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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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D.C. leaders must show up for LGBTQ+ communities

Silence is not an option amid relentless attacks

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(Washington Blade photo by Michael Key)

At a time when D.C. and the LGBTQ+ community are under relentless attack, we cannot afford silence ā€” or inaction. The DC LGBTQ+ Budget Coalition, a grassroots alliance of more than 20 LGBTQ-led and LGBTQ-serving organizations and individuals, is calling on Mayor Bowser, the D.C. Council, and every level of D.C. government to act with urgency and purpose in this yearā€™s budget process to invest in our community. Our lives, our futures, and our rights are on the line ā€” not just nationally, but here at home in the District. How D.C. as a city responds in the face of hate sends a powerful message to the rest of the country. 

We formed this coalition because LGBTQ+ people in the District ā€” especially Black, Brown, trans, disabled, and low-income residents ā€” deserve more than token inclusion. We deserve policies, investments, and leadership that center our lived realities and deliver on equity. While Congress tries to strip D.C. of home rule and holds our budget hostage, our local government has the power ā€” and responsibility ā€” to lead.

We are not a performative alliance. We are a community-driven movement. From housing to healthcare to workforce development, we believe budgets are moral documents ā€” and D.C.ā€™s budget must reflect the values of equity, justice, and liberation.

National Context Demands Local Action

Just this year, members of Congress introduced damaging legislation to reverse D.C.ā€™s home rule, stripping District residents of the fundamental rights of self-governance enjoyed by their own constituents. Additionally, the White House seeks to rule over us by executive order, issuing edicts to overturn our laws. Adding further insult to injury, extremists in the House of Representatives are holding $1.1 billion of D.C.ā€™s own tax revenue hostage to their radical anti-democratic agenda.

Moreover, this administration continues its assault on diversity, equity, and inclusion initiatives, undermining civil rights protections across the country. We are not simply witnessing bureaucratic shifts; we are standing at the edge of a cliff, staring down a coordinated rollback of the very protections our communities have bled to secure.

Veterans of past queer liberation fights remind us that weā€™ve been here before. From the Lavender Scare to Stonewall to ACT UP, from the fight for marriage equality to the ongoing battle for trans rights, queer warriors have long known what it means to survive government neglect, societal backlash, and moral panic. Their testimonies warn us: This moment is severe. This moment is familiar. And this moment requires us to act.

These are not theoretical attacks. They are strategic, structural, and escalating. In this context, D.C. must serve as a model for sanctuary, resilience, and resistance. That means investing in communities ā€” not abandoning them.

We know that our local leadership has, at times, moved preemptively to comply with federal executive orders ā€” even when those directives run counter to our values. And while the mayor has publicly affirmed equity, housing, and inclusivity as core priorities, this moment demands more than words. We call on the mayor and District leaders to stand firm in those stated commitments and meet this moment with the clarity in the Districtā€™s budget. D.C. must not be a conduit for federal overreach, but a bulwark against it.

Our FY26 Priorities

In this yearā€™s budget, weā€™re calling for the D.C. government to protect targeted investments in:

ā€¢ Public Health: Restore and expand local funding to fill the dangerous gaps left by federal cuts to HIV prevention and mental health services. Ensure culturally competent care for LGBTQ+ residents, especially those with disabilities and chronic health conditions.

ā€¢ Employment and Economic Equity: Sustain and grow workforce development programs for trans and gender-diverse (TGD) residents. Expand partnerships with employers and support entrepreneurial training by and for the TGD community.

ā€¢ Housing: Invest in long-term housing solutions, including for LGBTQ+ youth and seniors, and protect programs like Emergency Rental Assistance Program (ERAP) and Tenant Opportunity to Purchase Act (TOPA) that keep people residents housed.

ā€¢ Safety and Community Support: Fund LGBTQ+ survivor shelters and IPV/SA services, ensure disability and language access, and streamline government grant processes for community-based organizations.

Weā€™ve outlined these and other priorities in our full FY26 Budget and Policy Platform, recently delivered to the Mayor and D.C. Council. But we know that a letter alone isnā€™t enoughā€”we must take action.

Weā€™re Organizing ā€” and Weā€™re Not Alone

In this past week, we launched a letter-writing campaign to mobilize D.C. residents to urge their Council members to prioritize LGBTQ+ budget needs. We are also releasing a citywide sign-on letter for partner coalitions and ally organizations to demand the same.

Our members are showing up at budget hearings, meeting with agencies, and organizing communities across all eight wards. And while weā€™re proud of the momentum, we need our community to join us. We need every resident, organization, and elected leader to get in this fight.

How You Can Get Involved

Hereā€™s how you can join the movement:

ā€¢ Individuals: Sign our Action Network letter to Council members and the Mayor.

ā€¢ Testify or submit written testimony at budget hearings to uplift our priorities.

ā€¢ Call and email your Council members ā€” demand full inclusion of LGBTQ+ needs in the FY26 budget.

Together, we can ensure that D.C.ā€™s budget reflects the lived realities and urgent needs of LGBTQ+ communities across all eight wards.

The question before D.C.ā€™s leaders is clear: Will you choose to look the other way or will you join us in taking action?


Heidi Ellis is coordinator of the DC LGBTQ+ Budget Coalition. Erin Whelan is executive director of SMYAL (coalition member).Ā 

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LGBTQ elder voices matter now more than ever

Global Story Archive highlights often ignored perspectives

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Kasha Nabagesera (Screen capture via SAGE/YouTube)

Kasha Nabagesera is widely regarded as the Mother of the Ugandan LGBTQ+ human rights movement. As one of the most prominent human rights activists of our time, she is no stranger to speaking publicly about her life. However, when I had the privilege of sitting down with her this February, she opened up about a part of her story that is often overlookedā€”or, even worse, ridiculed. Aging.

When Kasha turned 40, she began to notice a shift in how people viewed and spoke about her lived experience. In the years since, she has received hurtful and dismissive messages from younger LGBTQ+ people who believe her age renders her opinions and perspective irrelevant. These individuals fail to recognize that the sacrifices made by Kasha and other elders have paved the way for todayā€™s young queer people to live their lives openly and proudly.

Disregard for LGBTQ+ elders is not just disrespectfulā€”itā€™s a missed opportunity for connection at a time when solidarity among LGBTQ+ people is desperately needed. The number of anti-LGBTQ+ bills continues to rise in state legislatures across the U.S., and about one-third of the world’s countries, including 60 UN member states, still criminalize consensual same-sex sexual acts.

The reality is that our elders are true pioneers of the LGBTQ+ movement worldwide. They have survived decades of discrimination and state-sanctioned violence, leading them to face many unique challenges.

Many report having to ā€œgo back into the closetā€ to access care in later years, lack family support networks, and discrimination in housing and healthcare. LGBTQ+ older adults are also less likely to have retirement savings due to decades of employment discrimination.

Through these struggles, LGBTQ+ elders have developed remarkable wisdom, and their lived experiences can provide a roadmap for resilience in the face of new obstacles. But too often, we fail to listen to them, and their contributors are forgotten.

Over the last three and a half years as director of International Programs at SAGE, I have spoken with hundreds of elders worldwide about their lives and legacies. Most have shared similar experiences of ageism and a desire to pass on their knowledge to younger generations.

One of those elders is Reingard Wagnar, a 74-year-old lesbian and activist from Germany. She said that not only are older women in society rendered invisible anyway, but it is especially true for older lesbians. She wants people to know that elder LGBTQ+ folks are here, and they have much to share.

Another elder I had the honor of meeting, Kevin Mchawiro, is a Kenyan journalist and believes stories can also serve as a source of inspiration and that love does indeed win.

To collect, preserve, share and amplify the stories of elders like Kasha, Reingard, and Kevin, I created The Global Story Archive. Supported by SAGE and in collaboration with a global network of not-for-profit organizations and independent activists, this first-of-its-kind collection features the voices of dozens of LGBTQ+ elders who are eager to share their perspectives across generations and borders.

However, in the wake of Trumpā€™s Executive Orders on Foreign Aid, the uncertainty of where funding and support lies, and what the future looks like, SAGE must close its global operations. This suspension is happening in tandem with the dismantling of foreign aid programs that advance the well-being of other underserved populations, including immigrants, women, and those burdened by disease.

The loss extends beyond funding cuts or policy shifts; it represents the erosion of programs that have fostered solidarity and advanced the well-being of us all.

If you find yourself asking how to find resilience in this turmoil, the answer is simple: look to our elders. Our international community of LGBTQ+ elders has lived through and witnessed moments of upheaval, tragedy, and triumph, and they hold priceless knowledge to counsel younger generations through hardship.

The state of the world is uncertain, but as elders will tell you, it can get better.

To hear and learn from the voices of our global community of LGBTQ+ elders, please visit The Global Story Archive.


Hannah Yore is an international health and human rights advocate with expertise in aging, care work, and LGBTIQ human rights. She is the former director of International Programs at SAGE and is a dedicated palliative care and end-of-life doula.

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It’s time for new leadership on the Maryland LGBTQIA+ Commission

TDOV stunt disrespected Gov. Moore and his record of trans support

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(Blade file photo by Michael Key)

On March 31, what should have been a day of collective celebration and power for Maryland’s transgender community, Transgender Day of Visibility was instead hijacked by public hostility toward Maryland Gov. Wes Moore. The verbal attack was out of line, disrespectful, and did nothing to move us closer to justice. FreeState Justice did not applaud. We did not stand. We know the difference between holding power accountable and performing outrage without an actionable plan.

Let’s be honest: the Moore-Miller administration and the LGBTQIA+ legislative caucus have shown up for our community in ways that matter. From the signing of the Trans Health Equity Act to the launch of the first-in-the-nation ‘Trevor Train the Trainer’ suicide prevention initiative with The Trevor Project, a program that equips individuals to train others in suicide prevention techniques, this administration has made meaningful, measurable investments in the lives of LGBTQIA+ Marylanders. 

The Governor’s proposed FY26 budget didn’t just protect access to gender-affirming careā€”it doubled on hate crime prevention and increased support for community centers doing the work. This is what leadership looks like. It’s not just symbolismā€”it’s dollars, policy, access, and intention. And it bears repeating: Gov. Wes Moore is the first Black governor of Maryland. His leadership holds particular significance for those of us who live at the intersection of racial, gender, and queer identities. Understanding intersectionality is not optionalā€”it is essential if we are serious about liberation for all LGBTQIA+ people, especially those who are Black, Brown, and historically marginalized. 

What we experienced on March 31 was the opposite. It was disorganized, divisive, and frankly, disappointing. FreeState Justice has not had a working relationship with the current Maryland Commission on LGBTQIA+ Affairs, a body that is supposed to represent and advocate for our community’s needs. The Commission has not come to the table with a legislative or budgetary request. There has been no coordinated policy agenda. There has been no coalition-building. There has been no community-informed process. That matters.

If your goals are equity and inclusion, your work must be transparent and collaborative. Not ambush tactics like sudden changes in event format or last-minute planning that leave key stakeholders out of the loop. The TDOV event, coordinated by the Commission and a few community members at the eleventh hour, lacked the strategic groundwork our community needs and deserves. It was self-serving and dishonest.

It’s particularly disheartening to contrast this with what we accomplished two years ago when the governor made history by recognizing Transgender Day of Visibility inside the State House. He led the charge. We were proud to stand with him thenā€”and we still are.

We honored a moment that acknowledged not just trans identity, but also racial equity and our collective history of struggle. To witness that same governor, who had previously met with this Commission openly and respectfully, be publicly ridiculed without acknowledgment of his administration’s historic support was a failure of leadershipā€”not on his part, but on those who opted for conflict instead of fostering community.

Let’s be clear: we’re not saying don’t challenge power. We’re saying do it with purpose. Do it with facts. Do it with a strategy. If you’re going to call yourself a leader in this movement, show us the policy platform. Show us the data. Show us the budget line. Show us the work.

At FreeState Justice, we’ve done that, and we will continue to do that. We’ve appliedā€”and will keep applyingā€”for state dollars through the Governor’s Office of Crime Prevention, Youth, and Victim Services. Why? Because those grants help us serve survivors of domestic violence, LGBTQIA+ youth, victims of hate crimes, and people impacted by community violence. Many of whom are people of color. This is where real change happensā€”at the intersection of advocacy, accountability, and access.

It’s time for new leadership on the Maryland LGBTQIA+ Commission. Leadership that values and prioritizes coalition over conflict. Leadership that invites feedback and shares power. Leadership that understands how Annapolis operates, how budgets are constructed, and how community victories are wonā€”not demanded. The urgency for this change is palpable and should resonate with everyone who cares about our community. 

We know the stories. We know the statistics. Now we need a Commission willing to put in the work with all of usā€”not just a chosen few. This collective effort is crucial for the progress of our community and should be felt by all who are part of it.

Maryland’s transgender community deserves more than fleeting moments; we deserve ongoing movement.


Lauren Pruitt is legal director of FreeState Justice; Ronnie L. Taylor is the groupā€™sĀ  Advocacy, Policy, & Partnerships Director.

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