Dallas BraggFormer crystal methamphetamine user, I help men who have sex with men break free from the addictive patterns associated with Chemsex. Currently expanding my expertise by seeking to become a Certified

You hit the milestones. New job. New apartment. One year. Two years. The chaos receded and you shoul

10 Jul 2026 · 2 min

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In this monologue, the speaker, a clinician with 15 years of experience, explains how his professional focus shifted from general addiction treatment to sex therapy specifically for gay men engaged in chemsex. He describes "sexual reintegration" as a core component of chemsex recovery, emphasizing that chemsex can hijack or erase a person's sexual functioning, self‑worth, and performance. Drawing on his background, he notes that after a decade in addictions he burned out and turned to sex therapy, only to encounter clients whose chemsex use produced sexual problems. He highlights that tools from sex therapy can aid recovery, but the unique cultural context of gay men—internalized homophobia, past abuse, fear of other men—interacts with chemsex to shape the recovery process. A key clinical observation is that chemsex alters an individual's "arousal template" through tolerance: the dopamine surge that once felt intense becomes insufficient, leading clients to seek increasingly rougher, kinkier, or edgier experiences. The speaker frames these dynamics as central challenges to achieving sexual repair and reintegration after chemsex.

Chapters

Much of my professional work over the last 15 years really has focused on the particular aspect of chemsex recovery that is this what we call sexual reintegration, right? Because we know chemsex can really hijack or make or disappear someone's sex life, at least a sex life that in terms of performance and functioning and self-worth and all that stuff that sex can come to symbolize. So really a lot of times, in fact, how I got started in chemsex work is it was as a sex therapist. I had actually worked in addictions for 10 years. I got kind of— I got burned out on addiction. I said, I don't want to do that anymore. I'll become a sex therapist and do that. And people— I became a sex therapist and hung out my shingle with a gay men practice. And guess what showed up? Guys on chemsex with sexual problems. There it was. That idea of sexual repair, if you will. There are some tools in the field of sex therapy that are relevant, that can help. But I think this, the unique aspect of chemsex, when it's, when it's tied up with the cultural stuff that gay men carry and still, you know, the internalized homophobia and some of the abuse and then the, the fear of other men and so on that we, we carry on all affects this idea of sexual recovery. So to really help people start to explore it, what does it mean? And one of the aspects of chemsex particularly is that it can Really change what we call our arousal template. Our— because of the escalation due to tolerance, right? What, what was enough dopamine last week to be really hot isn't doing it this week. I need to do something a little bit more, a little bit more, right? So a little rougher, kinkier, edgier. Yeah.