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Young, HIV-positive and totally bummed

This is an advice column I wrote for San Diego's Gay & Lesbian Times magazine. In it, the writer ask for help in coping with a recent HIV-positive diagnosis.

 
 
Dear Michael:

 

I just found out the biggest bummer news of my life: that I’m HIV-positive.  I am only 25 and have had safe sex the vast majority of my life, but there were one or two times last year that I let someone fuck me without a condom.  And now, here I am.  I am so totally bummed.  The doctor gave me all this information and referrals and shit, but I just want to sit home and cry.  I don’t want to tell any of my friends because I KNOW they’ll just feel sorry for me.  All of us have always felt sorry for people who were HIV-positive, and now I am one of these people.  I hate this.  You’re a therapist, what should I do?

 

Totally bummed

 

 

Dear Totally:

 

Finding out you’re HIV-positive is a huge shock to anyone’s life.  This kind of big-time shock is a jolt to the psyche and the body.  Give yourself time to get used to this new piece of information.  You’ve asked me for my advice as a therapist, so let me address a few of the initial reactions that my clients have had when they’ve received similar news:

 

Pitying yourself:  It’s an irony of life that many, if not all, of us end up the people that we once felt sorry for.  Look at old(er) people, for example.  When we’re young, we often feel sorry for old(er) people.  We may think that it's sad that they don’t look as fabulous as we do.  How ironic.  Eventually, if we live so long, we BECOME the people we once felt sorry for and we learn how to BE them with dignity and pride.  This is your situation:  you are now HIV-positive, the kind of person that you and your friends used to pity.  Dear Reader, it’s obviously time for a major shift in your thinking.  Pity isn’t a helpful emotion; empathy is.  Most of us have been through enough private hells that we can either become angry and shut down or more compassionate and open-hearted.  Given your difficult news, it’s probable that you feel angry, bitter and shut down.  That’s okay.  Let yourself feel it for a while…but not forever.  Eventually, you’ll get sick of being sad and angry and will likely find the beginnings of acceptance.  I don’t promise you that the anger and bitterness will completely go away; you may still be asking, “Why me?  Why not other people who had a lot more unsafe sex than I did?” for a while.  Or you may go for the opposite…

 

Guilt and blame:  Many of my clients, upon finding out they were HIV-positive, felt guilty about it and blamed themselves for behavior that led to their seroconverting.  Try to minimize the guilt and blame you heap on yourself; instead, give yourself the kindness and love that you would offer your best friend if he or she came to you with the same news.  Often we’re a lot kinder to others than we are to ourselves.  It’s unlikely you’d blame or guilt-trip a close friend who was HIV-positive; it’s more likely you’d support him, give her a shoulder to cry on, try to cheer him up, help her cope with the bad news.  Do the same for yourself.  Initially, you may isolate…but eventually, baby, you need to come out of the HIV closet and get support.  This brings me to…

 

Telling other people:  You may have already told some of the people you’re closest to.  Or not.  Initially, I advise confiding only in the one or two people that you trust the most.  Leave it at that for a while.  You have enough on your plate right now, so don’t worry about how to tell your neighbors, work colleagues, acquaintances or relatives.  That’ll come later.

 

I strongly recommend that you connect with San Diego’s awesome and diverse HIV-positive community and personally get to know other HIV-positive people.  There are HIV-positive support groups at The Center and other locations throughout the County and there are HIV-positive social groups, like POZibilities.  You may not be ready for these now, but keep them in mind for the future.  It really helps to talk and hang with other people who are in the same boat.  No one else knows how it feels like except someone who’s gone through it.  Other HIV-positive folks will have wisdom and experience to offer you in helping you to decide whether or not to tell your boss, your family, friends and other people in your life about your HIV status.  While it’s helpful to consider their advice; it’s your life, so don’t let anyone pressure you into doing anything that doesn’t feel right for you.  Let me know how you’re doing by dropping me another Email anytime. 

 
_______________________________________________________
 
Michael Kimmel is an openly-gay California Licensed psychotherapist (License # LCSW 20738) who maintains a private practice in the San Diego area.  He is a contributor to Instinct magazine, San Diego's Gay & Lesbian Times, BUZZ magazine and the San Diego Union-Tribune.  Michael can be reached at 619-955-3311 or through his website at www.lifebeyondtherapy.com.

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Young, HIV-positive and totally bummed