Our efforts to achieve happy, healthy and satisfying lives are often thwarted by clinging to self-defeating behavioural patterns. Try as we might, we keep making the same mistakes; our lives come frustrating, and often we give up working towards change altogether. These solid and reliable 'Top Ten' life steps, used by openly gay therapist Joe Kort, are time-tested, practical decisions gay men can make in their search for emotional, sexual and personal fulfilment.