Chemsex: a case report

Abstract

Chemsex is the intentional use of psychoactive drugs (methamphetamine, GHB/GBL, mephedrone, among others) to have sex, generally between men who have sex with men and during prolonged sessions, with significant physical and psychological harms —from anxiety and depression to psychotic episodes— and high addictive potential. We present the case of a 32-year-old man, a chemsex user, HIV-positive and homeless, admitted on a scheduled basis to an acute unit for detoxification and withdrawal from methamphetamine and GHB, with cachexia, low mood and feelings of worthlessness. After assessment according to Marjory Gordon’s functional health patterns, a care plan was developed with the NANDA, NOC and NIC taxonomies (ineffective health maintenance, imbalanced nutrition, sleep deprivation and risk of poisoning). During the four weeks of admission, with psychoeducational activities, pharmacological adjustment and social-occupational guidance, the patient improved his sleep, regained weight and acquired knowledge for the care of his health, being referred to a therapeutic community; the need for specific interventions and training for this high-risk group is emphasized.