Gay and bisexual men, and all men who have sex with men, can sometimes find it difficult to discuss the issues they face in life.

Fear of stigma, judgement or discrimination about our lives, and the decisions we make, can make it difficult to speak up – whether to friends and families or to doctors and other services. The result is often feelings of isolation and being alone, with no one who you are confident speaking with. 

Through one-to-one support our Health Improvement Team will work with you, allowing you to make informed choices about the sex your having, and your sexual, physical and mental health and wellbeing.  

We have extensive experience of working closely with individuals to support improvement in their health and wellbeing in a confidential and supportive manner. We are well equipped to support individuals who face discrimination because of their race, identity, sexuality, gender, sexual health and HIV status.

One-to-one support is available to gay and bisexual men, and all men who have sex with men, including transmen. 

One-to-one support may be able to help with the following issues:

Coming out

‘Coming out’ can be a lifelong process. It can often leave individuals feeling alone, vulnerable, and fearful of the judgement and discrimination they will face as a result of their disclosure. Decisions like who, when and how to come out to others can be hard. We can help you develop strategies to manage some of the fears and difficulties you may be feeling, and support you as you go through your journey.

A new diagnosis

Coming to terms with an HIV or Hepatitis C diagnosis is often a difficult and confusing time. Issues like understanding treatment, preventing onward transmission, deciding if and how to tell others, and dealing with both social and targeted stigma can all be real concerns. We can help you work through these issues and begin to think more positively about the future.

Mental and emotional health

Throughout life individuals can face a range of difficulties which often affect their confidence, self-esteem and self-worth. We know that gay and bisexual men are disproportionately affected by poor mental health, with as many as one in seven experiencing depression and anxiety. In addition, many gay and bisexual men, and men who have sex with men, have self-harmed and/or been affected by poor body image and eating disorders.

If you are concerned about your emotional and mental health, are feeling down or are socially isolated, we are here to listen. Speaking to someone can help to make a real difference. We can also support you in accessing support from appropriate mental health services.

Sexual Health

We believe that gay and bisexual men, and all men who have sex with men, should be able to enjoy sex, have good relationships and be able to make good choices about the sex they have. It is important that men are able to negotiate the sex they want, that it is enjoyable and with the least harm.

We can help you with the following concerns:

  • Negotiating and maintaining condom and lubricant use
  • Encouraging, supporting and signposting regular sexual health testing
  • Educating and informing about sex and sexual health
  • Helping to maintain relationships that are free from coercion and harm
  • Helping with issues around disclosing your HIV and/or Hepatitis C status with sexual partners
  • Information on PEP and PrEP
  • Helping to address behaviours that can lead to risk taking
  • Supporting exit from ChemSex
Drugs and alcohol

We recognise that gay and bisexual men are disproportionately affected by drug and alcohol issues and that, sometimes, when we take drugs and alcohol, we make decisions that we later regret. We offer a program of support where we can work with you to reduce some of the harm associated with substance misuse and, if appropriate, refer you on to specialist support services. 

ChemSex

For some gay and bisexual men, the use of drugs during sex seems to be a way to cope with anxiety, isolation, stigma, body image and sexual performance. Liberated from such feelings, some guys say that using Chems helps makes sex more pleasurable. 

However, ChemSex can often have significant impacts on your health and wellbeing. It can lead to feeling a loss of control, friends and wider social engagement. 

ChemSex often becomes addictive and can start to take control of your life. Sexual experiences become less intimate and fulfilling, but the need for more and more ChemSex remains. 

We work with many guys who are going through this, helping them reduce or exit ChemSex. We will work with you to understand the reasons behind why ChemSex is so addictive, and look at safe strategies where you can start having sex that is stimulating, pleasurable and intimate with the least harm to you.