David Fawcett, Ph.D., L.C.S.W.
Riding the Tiger: Life Lessons From an HIV-Positive Therapist
For HIV and Addiction, the Time to Act Is Now
November 24, 2015
These are exciting times for those of us working and living with HIV. There are promising new treatments in development, pre-exposure prophylaxis (PrEP) has added a significant additional resource to our prevention arsenal, and there is talk of seeing the end of the epidemic in our lifetimes. This optimism is reflected in major worldwide goals. UNAIDS, for example, has endorsed 90-90-90. That is, by 2020 at least 90% of people will know their status, 90% will receive sustained antiretroviral medication, and 90% will achieve a suppressed viral load. Policy reforms such as the National HIV/AIDS Policy acknowledge the role of stigma, mental health concerns, and health disparities.
A Healing Circle of Men: North Florida Manreach 2015
May 1, 2015
The ball of string came flying through the air toward me. I caught it awkwardly, stated my name, said something about myself and then held on to my section of twine while tossing it to someone else across the room. Thirty-five men, many strangers to each other, sat around the circle at this weekend retreat in the woods. The recipient of my toss announced his name and gripped the string before throwing it back across the circle. Gradually a web of twine formed to connect all thirty-five men. It was a beautifully intricate pattern of geometric shapes that graphically exhibited the interconnectedness of the men who came together for this gathering.
Stigma "Lite": The FDA's Revised Ban on Gay Blood Donors
January 5, 2015
The U.S. Food and Drug Administration (FDA) recently revised its decades-old policy on a lifetime prohibition of gay men donating blood. This ban, rooted in the early days of the HIV epidemic when transmission was poorly understood and (full-blown crazy) levels of stigma and discrimination abounded, has long needed to change. For me, the revised guidelines represent minimal progress because they exclude any gay man who has had sex with another man in the last year.
The Other HIV Stigma: An Inside Job
November 21, 2014
On World AIDS Day, it is gratifying to see increased attention paid to stigma, which has a devastating impact on prevention, testing and treatment. Creative and thoughtful campaigns utilizing social media and other venues are beginning to make a difference. Some anti-stigma programs are even being mandated as part of international aid. While many programs don't yet effectively address institutional, governmental and religious power structures that perpetuate stigma, they are impacting education and skills to build empathy, each of which is extremely important.
The Grief That Keeps on Giving: Thoughts on HIV, Loss, and an Opportunity to Heal
August 25, 2014
I first heard the news that Malaysian Airlines flight 17 had been shot out of the sky at a stopover in Sydney, en route to the International AIDS Conference in Melbourne. I stared at the television in disbelief as the initial (and incorrect) coverage reported that as many as 100 conference delegates had been onboard. I felt numb even as the number of attendees on board dropped over the next few days to fifty and then, finally, to six, among them one of the world's leading HIV researchers from the Netherlands and an official of the World Health Organization.
Aging (Gracefully?) With HIV: I Never Saw This Coming
April 27, 2014
I recently passed a major milestone: a big, round-numbered birthday that, frankly, I never expected to reach. It was odd to arrive at this point in my life because, having lived with HIV for over thirty years, I had good reason to suspect that I would not celebrate this passage, or for that matter, birthdays that occurred decades earlier.
Creating Your Vision for the Coming Year
December 11, 2013
As the old year rolls over, it's natural to review how well our lives have functioned during the past 12 months. Many of us take the opportunity to make resolutions about changing our behavior. These often concern diet, getting to the gym, or cutting back on other things that might not contribute to our health. This well-intentioned exercise often collapses, falling away within weeks (or even days) as our resolve and the routines of daily living once again intrude into our hope that this year will be different.
This Again? New Opportunities to Disclose My HIV Status (or Not)
October 29, 2013
I have lived with HIV for so many years that the whole issue of disclosure seems moot. Every important person in my life knows my status, as do my colleagues, clients, and for that matter, anyone who comes across my postings on TheBody.com and The BodyPRO.com. I am well aware of the complexities of disclosure and work with others to address their concerns, but it has been a long time since I experienced the issue.
Lessons Learned When the Labs Go Awry
September 9, 2013
It began simply enough. My doctor's office called to say that he wanted to speak with me directly about follow-up lab results. When pressed, the staff said he would not discuss anything over the phone. We scheduled an office visit for the next available appointment, several days away. Over the years I have received the same summons many times. They begin with a call stating that the doctor needs to see me in person. Memories of those calls came flooding back, along with an uncomfortable heavy sensation in my stomach. Some of those calls have been devastating (cancer), others were non-events. I hung up the phone, closed my eyes and tried to center myself, with little success.
Flashback: Diana Ross in Central Park
May 17, 2013
She arrived on the stage covered in colorful braids amid stylized African dancers. Drums played exotic rhythms as she unveiled herself before 800,000 people -- the largest in the history of Central Park. Dressed in a glittering orange suit with billowing fabric, Diana Ross welcomed the cheering masses as an ominous summer storm darkened the sky. She created a magic spell with song and, at one point, implored the audience to "make a wish and let it go." As dusk fell the winds picked up and sweeping veils of rain moved in over the park. Television cameras captured her soaked hair and face. Oblivious to the torrential downpour, she became one with the crowd.
Riding the Tiger: Life Lessons From an HIV-Positive Therapist
David Fawcett, Ph.D., L.C.S.W., is a social worker, certified sex therapist and clinical hypnotherapist. He has worked in the areas of mental health and substance abuse for more than 25 years.
Diagnosed with HIV in 1988, David is dedicated to promoting physical and emotional resilience in his own life and in the lives of his psychotherapy clients. Like the Hindu goddess Durga, he strives to live fearlessly and patiently, never losing his sense of humor even in battles of epic proportions.
David's blog entries have appeared on LifeLube and The Bilerico Project, Florida. He's also a contributor to TheBodyPRO.com's blog for health care providers, HIV Care Today. He answers questions about Mental Health and Substance Use in two separate "Ask the Experts" forums on TheBody.com. David resides in Ft. Lauderdale, Fla., with his partner.
David is the author of Lust, Men and Meth: A Guy Mans Guide to Sex and Recovery. Learn more about David on his website, www.david-fawcett.com.
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November 24, 2015 - For HIV and Addiction, the Time to Act Is Now: A Blog Entry by David Fawcett, Ph.D., L.C.S.W.
May 1, 2015 - A Healing Circle of Men: North Florida Manreach 2015: A Blog Entry by David Fawcett Ph.D., L.C.S.W.
January 5, 2015 - Stigma "Lite": The FDA's Revised Ban on Gay Blood Donors -- A Blog Entry by David Fawcett, Ph.D., L.C.S.W.
November 21, 2014 - The Other HIV Stigma: An Inside Job -- A Blog Entry by David Fawcett, Ph.D., L.C.S.W.
August 25, 2014 - The Grief That Keeps on Giving: Thoughts on HIV, Loss, and an Opportunity to Heal -- A Blog Entry by David Fawcett, Ph.D., L.C.S.W.
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