When sex and drugs are combined repeatedly and compulsively, there is a high risk of developing what Dr. David Fawcett calls sexualized drug use. This condition is also referred to as paired substance/sex addiction. Unfortunately, the response from the professional community to sexualized drug use has been far from adequate. As Dr. Fawcett writes, “I have had countless clients come to me who have gone through well-known and otherwise exceptional drug addiction treatment programs that never addressed co-occurring behavioral addictions—most notably sex and porn addiction. Because of that shortcoming, those clients found themselves still struggling with sobriety and life in general.” This book is intended to be a guide for individuals curious about their own sexualized drug use or the sexualized drug use of someone they care about, and for professionals seeking more clinical information. The information contained herein provides insight, guidance, and relief to people struggling to break free from sexualized drug use, steering them toward affirming and satisfying sex and intimacy without the need for mood-altering substances and behaviors.
David Fawcett is a fellow CSAT and respected colleague. I had the pleasure of hearing him present at an IITAP conference on the subject last year and was happy to see he had a new book out.
Sex Under the Influence helps individuals who find their chemsex use problematic to understand the problem both from a biological perspectives as well as an emotional perspective. The book provides solid, evidenced based skills and tools to help individuals achieve recovery.
There are few things about this book that I really like. First, I liked that it talks about healthy sexuality in a non shaming or preaching manner. The second thing that I like is that he is not adamant about an abstinence only model and talks about harm reduction as a possibility for those who do not wish to or are not ready for complete abstinence from substances.
This is a very comprehensive narrative that addresses problematic sexual behaviors combined with various substances. Dr. Faucett works to help the reader understand the neurobiology of various drugs as well as interventions to support emotional regulation and hope for recovery.
More medically informative than his other book, but I think patients would find this book less helpful as it’s more general. And once again, lots of stigmatizing language even though this was published in 2024