Chemsex Therapy Online — Specialist Support for Gay and Bisexual Men

Chemsex therapy is psychotherapy focused on the use of drugs such as crystal methamphetamine, GHB/GBL and mephedrone in sexual contexts. It looks at what the drugs and the sex are providing, what they have begun to cost, and what you want to change — alongside the emotional, sexual and relational questions that usually sit underneath.

No. You do not need to have stopped, or to have decided to stop, before you begin. Some people work toward abstinence; others first need to understand their use, reduce harm or regain control. Goals are agreed together and revisited honestly. Where use is creating serious risk, that will be discussed openly rather than ignored.

It can. Not everyone who engages in chemsex develops a problem, but the drugs involved can lead to dependence, and the pairing of drugs with sex can become a powerful, hard-to-break pattern. Signs include using more or for longer than intended, repeated failed attempts to cut down, and finding sex difficult or unappealing without drugs.

Many people come to therapy with exactly this concern. Therapy can explore anxiety, shame, confidence, desire and intimacy, and the ways drugs have come to stand in for them. Change is individual and cannot be guaranteed, but this is a central and realistic focus of the work.

Yes. Couples therapy is available where chemsex is affecting a relationship — whether one or both partners use. The work focuses on the relationship dynamic, trust, boundaries and communication, rather than identifying one partner as the problem.

Yes. Sessions are private and held online by secure video, from a space of your choosing. Confidentiality operates within the usual professional limits — for example, where there is a serious risk of harm — and these limits are explained at the outset.

It varies. Some people find a focused period of work enough; others benefit from longer-term therapy. No fixed number of sessions is promised. Progress and direction are reviewed together as the work develops.

Relapse is common and is not a reason to end therapy or to feel ashamed. It is treated as information — about triggers, needs and circumstances — that can make the next stage of the work more effective.

Yes. You don't need a label or a diagnosis. Many people begin simply because they are questioning the role chemsex plays in their life, and want a confidential space to think it through.

Use the appointment request form on this website. Requests are reviewed for availability, suitability, scope of practice and jurisdiction, and you will receive a reply by email.