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

  • 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.

  • 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.

  • 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.

  • 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.

  • 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.

  • 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.

  • 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.