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DISCLOSURE DILEMMA

Dear Tokunbo and Alfred,
I am a 28-year-old gay man who was diagnosed with HIV four years ago. At the time I told a few friends. I was shocked at their reactions. Two friends who I had only just met were supportive and are still friends today, but my oldest friends just gradually disappeared from my life. Looking back I think they just couldn’t handle it. This experience makes me feel like I can’t tell anyone else. I am still not ready to tell my family because my mum is ill. I have made a new friend at work. I really want to tell him but I am terrified he will react like the others. Can you help?
NICK

alfredDear Nick,
The whole experience of ‘coming out’ as HIV positive is sometimes like coming out as gay all over again. It is good that you have two friends who have been supportive and it is interesting that your oldest friends didn’t cope well. I experienced this myself with a couple of friends. When I look back, a lot of it was that I wasn’t being very accepting of my new status myself - it takes a while to adjust, just like coming to terms with being gay and this made it hard for me to support them through it. I know that may seem a strange thing to say. But if we, who need the support, can actually learn to support those who care about us through the early stages, the pay-back can be that later they are usually there for us, already trained by us for when we need them, if our situation changes. Say, when you start combination therapy.
However, one of the best things for you to do now is to talk to other HIV positive people about these issues. These concerns can be complex and there isn’t an easy answer that fits everyone’s situation. Talking with others who’ve been through similar experiences will help you become comfortable with the issues yourself and make things clearer for your next steps. Peer support, as well as professional support, is very important for many of us.
The UK Coalition is starting a group on Wednesday evenings for HIV positive gay men. PACE, GMFA and THT all run different types of support groups and counselling where you can meet other positive men to get support in making your decisions in this areas. Outside of London most major towns have active support groups (see adverts PN).
Alfred

Hello Nick,Tokunbo
I am somewhat curious as to your reasons behind telling people about your diagnosis. You mention the fact that you were shocked at your friends’ reactions.
What are your expectations when informing people? Do you feel that you want to be embraced by them? Do you feel it is important that they know everything about you? Is it to create free flowing’ conversation?
You mention that two new friends at the time of your diagnosis were supportive. In what way were they supportive? Was it because they accepted your diagnosis, without detaching themselves from you?
I put to you the fact that people react differently to illnesses. Some people express pity, others face their prejudices, some have feelings of disgust. There are people who remain placid, some people require time to digest information. A lot of people go into shock mode, others are emotional and you often end up being more supportive towards them at the outset. Think of a situation when you have visited someone in hospital - many people take ‘their’ own pain and fears to the person that they are visiting and the person in hospital can be left feeling responsible towards his or her visitors instead of the other way round. It is quite natural for some people to not be at ease in handling other people’s illness.
What are you expecting to achieve by confiding? Are your expectations for yourself or for others?
Is there a need to tell others because you are symptomatic or is it to resolve internal issues? Disclosure is not easy, no matter how long you have been diagnosed. I suggest that you probe your inner self and be aware of the issues that I have raised here when you talk to other people about your HIV status.
Do take care to protect yourself.
Tokunbo

Useful Contacts:
• UK Coalition 020 75642180
• PACE 020 7700 1323
• GMFA 020 7738 3712
• THT 020 7835 1495

Tokunbo & Alfred will be taking a well earned break from PN - watch this space for new features.


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