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

21 Nov 2024 · 61 min

0:00

In this episode of The Aftermath Podcast, host Dr. Dallas Bragg interviews Russell Campillo, a 46‑year‑old certified peer specialist, former meth user, and published researcher. Russell recounts his descent into crystal meth use, including a psychotic episode that landed him in a padded‑room psychiatric unit, and his subsequent path to long‑term recovery. The conversation weaves personal narrative with broader data: 92 % of meth users relapse at least once and only about 5 % remain sober for three years without treatment. Russell and Dallas discuss how language (e.g., “addict” vs. “user,” “clean” vs. “sober”) shapes stigma and self‑perception, and they argue for replacing shame‑laden terms with neutral descriptors. They explore common relapse triggers in the gay male community—hookup apps, sexual connection, and the “unfinished art” pattern—and describe how these cues can signal ongoing use. Harm‑reduction strategies are highlighted, including hydration, oral‑care products, fentanyl test strips, and safe‑consumption sites such as On Point NYC. The duo emphasizes a personalized “toolbox” for recovery: honesty, multiple treatment attempts, therapy, peer support, and the freedom to cherry‑pick elements from 12‑step programs, rehab, or other modalities. They detail practical support‑network design—location sharing, accountability check‑ins, and tailored expectations for gay and trans partners. Russell also shares lingering post‑use symptoms (hallucinations, paranoia, cravings) that can persist years after abstinence. The episode closes with calls for broader attention to the stimulant crisis, drug‑supply contamination, and the need for trans‑focused addiction resources.

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