In this interview, Tom (he/him) interviews Araya (they/them), therapist, columnist, and social policy researcher about serodiscordant (mixed-status) relationships, HIV stigma, disclosure, intimacy, and the realities of living with HIV in 2026.

Together they explore how HIV criminalization laws, discrimination, misinformation, and systemic barriers continue to impact queer relationships despite major medical advances such as U=U (Undetectable = Untransmittable). Araya shares insights from their work with clients navigating mixed-status partnerships, discussing disclosure decisions, sexual anxiety, relationship conflict, family planning, financial stress, and the emotional impact of stigma.

They also examine the lasting legacy of the AIDS epidemic, the parallels between HIV and COVID-related trauma, and why therapists need better traini ...