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

2 Jan 2025 · 65 min

0:00

In this episode of the Aftermath Podcast, host Dr. Dallas Bragg interviews Joey Bacharach and Stephen Stewart, co‑founders and clinicians of Rainbow Hill Recovery and Rainbow Hill Sober Living, an exclusively LGBTQ‑focused treatment and sober‑living program in Los Angeles. The conversation explores why “gay‑friendly” services often fall short for gay men with crystal‑meth use disorder and why a truly queer‑affirming approach matters. They describe the program’s integrated model that treats co‑occurring mental‑health and substance‑use issues, outlines the specific risks of crystal‑meth for men who have sex with men (including heightened sexual risk‑taking, shame, and cross‑addiction to sex), and explains how they mitigate relapse by restricting dating apps and enforcing a zero‑tolerance policy for in‑house sexual activity. The hosts walk through the clinical tiers (PHP, IOP, OP), the intensive therapeutic schedule, and the extensive re‑entry and life‑skill coaching (resume building, budgeting, cooking, driver’s‑license prep). They also highlight sex‑positive, kink‑affirming therapy, transparent pricing, insurance navigation, out‑of‑state admissions, and the community‑building “season” model that fosters alumni connections. Finally, Joey shares a new nonprofit, Big Little Bows, that mentors LGBTQ youth and funds housing for affirming sober‑living. Throughout, the episode stresses compassion over shame, individualized coping tools (the “powerful pause”), and the importance of authentic, family‑like support for lasting recovery.

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