Learning objectives:

1. Discover an innovative outpatient care offering recently begun at an outpatient addiction services clinic in Rotterdam (the Netherlands).
2. How to treat multiple disorders related to the problematic Chemsex (EG: Borderline Personality disorder, Post Traumatic Stress Disorder, ADHD, Sexual dysfunctions, ineffective self esteem).
3. Providing culturally relative care and involving peer coaches in treatment.
4.  

Abstract:

Introduction Chemsex is sex under the influence of drugs that decrease inhibitions and intensify feelings of lust and connection. Problem Though many who engage in Chemsex do not experience serious mental or physical health problems, there is a growing number of people in dire need of care. Chemsex is poorly understood by most providers of addiction care who in turn cannot adequately meet the needs of those with problematic use. There is no evidenced based protocol proven widely effective for these clients. Evidence Antes gathered information through their own practical experience and research, literature reviews and multidisciplinary international network of colleagues. The conclusion was that traditional cognitive behavioral therapy neglected to treat many key comorbidities such as trauma, personality disorders, low self-esteem en sexual dysfunction. Several other therapies were examined to see which combination could best suit the needs of the population including dialectical behavioral therapy (DBT). This is an evidence base treatment that has been proven effective for people with personality disorder and has been researched in the context of addiction. Implementation The multidisciplinary treatment team customized a DBT treatment specifically for this population. The team began a pilot treatment with a group of patients in January 2022. It included group skills training and individual therapy and weekly team meetings. Evaluation Validated surveys to assess addiction, self-esteem, existing post-traumatic stress and sexual health were completed by all participating patients before and after treatment. Feedback from patients and documentation of successes and challenges were examined and the program was evaluated.