Abstract
The human immunodeficiency virus (HIV) in the United States disproportionately affects young men who have sex with men (MSM). Adolescence represents a period of significant transition for youth. Young HIV positive gay adolescent males experience increased challenges related to their sexuality and HIV status and the corresponding stigma often associated with negative reactions from family members, peers, and society. This chapter examines core developmental and psychosocial needs of HIV positive gay adolescent males. In this context, pertinent research explores critical experiences related to HIV- and sexuality-based stigma, family and peer relationships, academic achievement, mental health and substance use challenges, and access to treatment. Factors related to positive coping and directions for future interventions are discussed.