This is Dr Chris' experience and cannot be used as a reference.

"In 2017, I got a lady whose other conquering issues apart from addiction was lesbianism and anger.

A parent admitted the lady on grounds of addiction and this was expressed openly to the centre. However, on the intake examination, the patient professed lesbianism and anger as the underlying reason for addiction.
As a team leader, I took this personally because the other stuff had no professional background of how to handle and yet still, this was my first case.

The Individual Treatment Plan (ITP) was made only by two individuals, that is the team leader and the significant other (the mother)

Anger issues were clearly manifested as early as the 2nd week of admission into rehab and this was dealt with by the primary counselor.

My entry point to the client was clearly CBT where neutral questions were asked and answers given.
After a month of questionnaire, a data was built which became our tool of use.
Tool No.1: Lesbianism was a money minting mission
Tool No.2: Anger was a cover up defense mechanism
Tool No.3: THC and alcohol addiction were the exiting means out of shame and guilt.

In conclusion, our treatment approach came to target feelings of resentment which were acquired by daily criticism from the family.
When the family became less aggressive, resentment got minimal, sexual perverse reduced.
The heavy work remained for the client to get a job and get her own money.
This meant for her to go back to school and get a profession. Currently, the lady has two children from a heterosexual partner and lesbianism never resurfaced ever again.

PS, this article is not conclusive, it is meant to challenge professionals as the approaches to these new problems and issues are surfacing in addiction and rehabilitation centres in Uganda.