David Fawcett PhD, CST, CSAT is a psychotherapist and sex therapist who specializes in sexualized drug use, LGBTQ issues, and trauma and mental health concerns related to physical illness. He is the author of “Lust, Men and Meth: A Gay Man’s Guide to Sex and Recovery” which explores the intersection of gay men, drug use, and high-risk sex and is the author of the Sex Under the Influence: Understanding and Healing from Sexualized Drug Use. His most receent book is Lust, Men and Meth: A Study Guide which not only provides not a variety of reflective questions but an update on the original book, as well. He co-created the residential treatment program for sex, porn and chemsex addiction at Seeking Integrity and is the Executive Producer of two documentaries about chemsex. He is on the IITAP faculty for the Rainbow Advocates training program. He serves on various boards and consults with organizations in the US and Europe on clinical practices and guidelines for substance misuse and mental health. In addition to chemsex-related videos via he operates a chemsex support channel (davidfawcettchemsex) on TikTok,, Instagram and other platforms.

Desiree Sales, MSW, ACSW, is a therapist at CRI-Help who provides compassionate, client-centered care to individuals experiencing substance use and co-occurring mental health disorders. She holds a Master of Social Work (MSW) and is an Associate Clinical Social Worker (ACSW), bringing both academic training and clinical experience in behavioral health treatment settings. She is committed to supporting individuals in recovery by helping clients develop insight, strengthen coping skills, and build stability in their lives. Her clinical approach is grounded in empathy, structure, and evidence-based practices, while maintaining respect for each client’s lived experience and autonomy. In her role at CRI-Help, she serves diverse populations impacted by addiction, trauma, incarceration, and systemic challenges. She is dedicated to empowering clients to build resilience and work toward sustainable recovery and improved overall well-being.

Entering this profession of Drug and Alcohol recovery specifically in the LGBTQI+ communities in 1988 I have had over nearly four decades to watch the evolution of "treatment". The first decade of my work I would define as navigating HIV/AIDS while working with one the the most highly impacted communities gay men and transgender women. Treatment was evolving for "AIDS" at the time yet there were the many who wanted to achieve sobriety that took unique and patient specific treatment - back then drug and alcohol treatment was largely "cookie cutter" . My next decade was defined by the explosion of crystal meth and very high risk sex which may or may not have meant many were going off of or forgetting to take HIV medications which had progressed to truly life-saving. My third decade has been about helping a "community" of survivors accept the grief that has been a part of so many lives both currently sober and those not yet sober. This last decade has encompassed COVID and keeping a residential drug and alcohol treatment home "open" and insuring we were taking all precautions to remain "COVID Free" - supporting residents with their sobriety who never went to outside meetings, had not experienced "fellowship" - many were two years sober before meetings opened back up.