Gay Men, Lesbians and Substances of Abuse and the “Club and Circuit Party Scene”

Abstract

Many researchers believe that substance use rates are higher among gay men and lesbians than in the general population. In particular, recreational drugs, used as part of weekend and night “life” are particularly popular. In recent years these so called “club drugs” have become a regular part of many gay men and women's social life. MDMA, better known as “Ecstasy,” is a synthetic amphetamine derivative, with some unique physiological properties. MDMA can induce depression and panic attacks in those who use it. A serious concern is the potential that MDMA may cause long lasting, even permanent neuropsychiatric damage, in particular to serotonin neurons. Ketamine, “Special K,” is a dissasociative anesthetic which induces feelings of unreality, and may even cause catato-nia (a “K hole”). GHB is a naturally occurring biological substance which has effects similar to alcohol. Modest doses can cause sleep, and coma. There have been a growing number of reports of fatal overdoses associated with GHB. The clinician working with gay and lesbian people is urged to become aware of these particular substances, as well as other recreational drugs, as well as their dangers, in order to more effectively work with his or her clients.

Key Words:

• Club drugs
• MDMA
• Ecstasy
• Ketamine
• K hole
• GHB
• raves