The AfterMeth: Gay Men Recovering from Crystal Methamphetamine and Chemsex Addiction

27 Jun 2024 · 83 min

0:00

In this episode of The Aftermath Podcast, host Dr. Dallas Bragg, a former crystal‑meth addict and sobriety coach, interviews Ken Howard, an AASECT‑certified sex therapist and veteran gay‑men’s mental‑health specialist. The conversation challenges the notion of "sex addiction" as a medical diagnosis, arguing it is a myth lacking DSM‑5 criteria and often used exploitatively. They discuss how methamphetamine amplifies sexual drive, leading many gay men to conflate meth use with hypersexuality, and explore why labeling oneself a sex addict can reinforce harmful identities. Howard introduces the Six Principles of Sexual Health (consent, honesty, mutual pleasure, HIV/STD prevention, etc.) as a secular framework for evaluating sexual behavior. Recovery strategies focus on abstaining from meth, rebuilding basic self‑care (sleep, nutrition, routine), cultivating social support (partners, family, community), and applying person‑in‑environment theory. They outline a practical roadmap for reclaiming sober sex: patience (≈6 months for many), self‑grace, deliberate practice, dropping expectations, and finding a supportive practice partner. Howard also shares resources—books, blogs, courses, and podcasts—targeted at gay men, and reflects on broader issues of stigma, oppression, and activism within the gay community, including the impact of religious and cultural homophobia worldwide. The episode ends with a call to listeners to engage with supplemental study guides, community platforms, and to consider the nuanced motivations behind sexual behavior rather than defaulting to the “sex addiction” label.

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