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

19 Sept 2024 · 58 min

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In this episode of The Aftermath podcast, host Dr. Dallas Bragg, a former crystal‑meth addict and sobriety coach, interviews Matthew, a Canadian‑born change‑coach who works with individuals and organizations on addiction and chemsex issues. The conversation explores why change feels terrifying for people with addiction, focusing on all‑or‑nothing thinking, the neuro‑biological and societal barriers to change, and the importance of granting oneself permission to be scared. They discuss practical pathways to recovery: breaking large goals into tiny, incremental steps; rebuilding trust with oneself through achievable micro‑tasks; noticing and labeling intrusive self‑critical thoughts without judgment; using mindfulness and the “observer” stance to detach from thoughts; regulating emotions by treating them like children in a car—acknowledging them but not letting them drive decisions. The dialogue also delves into the role of past trauma, intergenerational beliefs, body‑image triggers, and the specific challenges of chemsex among gay men. They reference neuroscience (12‑24 months for dopamine system recovery) and tools such as journaling, the book When Things Fall Apart by Pema Chödrön, and the metaphor of pain as tuition. Throughout, they emphasize compassionate self‑love, realistic positivity, and the need for consistent, effortful self‑relationship work, highlighting that small, honest shifts can rewire neural pathways and support lasting sobriety.

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