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Start Here

Not sure where to begin? This page will help you find the right starting point.

Feeling emotionally disconnected? → Emotional Numbness in Gay Men

Sex feels complicated? → Gay Men’s Sexual Health Therapy

Navigating relationship challenges? → Couples Therapy

Past experiences still affect you? → EMDR Therapy

Not sure what fits? → Therapy for Gay Men​

You don’t have to choose perfectly — just begin where something resonates.

If Sex Feels Complicated

Sex may still happen — but feel:

  • empty

  • performative

  • disconnected

  • more about validation than connection

  • compulsive

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You can explore:

👉 Gay Men’s Sexual Health Therapy

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You may also find this helpful:

👉 Gay Sex Addiction

If You're In A Relationship

You may be navigating:

  • fading attraction

  • mismatched desire

  • communication breakdowns

  • intimacy struggles

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A helpful place to begin:

👉 Couples Therapy for Gay Men

If You Feel Disconnected

You may feel present in life — but not fully engaged.

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Some men notice:

  • difficulty sustaining emotional closeness

  • sex that feels physical but not connecting

  • losing interest once things become safe

  • feeling flat even when life looks stable

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You may want to begin here:

👉 Emotional Numbness in Gay Men

If Past Experiences Still Show Up

You may notice:

  • emotional shutdown during closeness

  • difficulty trusting

  • strong reactions that feel confusing

  • patterns that seem hard to shift

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Some men benefit from trauma-focused work such as:

​

👉 EMDR Therapy

If Want More Self Confidence

You don’t need a perfect explanation to begin.

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Many men start therapy simply knowing:

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“Something isn’t working the way I want it to.”

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You can begin here:

👉 Therapy for Gay Men

If Dating Feels Exhausting

You may feel stuck in patterns like:

  • pursuing unavailable partners

  • losing interest once someone gets close

  • struggling to find emotional connection

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You can explore:

👉 Coaching For Gay Men

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When Gay Men Decide To Start Therapy

Many gay men don’t begin therapy because something is “wrong.” They begin because something feels off — even if life looks successful on the surface.

 

In this video, I talk about the moment many men recognize that patterns in relationships, intimacy, or emotional connection aren’t shifting on their own — and how therapy becomes a space to understand and change them.

Work With Me:

Not Sure Where You Fit?

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You don’t need to have a perfect explanation to begin. Many gay men start therapy simply knowing that something in their relationships, emotional life, or sense of connection isn’t working the way they want it to.

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I specialize in working with gay men navigating:

  • emotional disconnection

  • intimacy challenges

  • sexual concerns

  • relationship patterns

  • trauma-related shutdown

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You don't need a reason to start. Many men start therapy simply noticing recurring relationship patterns, emotional flatness, difficulty connecting or uncertainty about what they want. Therapy becomes a space to understand these patterns — and begin shifting them.​

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I work with clients locally in Los Angeles and virtually nationwide. If you’re ready to explore where to begin, you can schedule a consultation today.​​

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Michael Pezzullo

Gay Therapist in Los Angeles

Trauma Therapy • EMDR • Couples • Sexual Health • Substance Use

Los Angeles • Santa Monica • West Hollywood • Beverly Hills • Hollywood

Telehealth available throughout California & Florida / Coaching Internationally

  • Michael Pezzullo LMFT Instagram
  • Michael Pezzullo LMFT TikTok
  • Youtube
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