TY - JOUR AB - Purpose Whilst chemsex is a relatively new phenomenon, trauma is not. Freud borrowed the word from physical medicine, where it was used to describe tissue damage, and applied it, for the first time, as a metaphor to a psychological process by which the protective functioning of the mind can too be pierced and wounded by events. The chemsex environment hosts a myriad of potentially traumatising scenarios and experiences, though perhaps disguised as exhilaration or excitement. The paper aims to discuss these issues.Design/methodology/approach The paper is a practitioner’s experience.Findings These experiences piled on top of childhood experiences of being “less than” for being gay, can be responsible for widespread undiagnosed post-traumatic stress disorder (PTSD) among those who engage in chemsex. This paper explores this possibility and offers solutions.Originality/value Compounded trauma and PTSD symptoms amongst MSM who engage in chemsex has to date, not been researched. VL - 19 IS - 1 SN - 1745-9265 DO - 10.1108/DAT-11-2018-0067 UR - https://doi.org/10.1108/DAT-11-2018-0067 AU - Morris Stephen PY - 2019 Y1 - 2019/01/01 TI - Too painful to think about: chemsex and trauma T2 - Drugs and Alcohol Today PB - Emerald Publishing Limited SP - 42 EP - 48 Y2 - 2024/09/22 ER -