BZN Gay/Bi Men’s Discussion Group Begins October 3

The Bozeman-area Gay/Bi Men’s Group begins its Fall Session on October 3rd.

D Gregory Smith, MA, LCPC, LMHC, &
Erin Adams-Griffin, MSW, LAC,
Facilitators

This 8 week group will explore Dating, Relationships, Being Out, Mental Health, Communication, Community, Substance Use, Friendship, Sex, Being Healthy,- whatever you need to talk about!

FREE. Safe. Confidential.

Space is limited.
If you would like to participate or want more information, please call Greg at 596-2013

This group is funded by a grant from the Montana Department of Public Health and Human Services
to promote health and well-being in our local communities- administered by AIDS Outreach.

Flathead Gay Men’s Group Starts September 19th

Aug7 by D Gregory Smith

Banning Same-sex Marriage Has Psychological Toll

May20 by D Gregory Smith

Fascinating stuff from Shankar Vadantam at NPR:

As the country awaits two important Supreme Court decisions involving state laws on same-sex marriage, a small but consistent body of research suggests that laws that ban gay marriage — or approve it — can affect the mental health of gay, lesbian and bisexual Americans. When several states passed laws to prohibit same-sex marriage, for example, the mental health of gay residents seemed to suffer, while stress-related disorders dropped in at least one state after gay marriage was legalized.

Here’s the research trail:

Beginning around 2004, several states banned gay marriage. Just before that series of bans, the National Institutes of Health happened to conduct a massive survey of 43,093 Americans. The questions elicited detailed information about respondents’ mental health. (To validate what people reported about themselves, psychiatrists also interviewed samples of the people in the survey, and their medical diagnoses closely matched the findings of the survey.)

Soon after the wave of state bans on gay marriage, in 2004 and 2005, the NIMH conducted a second round of interviews, managing to reach 34,653 of the original respondents. (That’s a high rate compared with most polls and surveys.)

Mark Hatzenbuehler, a psychologist at Columbia University who studies the health effects of social policies, analyzed the data gathered before and after the bans to determine how the mental health of people who identified themselves as gay, lesbian or bisexual had changed in those states.

Hatzenbuehler and his colleagues Katie McLaughlin, Katherine Keyes and Deborah Hasin published their analysis in 2010 in the American Journal of Public Health.

“Lesbian, gay and bisexual individuals who lived in the states that banned same-sex marriage experienced a significant increase in psychiatric disorders,” Hatzenbuehler says.

“There was a 37 percent increase in mood disorders,” he says, “a 42 percent increase in alcohol-use disorders, and — I think really strikingly — a 248 percent increase in generalized anxiety disorders.”

To put those numbers in perspective, although Hatzenbuehler did find more than a doubling in the rate of anxiety disorders in states that eventually banned gay marriage, in absolute numbers he found that anxiety disorders went from being reported among 2.7 percent to 9.4 percent of gay, lesbian and bisexual people.

The million-dollar question is whether the laws, and the debates around them, were responsible for the change in mental health. To help answer that question, Hatzenbuehler and his colleagues looked at comparable groups and experiences.

“We showed the psychiatric disorders did not increase in lesbian, gay and bisexual populations in states that didn’t debate and vote on same-sex marriages,” Hatzenbuehler says. “There were also no increases — or much smaller increases — among heterosexuals living in the states that passed same-sex marriage bans.”

Hatzenbuehler has also found, in a study conducted in Massachusetts, that gay men experienced fewer stress-related disorders after that state permitted gay marriage.

In a study tracking the health of 1,211 gay men in Massachusetts, Hatzenbuehler found that the men visited doctors less often and had lower health treatment costs after Massachusetts legalized same-sex marriage. When the researchers examined the diagnostic codes doctors were giving the men, they saw a decrease in disorders that have been linked to stress, such as hypertension, depression and adjustment disorders.

Hatzenbuehler says he thinks stress associated with gay-marriage debates was the “X factor.” He says the quantitative data is backed by what gays, lesbians and bisexuals told the surveyors. “They reported multiple stressors during that period,” Hatzenbuehler says. “They reported seeing negative media portrayals, anti-gay graffiti. They talked about experiencing a loss of safety and really feeling like these amendments and these policies were really treating them as second-class citizens.”

Today, about three-dozen states ban gay marriage and about a dozen have passed laws thatapprove it. Some states have laws that permit civil unions but ban gay marriage.

It’s unclear how or whether the upcoming Supreme Court decisions involving the constitutionality of same-sex marriage will affect the mental and physical health of gays and lesbians nationally.

It’s likely that many gay, lesbian and bisexual people would see an upholding of same-sex marriage bans as an example of prejudice. But it’s also possible the debate around the Supreme Court decisions could have different effects on gays than a local debate involving friends and neighbors.

Hatzenbuehler says his larger point is really that policymakers, judicial leaders and ordinary citizens need to remember that social policies are also health policies.

Bans Of Same-Sex Marriage Can Take A Psychological Toll (wnyc.org)
The Watercooler: 3 Gay LGBT News Stories You Need To Know (jiveinthe415.com)
Bishops Warn of “The Consequences of Gay Marriage”. Why? (queeringthechurch.com)

Women’s Health Stats For Montana

Mar7 by D Gregory Smith

WOMEN’S HEALTH IN MONTANA (DHHS REGION VIII) Female Population of MONTANA

Total state population: 989,415 (492,748 females; 496,667 males)

Health Status (Age-adjusted§ percent of adult females)

In poor general health: 4.4%

Activity limitation due to poor phys/mental health: 8.9%

No natural teeth: 5.4% Sources: 2010, BRFSS

Access to Care (Age-adjusted§ percent of adult females) No health insurance coverage (under 65): 21.2%
No personal doctor or primary care physician: 79.2% Saw a dentist in past year: 61.5%

Fact sheets are now available for each of the 50 states and the District of Columbia. Each fact sheet presents a snapshot of demographic characteristics as well as a variety of health status indicators for females within the area. These include:

· Health Status

· Access to Care

· Health Conditions and Risk Factors

· Preventive Services and Screenings

· Mortality

· Prenatal Care and Pregnancy Risk

· Birth Outcomes

· Sexually Transmitted Infections

· Violence and Abuse

· Mental Health and

· Teen Health

For complete Montana stats, click here.

Suicide rate among Montana’s senior citizens outpaces national figure (billingsgazette.com)
Millions of Americans Have an STD: Report (news.health.com)
New study reveals sex to be pleasurable with or without use of a condom or lubricant (eurekalert.org)
Few pregnant women treated for sexually transmitted infections (scienceblog.com)
Women’s health must be priority for state health exchange marketplaces, new report says (eurekalert.org)

Bozeman Men’s Group Begins March 21st

Feb26 by D Gregory Smith

Bozeman Gay/Bi Men’s Group

This group begins March 21, 2013

Thursday evenings, 6:30-8 pm, in Bozeman, MT

Registration Closes March 15th!

Laura Bailey, MS, LCPC, and

D Gregory Smith, MA, LMHC, LCPC

Facilitators

This 8-week group will explore

Dating ~ Relationships ~Sex~ Being Out ~ Mental Health

Community ~ Substance Use ~ Being Healthy

Whatever You Need To Talk About!

~FREE, SAFE AND CONFIDENTIAL~

Space is limited.

If you would like to participate,

please contact Laura Bailey

406-539-8890

Feedback from past participants:

“This group changed everything for me- thank you!”
“I didn’t know that I needed support until I started attending this group- and now I have the skills to live a better life.”
“I learned more about myself in 8 weeks than I have in 25 years.”
“It’s so amazing that the State of Montana provides this opportunity for us.”
“I wish it didn’t have to end- I really look forward to this every week.”

Racing in the Wrong Direction on Gun Issues

Dec18 by MontanaRiverRat

The most common type of gun confiscated by police and traced by the ATF are .38 special revolvers, such as this Smith and Wesson Model 60 .38 Special revolver with a 3-inch barrel. LaPierre, Wayne (1994). Guns, Crime, and Freedom . Regnery Publishing. p. 58. ISBN 0895264773. (Photo credit: Wikipedia)

The terrible events in Newtown sent my mind racing this weekend. I kept coming back to where we in Montana stand on preventing gun violence in our state. It was clear that we’re not just moving in the wrong direction on preventing gun violence in Montana we’re racing in the wrong direction.

The best way to illustrate this point is by looking at the work of Sen. Dave Lewis (R-Helena). Last session, Sen. Lewis chaired the Senate Finance & Claims Committee (the primary Senate budget committee), and, as chair, he slashed funding for crucial services- including mental health services. He and his Republican colleagues maintained that the state didn’t have enough money to pay for treating and providing support for those with mental illness (and some other issues as well).

While Lewis was busy slashing services for Montanans, he sponsored a bill that would have given tax cuts to gun ammunition manufacturers to “ensure availability.”

So in Sen. Dave Lewis’ world, we have enough money to give ammunition manufacturers tax cuts, but we don’t have the money to provide mental health counselling for Montana’s most vulnerable people.

While I do find Lewis to be one of the most detestable political figures in Montana history, this post isn’t about him. It’s about the fact that through their decisions, Montana’s elected officials are making our communities more vulnerable to the types of gun violence we’ve seen throughout the country over the past few years.

In the 2011 legislative session, there were 13 bills introduced related to guns and firearms. Only 2 of these bills could be construed as gun control measures. The rest would have done things to allow guns in banks, bars and other buildings. These bills would have allowed people to carry concealed weapons (simply by telling themselves they were allowed to), and would have even allowed students in public schools to bring guns on campus.

We as a state, much like the country, have to get beyond partisan dogfights over guns and gun violence, and have an honest effort to pass policies that will keep our communities safer. These policies must deal with not only rules about who, when, and where you can carry guns, but they must also deal with ensuring adequate mental health services for all Montanans.

I’ll be honest, I don’t expect our elected officials to display the courage to push responsible gun control laws. But I do think we have an opportunity to tackle the mental health aspect of the puzzle.

The Medicaid expansion that is part of the Affordable Care Act is our best chance to expand mental health coverage to tens of thousands of currently uninsured Montanans. This expansion is the part of the Affordable Care Act(ACA) that the US Supreme Court ruled states had the option of whether or no to implement.

Unfortunately, this expansion is sure to get marred by political games by Republicans who refuse to vote in support of anything related to the ACA. While Republicans may hold majorities in the legislature, Democrat Steve Bullock will hold the Governor’s office, and its bully pulpit and veto pen. He should use this bully pulpit and veto pen to ensure the Medicaid expansion is implemented in our state.

Governor Schweitzer accounted for the expansion in his final budget proposal, but thus far Bullock hasn’t said whether or not he’ll push for the expansion.

I hope that the horrible events of Friday will provide Bullock with a little more incentive to champion the expansion of Medicaid as a means of preventing gun violence in our state, without taking on a battle over gun control laws that he almost certainly cannot win with the legislature. If Bullock does this, we’ll begin to finally take small steps towards preventing gun violence in Montana.

CNN Anchor: It Doesn’t Matter That Gun Violence is Down – Katie Pavlich (gds44.wordpress.com)
Do Gun-Free Zones Work as Planned? (reason.com)
Bob Costas’ gun violence comments draw controversy (metronews.ca)
Guest Commentary: How we can reduce gun violence and suicide (denverpost.com)

Bozeman Gay/Bi Men’s Group Starts October 9

Sep11 by D Gregory Smith

We’re starting registration for our Fall Group! This is an amazing opportunity for personal and community growth, and we’d love to have any Gay/bi men from the Bozeman area call to talk with Laura about the particulars. Info below:

8-Week Gay/Bi Men’s Process Group

This group begins October 9, 2012
Tuesday evenings, 6:30-8 pm, in Bozeman, MT

Laura Bailey, MS LCPC, and
D Gregory Smith, MA, LMHCA, SMS
FacilitatorsThis 8-week group will explore
Dating ~ Relationships ~ Being Out ~ Mental Health
Community ~ Substance Use ~ Being Healthy
~Whatever You Need To Talk About!
~FREE, SAFE AND CONFIDENTIAL~PARTICIPATION IS LIMITED TO 8 MEMBERS.
If you would like to participate,
please contact Laura Bailey
406-539-8890

Greer Among Young NW LGBTQ Leaders Invited to The White House (dgsmith.org)
Help Inlaws & Outlaws Make It To Public TV! (dgsmith.org)

Sullivan: “The Hierarchy Versus The Future”

Mar19 by D Gregory Smith

In one of the most concise analyses I’ve read on the issues created and faced by the Roman Catholic Church, Andrew Sullivan offers some articulate insight:

Image via Wikipedia

Here in America, we see a Catholic hierarchy all but joining forces with the Republican party to insist on their right to control what is offered as healthcare to their employees in religiously-affiliated schools and hospitals and public services. In Britain, we see a furious campaign to prevent gay couples from having civil marriage licenses, a reform backed by the Conservative prime minister, and both opposition parties. And for much of the moment, this will be what the Church presents to the world: an attempt to control the medical care for women in its employ and its determination to keep homosexuals out of the word “marriage” and, thereby, “family.”

There is a spiritual and religious cost to this. And I do not mean that the Church should always “keep up with the times.” There are moments when a Church’s role is precisely to abandon the contemporary world in order to uphold what it takes to be eternal truths. But the narrowness of the current crusades – against a pill used by 98 percent of Catholic women, whose consciences are their own, and against people of a different sexual orientation that the Church acknowledges is unchosen – damages Christianity in the culture, and, in my view, misses the forest for the trees.

Christianity is not about the control of others; it is about the liberation Christ brings to each of us, and how we can learn to trust that incarnated love in escaping our daily failures, sins, weakness, cruelties – in order to bring love into being in the world.

Exactly what I’ve been saying (although not as eloquently). The alignment with a particular party is dangerous precisely because politics and religion are partners of convenience, not of allegiance or ideology. Those shift much more often than does dogma.

Andrew further quotes Fr Ceirion Gilbert, a Welsh priest who sums up the situation in The Tablet thus:

As a priest who deals daily with young people, teachers and catechists, I fear that yet again the Catholic Church is aligning herself with the wrong side, portraying herself as the “defender” of a position and an interpretation of society and humanity at odds with that of younger generations and almost incomprehensible to them in its rigidity and – to use an admittedly “loaded” term, bigotry.

Is it possible, also taking into account Bishop Robinson’s public comments last week, that some people are actually getting it? When will the bishops get it?

The church is going to have a tough row to hoe if it believes it can play offense on sexuality while simultaneously playing defense on clerical sexual misconduct and abuse. That kind of ridiculousness is what is seriously undermining her credibility today.

Read Fr Gilbert’s full essay here. It’s fantastic.

A Bishop Talks About (gasp) Sex (dgsmith.org)
The Catholic Hierarchy: “Suffer The Little Children.” (dgsma.wordpress.com)
Catholics Defend The President (dgsma.wordpress.com)
Catholic Hierarchy’s Slipping Moral Authority (pinkbananaworld.com)
Fugitive Catholic Priest Arrested In India (lezgetreal.com)

8 Tips To Lower Holiday Stress

Dec16 by D Gregory Smith

I wrote this a few years ago- but I think it’s still good information- so I revised a few things and thought I’d offer it again (Also published on The Bilerico Project)

Feeling stressed and/or depressed lately? You’re not alone. The Holiday Season is reported to be “problematic” for about forty-five percent of the general population, and there may be added concerns for LGBTIQ persons.

There is often so much pressure to be joyous and to share “the most wonderful time of the year”. It can be especially hard for those of us who feel wounded by the various Ghosts of Christmas/Hanukkah/Kwanzaa Past. Family and work dynamics can be hard at the best of times, during the holiday season it can reach a torturous crescendo:

“I can’t stand so-and-so, and they’re going to be at Grandma’s for dinner.”

“I do not want to go to Midnight Mass with the family, but I’m more upset by the thought of dealing with the fallout of not going.”

“I just know that Bible-thumper at work thinks I’m going to hell. The office party is always a nightmare.”

“I’m going to have to fend off all the questions of why I’m not married.”

“If they knew the truth, I’d be fired (disowned, disgraced, etc.).”

“I don’t have enough money for gifts. Shopping is so much pressure. I feel inadequate compared to….”

“I’m bringing my partner, and this is the first time. I’m worried that they’ll say or do hurtful things.”

Yep. All familiar. But there are some things to keep in mind when dealing with the stresses of the Holiday Season….

First, remember, you’re not alone.

“Forced fun” with co-workers, family and extended circles of families and friends happens to everybody. Many people, straight, gay and otherwise feel that they aren’t part of the celebration because they don’t feel particularly festive or “in the Christmas spirit”. The pressure to have fun, be nice and ignore grudges and difficulties can result in the completely opposite effect.

Not out to family, co-workers or friends? This can dramatically increase holiday stress. Maintaining a front and keeping secrets is hard- especially at a time of year that focuses on kindness and generosity. Constantly protecting yourself can be exhausting. Constantly worrying about safety, acceptance, integrity and livelihood is excruciating- especially at a holiday party.

It can be even worse if you’ve been rejected by your family or friends because of your sexuality or gender identity.

For many of us, our day-to-day lives are lived with people who care for and support us emotionally. We’ve created our own families. We’ve created routines that encourage and nurture us. We’ve developed our own beliefs

The holidays can totally upset that.

Even the mentally healthiest among us can be challenged by relatives and parents, regardless of acceptance or support. Ram Dass once said, “If you think you’re enlightened, go spend a week with your parents.”

And even if we are out, during the holidays we’re often surrounded by people who may be biologically related or who share the same work, but who do not support us, or who are even openly hostile. Whether this is true or simply a suspicion or feeling, it still causes anxiety, which in turn causes increased stress levels- often leading to some very depressing thoughts. A very slippery slope mentally….

What to do? If your particular situation seems to be causing problematic stress or depression, please seek out professional help. But for those relatively-minor-once-a-year issues, below are a few suggestions I have found helpful. Please feel free to add your own:

Be aware of your anxiety. Notice when your tension levels are rising, and let yourself feel them. Feelings never hurt anybody- the actions resulting from those feelings are the real kicker, and quite often those actions happen because feelings are so bottled up that the pressure forces an explosion. Often, simply noticing and naming the anxiety can calm it.
Breathe. Under stress, the breath is often shallow, keeping oxygen levels at a minimum which just adds more stress. As simple as it sounds, three deep, conscious breaths can bring instant relief, slowing the heart rate, reducing hypertension- and anxiety levels.
“Is that true?” That question has been my lifesaver in many situations. My brain can run amok with fantasies of what people will say or do in response to me- things that I can’t possibly know for certain. Anxiety levels rise in the face of uncertainty. This simple question slows my thoughts and brings me back to the facts.
Be here now. Most stress involves either the past or the future- both are perspective distortion agents. Staying in the here and now reduces stress.
Resist the urge to self-medicate. Most people eat and drink more and exercise less than they normally would at this time of year. If you’re prone to depression already, (and even if you’re not) a hangover and love handles won’t help. Plus, alcohol, a depressant, may seem to help for a while, but usually worsens depression and stress symptoms later on. It also reduces inhibitions, making hurt feelings, disagreements and fights much more likely.
Give yourself an out. If you have to spend an extended amount of time with family, work some down time into the schedule. Removing yourself from the situation can be vital, and it can be done gracefully. “I just need some alone time” is something that almost anyone will respect. There are lots of reasons to be alone- get creative. A short walk, a hot shower, a nap, an AA meeting, or even extended time behind the locked door of a bathroom can do amazing things to renew self-confidence, perspective and energy.
Remember, this is temporary. Most of us can survive anything for a few days. If you’re in a situation that you feel you may not be able to handle well, by all means, get out! But if staying will do less damage to yourself and others than leaving, remembering the finite nature of the visit may help.
Take care of yourself. You know what you need to do to be healthy. Eat well, exercise, hydrate, rest, play and give yourself permission to be human.

No matter what the situation, my greatest stressor is this:

Worrying about something I have little or no control over.

Recognizing that is key.

People are going to think what they think, and my thoughts or actions will probably not change that- especially in the short amount of time I have to spend with them during the holiday season. Whether they approve of me or not is none of my business. My business is to be happy, honest, kind, and healthy.

And I can do it. I do it by knowing myself and taking care of myself- even under the pressure of Midnight Mass.

Have a Stress Free Holiday (healthnutnutrition.wordpress.com)
Do-Anywhere Anxiety Busters (everydayhealth.com)
Stress Management Strategies At Home (stressrecoveryfitness.wordpress.com)

Proposed DSM-5 Changes: Derogatory Labeling & Pathologizing The Identity Of Trans Persons

Jun2 by D Gregory Smith

(reprinted from GID Reform Weblog)

by Kelley Winters, Ph.D.
GID Reform Advocates
http://www.gidreform.org
kelley@gidreform.org

On May 5^th, the American Psychiatric Association (APA) released a second round of proposed diagnostic criteria for the 5^th Edition of The Diagnostic and Statistical Manual of Mental Disorders (DSM-5). These include two diagnostic categories that impact the trans communities, Gender Dysphoria (formerly Gender Identity Disorder, or GID) and Transvestic Disorder (Formerly Transvestic Fetishism). While GID has received a great deal of attention in the press and from GLBTQ advocates, the second Transvestic category is too often overlooked. This is unfortunate, because the Transvestic Disorder diagnosis is designed to punish social and sexual gender nonconformity and enforce binary stereotypes of assigned birth sex. It plays no role in enabling access to medical transition care, for those who need it, and is frequently cited when care is denied (Winters 2010). I urge all trans community members, friends, care providers and allies to call for the removal of this punitive and scientifically unfounded diagnosis from the DSM-5. The current period for public comment to the APA ends June 15.

Like its predecessor, Transvestic Fetishism, in the current DSM, Transvestic Disorder is authored by Dr. Ray Blanchard, of the Toronto Centre for Addiction and Mental Health (CAMH, formerly known as the Clarke Institute). Blanchard has drawn outrage from the transcommunity for his defamatory theory of autogynephilia, asserting that all transsexual women who are not exclusively attracted to males are motivated to transition by self-obsessed sexual fetishism (Winters 2008A). He is canonizing this harmful stereotype of transsexual women in the DSM-5 by adding an autogynephilia specifier to the Transvestic Fetishism diagnosis (APA 2011) . Worse yet, Blanchard has broadly expanded the diagnosis to implicate gender nonconforming people of all sexes and all sexual orientations, even inventing an autoandrophilia specifier to smear transsexual men. Most recently, he has added an “In Remission” specifier to preclude the possibility of exit from diagnosis. Like a roach motel, there may be no way out of the Transvestic Disorder diagnosis, once ensnared.

What You Can Do Now

Go to the APA DSM-5 web site (APA 2011), click on “register now,” create a user account and enter your statement in the box. The deadline for this second period of public comment is June 15.
Sign the Petition to Remove Transvestic Disorder from the DSM-5 (IFGE 2010), sponsored by the International Foundation for Gender Education.
Demand that your local, national and international GLBTQ nonprofit organizations issue public statements calling for the removal of this defamatory Transvestic Disorder category from the DSM-5. Very few have so far.
Spread the word to your network, friends and allies.

For more information, see GID Reform Advocates (Winters, 2010)