1:23:17

In this episode of the After Myth Podcast, host Dr. Dallas Bragg interviews veteran gay‑men psychotherapist Ken Howard, MSW, LCSW‑CST. The conversation challenges the validity of "sex addiction" as a diagnostic label, arguing it lacks DSM recognition and is often used exploitatively. Howard introduces the 6 Principles of Sexual Health (consent, honesty, mutual pleasure, HIV/STD prevention, etc.) and explains how they can be applied specifically to gay men. They discuss the entanglement of crystal meth use with hypersexuality, describing meth‑induced neurobiological changes, the self‑medication model, and the difficulty of separating sex from meth. Recovery strategies are explored: a focus on basic self‑care (sleep, nutrition, routine), rebuilding social support (partners, family, sober companions), patience and gradual rewiring of the brain for sober sex, somatic awareness, and the importance of identity work (moving from "meth addict" or "sex addict" to purposeful roles). Howard also shares practical resources—books, courses, blogs, and community groups—aimed at gay men in recovery, emphasizing affordable, culturally specific support rather than generic LGBT services. The episode ends with a post‑show commentary where Bragg reflects on the discussion, reiterates key take‑aways, and invites listeners to engage with supplemental materials (study guide, journal prompts, Discord community).

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