this together?

This article offers some insight and advice on how to support your partner, yourself, and your relationship through this difficult period. Perhaps it will also validate your own experiences and even offer some hope. Before going further, however, it may be useful to read When Your Friend Has a Drug or Alcohol Problem for an overview of addiction, the recovery process, and effective helping strategies.

THE COURSE OF ADDICTION ON RELATIONSHIPS

Although every intimate relationship is certainly unique, predictable patterns often emerge when addiction joins the partnership. As addiction develops and evolves, most couples experi-ence parallel changes in how their relation-ship feels and functions. The common progres-sion looks something like this:

Explanations: Early in the development of the addiction, you and your partner explain away his occasional episodes of excessive drug use or drinking. You may attri-bute them to unusual stress at work or a birthday celebration gone too far, for example. Although the events come and go, your anger, embar-rassment, or disappointment may start to build up.

Doubt and distrust: Soon you realize that your partner’s drug use/drinking is not normal, and you begin to pressure him to be more careful, cut down, or quit. This can be especially difficult if you both drank or used drugs together, you now stop, but your partner doesn’t. In this case, your partner might see the problem not as his own substance abuse but as your sudden attitude reversal towards this once shared activity. Regardless, you now become the bad guy or the nagging mother in the relationship.

At the same time, you try to hide his problem from the outside and keep up a good front,which can become exhausting over time. You may notice more negative emotions creeping in. Where is he? He’s hungover and now I have to do all the yard work. What is he doing all night? I hate that I don’t believe him. As resentment and distrust emerge, so too might the apologies and promises not to let it happen again. You forgive again because you love him.

Crisis: Now you can no longer pretend everything is OK, and you spend much of the time going from crisis to crisis. Life seems quiet for a while. Then all of a sudden – another binge, another chunk of money gone, another 3-day disappearance, another lie that’s backfired. The emotional roller coaster consumes your energy. You may feel helpless and unable to control the emotional or practical chaos of your own house-hold. At this point, you might start seeking outside help.

Sex can become a central and divisive issue, particularly when crystal meth is involved. A common scenario goes like this: Your sex life starts to shrivel up, he starts having sex outside the relationship or going beyond the agreements in your “open” relationship. You may feel ignored sexually or even feel manipulat-ed if your partner uses sex to “make up” for something he’s done or to prove he loves you even though he’s acting like an ass. Ultimately, sex can become some-thing to avoid, withhold, or use as emotional leverage.

If you’re worried that his sexual activ-ity might bring home HIV or an STD, start insisting on condoms, having less anal sex and getting tested more frequently. Many men take greater sexual risks when under the influence, so your concerns are certainly valid. Do what you need to protect yourself.

Coming to terms: Your coping abilities eventually become stronger and now you clearly see the addiction. You gradually assume a larger share of the responsibility for the home, friend/family commitments, and taking care of your own needs. You become more resilient to his lies and denial and less guilty for not getting pulled into them.

This period sometimes becomes the “ultimatum phase.” You want to help, you want to stick by him, but you can’t do it unconditionally. Many partners set new limits (or at least stop adjusting old ones) and begin to envision a possible change or end to the relationship.

Disentangling: At this point, the “we” evolves into “you and me” as you begin to see yourself more separately from your partner or his addiction. Many turn to counseling, with or without their partners, in attempts to either arrest the addiction or deal with its consequences. It may be useful to work with a coun-selor with specialized experience in addiction and for each partner to see his own therapist outside of couples counseling.

Should I leave? becomes a common question here. How long do I try and how far do I go to help until I just can’t anymore? Clearly, the answer is different in each relationship, but there are two situations in which you should strongly consider separation, even if only temporarily:

  1. Your partner’s addiction is making you sick as well and you are no longer the person you used to be. Perhaps you see yourself more depressed, withdrawn from friends, not doing the fun hobbies you used to, or having prob-lems at work because you’re so distracted.
  2. Your own financial, physical, or legal security is in jeopardy. Physical or sexual violence should never be tolerated.

Addiction can have cata-strophic legal and financial consequences. Watch out for deep trouble spots and take steps to protect yourself as much as possible. Distancing yourself can be tricky, of course, if you co-own a house, bank account, or other assets, but it is even more critical in these cases. Co-ownership is also an emotional symbol of trust and commitment in most relationships. Talk to a legal or financial professional for objective advice.

Some men feel a lot of social pressure to stay in a relationship. They don’t want to appear too “heart-less,” or they worry what friends might say if they jump ship too soon. And what do you do about all the friends you and your partner share? What if you adore his family and they adore you? This is where trust-ing your instincts is important.

Too many guys have prolonged painful relationships by not believing their own sense that something is wrong. There are so many ways to talk yourself out of your own gut feelings. Maybe I’m overreacting. He said he didn’t get high last night. Well I acted like a jerk too. But no matter what your partner says or what your own head says, your gut will always know when something doesn’t feel right. Listen to yourself, trust yourself, believe yourself. If something feels wrong, it probably is.

Reorganizing: You either reconcile with your partner in his recovery or restructure your life without him.If the relationship ends, it doesn’t mean you didn’t try hard enough to make it work. Or that you didn’t do the right things along the way. The responsibility for the relationship lies equally between you. He is responsible for his addiction and for its consequences on others. That may not lessen your sense of loss, betrayal, or anger, but it may help you move forward knowing that the decision to leave was at least the right one for you.

You may or may not be able to con-trol the course of addiction on your relationship. But you might feel more in control if you can step back, see what is happening, and take steps to manage the challenges facing you in the moment. Just knowing that the doubt, confusion, frustration or despair you may be feeling are common and even predictable might help you regain perspective and cope more steadily.

TAKING CARE OF YOURSELF

How are you coping? Are you drinking or smoking more? Missing work? Pulling away from friends because you’re too caught up in stress at home, trying to hide your partner’s addiction, or thinking they just don’t want to hear you gripe about it anymore? These are all warning signs that you are starting to lose yourself in the dust cloud of your partner’s substance abuse.

Taking care of yourself might mean signing up for a class, getting together regularly with close friends, seeing a therapist or finding an on-line support group. You cannot help your partner or your relationship if you yourself are falling apart.

TREATMENT AND LIFE AFTERWORDS

Once the recovery process begins, your partner will go through a lot of changes. Mood swings, shifts in personality and physical energy, and more mood swings. He may even start talking funny, using new words and phrases he’s picked up in treatment. This is generally a very hopeful and promising time, one that requires a lot of personal effort and help from others.

Your partner may be spending a lot of time at support group meetings and making new friends who are also in recovery. While you may feel happy that he is making such progress, you might also feel a bit jealous of his new recovery friends upon whom your partner might rely more for support than you. “How can they understand you better when we’ve been together so long?” You’re not being replaced. Only people with addic-tion can really “get it,” and that insight and shared experience are extremely supportive in recovery.

After treatment, you may feel anxious to get back to normal or to feel like you deserve a little more attention after all you’ve been through to support him. But again, you will have to be patient. Understand that he really does need time in early recovery to stay very focused on his own needs to avoid relapse. Having said that, don’t be afraid to express your feelings honestly. Part of recovery is learning how to communicate about emotions in an open, respectful way. Your reward of a better, more loving relationship is coming.

WILL OUR RELATIONSHIP CHANGE AFTER TREATMENT

Yes. Most couples do not return to their lives as if nothing has happened. On the positive side, you may see improvement in communication: more openness, more honesty, more frequency, more sincerity. Most people emerge from treatment looking forward to a “fresh start” and to making important changes. Of course you’ll want to share in this optimism.

But you were likely the one he hurt the most, and that pain doesn’t heal right away. It is normal to feel conflicted about your partner’s post-treatment return to your life. On one hand you’re glad to see him and glad he’s doing better, but on the other hand, you remember the stream of broken promises, deception, and bullshit. This conflict will take time to resolve. Don’t pretend it isn’t there. Talk about it if you feel it.

Perhaps the hardest part of rebuild-ing relationships is rebuilding trust. Of course he wants to make changes, to make it up to you, to be a better partner. But he has probably said that countless times before, so why would now be any different? Again, this caution is something almost all partners feel. All the hope-ful words do not mean as much as real, tangible actions. And without a doubt, that first time he doesn’t show up for something or doesn’t call when he said he would, you’ll probably wonder right away if he is drinking or using again. This is all very typical.

A FINAL WORD

After reading this, you may get the impression that the odds of your relationship surviving or even flourishing after addiction are against you. That’s not always the case. Many partnerships strengthen through these challenges, and yours might too. But it takes hard, hard work on the part of both partners to get there. In either event, you will emerge with a better understanding of yourself and of what you want and need in a relationship. And this deeper awareness will help bring more authenticity and more fulfillment to this partnership or to the next

Authored by Susan Kingston, Educator Consultant with the Drug Use and HIV Prevention Team, Public Health – Seattle & King County. susan.kingston@metrokc.gov

Photograph by Nathan Rupert