Addiction
You don't have to lose everything before it counts.
Specialist online therapy for cocaine use, Chemsex, problematic use of legal adult pornography and compulsive sexual behaviour — including for people whose lives still look entirely intact.
High-functioning use
Nothing has collapsed. That's the problem.
Much of the addiction work I do is with people whose lives still function. Careers intact. Relationships intact, at least publicly. Nobody has staged an intervention. And yet the substance or the behaviour has begun to take up more room than they intended, and the private arithmetic — how much, how often, how much it costs — has become a permanent background calculation.
I work particularly with cocaine, Chemsex, problematic use of legal adult pornography and compulsive sexual behaviour, and with broader substance-use difficulties where appropriate.
You are not required to adopt a label, describe yourself as an addict, or accept a shame-based account of yourself in order to examine your relationship with something.
Areas of focus
Where my specialism sits.
Cocaine
Weekend use that has extended into the week. Use tied to work, socialising, sex or relief. The private accounting of how much and how often.
Chemsex
Sex and substances that have become difficult to separate. What the combination provides, what it now costs, and what would need to change.
Legal adult pornography
Escalation, time, secrecy, and the effect on desire, arousal and partnered sex.
Compulsive sexual behaviour
Behaviour that has stopped feeling chosen: risk, repetition, concealment and the aftermath.
I also work with broader substance-use and behavioural difficulties where that is appropriate and where online therapy is a suitable setting. Where it isn't — including where medical detoxification or a higher level of care is indicated — I will say so.
The approach
What it does for you before what it does to you.
Substances and behaviours are usually doing a job. Sleep, escape, confidence, intimacy, permission, relief from a feeling that has no other exit. Any plan that ignores the job will fail on the first difficult weekend.
So we begin with function, honestly and without flinching, and then work out what you want your relationship with it to be — abstinence for some, something else for others — and what would actually make that sustainable.
I have my own experience of addiction and recovery. It informs the work; it does not replace twenty-one years of clinical practice.
A separate programme
Looking specifically for help with chemsex?
Chemsex Freedom is a separate specialist programme created by Justin Duwe: a structured 90-day course for men who want to understand or change their relationship with chemsex. It runs to its own format and is distinct from ongoing psychotherapy — some people do one, some the other, occasionally both.
Start with a conversation, not a label.
If something about your relationship with a substance, sex or a behaviour has started to concern you, you can begin here.