Dr. Paul Benson is the founder, owner, and Medical Director of Be Well Medical Center in Berkley, Michigan, a family medicine practice established 45 years ago. He is proud to share he was the first LGBTQ physician to open a medical practice in Metro Detroit, creating a safe, affirming space for patients of all backgrounds, especially those too often overlooked or mistreated in healthcare. While he did not set out to become an HIV specialist, the timing of opening his practice in 1980 placed him at the very beginning of the AIDS epidemic, when fear and stigma kept many providers from treating gay men. What began with caring for friends quickly grew into a trusted medical home for LGBTQ patients and a lifelong commitment to HIV medicine and advocacy.

In this candid conversation, Dr. Benson and Dr. Joe Kort reflect on the early years of the epidemic, the loneliness many patients endured, and the enormous changes that arrived as treatments evolved and prevention became possible. Dr. Benson explains why HIV care is an intellectual challenge, not just medically, but emotionally and psychologically, because great care requires seeing the whole person, including mental health. They also discuss today’s realities. PrEP is highly effective, but many people who could benefit from it still are not using it consistently. Dr. Benson shares optimism about long acting injectable prevention options and the future of cure research, and he gives a clear, reassuring answer to a question Joe hears often. If someone is not having intercourse, do they need PrEP or other HIV prevention medications? His answer is no.

The episode also dives into gender affirming care and what responsible, ethical transgender healthcare actually looks like in a primary care setting. Dr. Benson talks about his decades of experience providing hormone therapy, why careful lab monitoring matters, the risks of using higher than recommended dosing, and his measured approach to puberty blockers and surgical interventions for adolescents. He closes with a message he wants every listener to hear. Mental health is a vital part of total healthcare, and patients deserve a strong support team, including providers who collaborate and patients who advocate for themselves, and who cancel appointments when they cannot make them.

Listen to this Smart Sex, Smart Love episode as Dr. Joe Kort talks with Dr. Paul Benson about LGBTQ affirming primary care, the evolution of HIV treatment and prevention, the reality behind transgender medicine, and why mental health support belongs in every healthcare plan.

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“I often am asked, ‘why on earth would you want to run for office in such dangerous political times?’ My response is simple: if we back down now when we are afraid, we’ve already lost.” Kali Scales is running for State Representative of District 5, which encompasses Oak Park, Royal Oak Township and Northwest Detroit. If she wins, she will be the first transgender person elected to an office in Michigan. The question that naturally comes to mind for many, including Scales, is this: “will they vote for me because I am trans, or will they vote for me because they support the issues I stand by?” Her campaign focuses on “Back to Basics” – AEIOU: autonomy, education, inclusivity, opportunities and unions. “A good and honest life is built on these,” she asserts.

The nationally syndicated radio host, writer, performer and storyteller has been in the public eye since she was 16. “I came out of the closet publicly, I did my whole transition publicly, and I’ve seen some of the best and worst that humanity has to offer,” she notes. “It’s time to make the world know we are not going to stand for what is happening now. This will help combat the feelings of hopelessness and loneliness a lot of people are dealing with. Fear thrives in loneliness; many feel the decision already has been made, but that day is not here yet! There still is hope. Get involved! Stay in the fight. We need you, and we will see the other side of this,” she says with confidence.

Listen to this inspiring Smart Sex, Smart Love podcast where I ask Kali Scales some tough questions about the current political climate, the new pressures and divisiveness the LGBTQIA community is encountering, and how she will handle the personal attacks that already are coming her way since she has entered the political race.

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Patriarchal expectations of men remain strongly embedded in our society and culture, but it’s time to break the guy code.

Men are stuck in a bubble internally; they are supposed to be stoic, strong and masculine, and uphold rigid norms placed on them from the past several generations, reports Dr. Christopher Wilson, a certified sex therapist who works with cishet and non-cishet men who are struggling with the patriarchal negative and want to break free of it.

Women have been hurt disproportionately through the years by the patriarchal model – voting rights, wage discrepancies, financial freedom – but this is changing. Unfortunately, the traditional model for men is not. They feel an internal battle; they don’t want to give up their position, but at the same time, they feel trapped in a small rigid box of social expectations that they cannot step out of or there will be repercussions, they feel.

Men want emotional expression, but in many cases, their female partners shut them down because they, too, are not prepared for this patriarchal change and don’t know how to handle it.

In this Smart Sex, Smart Love podcast, Dr. Wilson will talk about why men struggle with emotional recognition, the four domains where men can get hurt, and how men can break the guy code in a healthy way and be free to be who they are, which ultimately will lead to a better society for everyone.

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For many years, researchers categorized sex as a biological drive like thirst, hunger, sleep or temperature control. But the question lingered, “what if you don’t have sex? What will happen to you?” Unlike thirst or hunger, individuals will survive without sex, says Dr. Adrienne Rowland, an AASECT-certified sex therapist specializing in sexual health and LGBTQIA+ affirming care. During this Smart Sex, Smart Love podcast, she discusses the difference between spontaneous desire and responsive desire and why both are normal, how to manage desire discrepancies, and what to do about male patriarchy systems that remain present today.

“When I talk with couples, many still follow the traditional male patriarchy system: a man’s sexual desire is a woman’s responsibility,” Dr. Rowland finds. “In our patriarchal society, women often grow up learning that sex is not for them; it is their role to pleasure their male partner. It is important to empower primarily women to feel confident with their body autonomy, and to not feel guilty for saying ‘no’ to a sexual encounter they don’t want,” she asserts.

“We are responsible for our own pleasure. Normalize it. Negotiate your desires, and the result will be very freeing,” Dr. Rowland announces. “No one should give permission to explore their own pleasure.”

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A New Zealand-born, Australian-raised writer, director, actor, model and fetish content creator, Julian Shaw began his filmmaking career in his teens. When COVID dried up his earnings, a friend suggested he explore Only Fans, an app that is redefining the sex industry. He found he could make easy money and get back on his feet monetarily, but he learned far more. In 2020, Shaw launched a subscription site, and to his amazement, some of his content placed him at the site’s top 1 percent. Fetish and sexuality can make for a lucrative career, he quickly found out. His content was not pornographic; the fitness guru would flex his muscles, oil himself up and pose fully clothed. As his site gained subscribers, the special requests followed: smashing his foot into a pie, sitting on a cake, showing off his feet for the camera. Shaw gave his audiences what they wanted – a lot of non-nude fetish content.

In this Smart Sex, Smart Love podcast, Shaw openly and honestly talks about his fetish career publicly for the first time. “You can be a serious filmmaker and an unapologetic adult creator,” he announces. “I own my own fetishes, and it has been amazing for my mental health! Take a fearless step forward and own who you are, and that is the pathway to happiness,” he says.

An internationally renowned champion for saving marriages, best-selling author and marriage coach Michele Weiner-Davis has written eight books, covering topics such as divorce busting, sex-starved marriages, and her most recent one – “Healing from Infidelity,” a topic we delve deeply into during this Smart Sex, Smart Love podcast.

“If it weren’t for the kids, we wouldn’t be trying to save our marriage,” is a statement Weiner-Davis hears often in her sessions with couples heading for divorce. How a therapist responds to that statement can make all the difference in what transpires, she has found from her years of experience working with couples who are struggling in their marriage.

She courageously speaks out about the pitfalls of unnecessary divorce – she founded The Divorce Busting Center in Boulder, Colorado – and urges couples to make their marriages work and keep their families together, an often unpopular sentiment among many therapists.

In this podcast, she offers some valuable advice to help couples rebuild trust and repair their fragile relationship.

We can't simply squeeze ourselves into expected heteronormative structures and find happiness. It’s not going to happen! That’s why Tom Bruett, a therapist and founder of the Queer Relationship Institute, wrote the book, The Go-To Relationship Guide for Gay Men: From Honeymoon to Lasting Commitment, a guide that provides the tools to build a rich, deep gay relationship. In any romantic relationship or friendship, there will be differences. This is how we learn about our partners and ourselves, and how we can grow in a relationship. If we do not go through the differentiation process, it creates angry fighting and static toxicity, Bruett finds. In this podcast, we talk about how to connect with your partner when you are not on the same page, and how to start the differentiation process and end with problem solving and a deep, sustaining and committed relationship. It will not happen if you are trying to create a carbon copy of a heterosexual relationship. It’s time to find queer joy, Bruett exclaims.

“I am promiscuous because I am curious,” reads an introduction to Soulmates: A History of Our Fetish for Feet,” a book authored by Adam Zmith, a writer and podcast producer whose work focuses on sex, queer identity, LGBTQ+ lives, history, art and desire. In my Smart Sex, Smart Love podcast, Zmith shares that fetishes with feet are a centuries’ old pleasure that most cultural groups have explored. In fact, one in 6 people have fantasized about feet, and it is one of the most googled fetishes. It is a whole universe of pleasure, he has discovered. In my podcast, Zmith also talks about another book he wrote, Deep Sniff: A History of Poppers and Queer Futures, a “manifesto to pleasure,” he describes. Through his work, including a weekly podcast entitled, Free Sex, Zmith’s goal is to build a world where everyone can have sex the way they want it.