If these themes resonate with you, I’d be glad to help.
I offer therapy for adults across California via secure telehealth.
Reach out for a brief consultation — we’ll explore what you’re looking for and whether my approach feels like the right fit.
Book a Consultation
Contact: drhuckaby@drscotthuckaby.com | 415-741-1607
Specialties
Therapy for Gay, Bi & Queer Men · Sexuality · Open Relationships · Trauma · Anxiety · Attachment
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Identity, belonging, internalized shame, confidence, and the emotional landscape of queer men.
Gay and queer men often carry emotional burdens that aren’t always visible — early experiences of difference, shame, rejection, internalized homophobia, or the pressure to perform confidence even when struggling inside. I help clients understand the emotional patterns that come from growing up in environments that didn’t always feel safe or affirming.
Therapy becomes a place to explore who you are, how you connect, and what you want — without judgment, without explanation, and without having to translate your lived experience.
Common themes I work with:
feeling “not enough” or chronically comparing yourself
difficulty trusting others or letting partners in
fear of rejection or abandonment
body image or confidence concerns
navigating gay community norms
finding self-worth outside of validation or sex
This work is deep, steady, and identity-affirming.
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Desire, confidence, inhibition, performance anxiety, libido, and sexual self-understanding.
Sexuality is emotional, relational, and psychological. It shows us where we feel secure and where we feel fragile. Many men come to therapy wanting to understand the connection between anxiety, desire, arousal, shame, and intimacy.
My approach integrates clinical knowledge of sexual functioning with an emotionally grounded exploration of desire, identity, and confidence.
Areas of focus:
sexual anxiety or overthinking
inhibition, shutdown, or difficulty feeling present
desire discrepancies in relationships
ED or changes in libido
shame around desire or past sexual experiences
kink-aware support
integrating sexuality with emotional connection
This is a safe, open space to talk honestly about sex and intimacy.
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Clarity, communication, emotional steadiness, and understanding your relational patterns.
Open relationships can be deeply meaningful — and deeply triggering. They require emotional maturity, clear communication, secure attachment, and curiosity about your own responses.
I help individuals:
understand jealousy and its emotional roots
communicate more intentionally
navigate agreements, boundaries, and expectations
manage fear, insecurity, or reactivity
build confidence and clarity
repair after rupture or conflict
understand why certain patterns repeat in ENM structures
Whether you’re curious about non-monogamy, new to it, or trying to rebuild trust after a breach, we can work together to make this part of your life feel more grounded and secure.
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Worry, perfectionism, self-criticism, performance pressure, and chronic overthinking.
Anxiety can show up as:
rumination
worst-case scenario thinking
trouble making decisions
avoidance
people-pleasing
emotional shutdown
perfectionism
hypervigilance
fear of letting others down
These patterns often stem from early attachment wounds, chronic stress, or feeling responsible for others’ emotions.
My work combines evidence-based anxiety treatment (CBT, ERP, Interoceptive Exposure) with a deeper exploration of why your mind clings to certain fears and what those fears are trying to protect you from.
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Emotional wound patterns, shame, relational triggers, and the nervous system.
Trauma is not only what happened — it’s what you had to carry alone.
It affects how you trust, how you relate, how you protect yourself, and how you connect.
My trauma work is grounded in:
Cognitive Processing Therapy (CPT)
Prolonged Exposure (PE)
Attachment-focused approaches
Compassion Focused Therapy (CFT)
Shame reduction
Understanding nervous system patterns
This is steady, paced work aimed at helping you move from survival to connection — with yourself, with others, and with your life.
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Modern dating dynamics, attachment patterns, conflict cycles, and emotional clarity.
Relationships bring out our deepest fears and our deepest desires. I help clients understand:
why certain people feel magnetic
why certain conflicts repeat
why dating feels exhausting
why intimacy feels threatening or overwhelming
why you attract certain partners
why you lose yourself in relationships — or shut down
We work together to understand your emotional patterns and develop a calmer, more confident way of relating.
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Reclaiming a strong, grounded sense of self.
Many gay men internalize messages from early life — about being too much, not enough, unsafe, or unworthy of love. These messages can persist even after coming out, even after success, even after relationships.
Therapy becomes a place to strengthen:
your voice
your boundaries
your self-understanding
your emotional independence
your sense of inner steadiness
This is core to your work with clients — and it should be represented explicitly on your site.