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

3 Jul 2025 · 62 min

0:00

In this episode of the Aftermath Podcast, host Dr. Dallas Bragg interviews Mel McCracken, executive director of No Matter What Recovery and a certified sex‑addiction therapist, to explore how men who have sex with men can recover sexually after chem‑sex with crystal meth. The conversation covers the core problem of sexual reintegration, defining and untangling arousal templates, distinguishing sensory (desire‑driven) from sensational (drug‑driven) arousal, and the psychological and physiological mechanisms that underlie cravings. They discuss practical recovery tools such as a 90‑day curriculum, sensate‑focused practices, mindful masturbation, and coping with triggers like porn, apps, and social media. The dialogue also delves into the impact of trauma, sexual capital, community pressures, and the importance of sexual values, consent, and courtship skills. Throughout, they stress curiosity, self‑compassion, and the need to unlearn harmful patterns while rebuilding a healthier, more expansive sexual identity. Resources—including study guides, a free mailing list, and community groups—are highlighted for listeners seeking further support.

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