Abstract: Journal of Sexual Health and AIDS Research

Abstract:
Stigmatization associated with both sexual orientation and HIV status continues to deeply affect the mental health of gay men living with HIV. This article explores the concept of double stigma from both theoretical and clinical perspectives, emphasizing the interaction between these two forms of discrimination and their compounded psy chological impact. Drawing on the minority stress model, the paper details how internalized stigma contributes to depression, anxiety, social isolation, and identity disturbances. Based on clinical experience, various coping strategies are examined, ranging from maladaptive mechanisms (e.g., avoidance, self-blame) to constructive re sources (e.g., community support, identity reframing, activism). Clinical examples of psychological resilience are also presented, illustrating how individuals reconstruct meaningful lives in spite of multiple layers of stigma.