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

27 Mar 2025 · 89 min

0:00

In this episode of the Aftermath Podcast, host Dr. Dallas Bragg, a former crystal meth user and recovery coach, interviews Bodhi, a licensed clinical mental health counselor and psychedelic‑assisted psychotherapist. The conversation explores ketamine‑assisted psychotherapy (KAP) as a treatment for trauma, addiction, and treatment‑resistant depression, especially for men who have sex with men (MSM) struggling with chemsex. They trace Dallas’s personal journey from meth use through plant‑medicine experiences (cacao, psilocybin, ayahuasca) to his current recovery work, then dive into ketamine’s history as an anesthetic, its dissociative pharmacology, and the three therapeutic dose ranges (anesthetic, sub‑anesthetic “psycholytic,” and low‑dose “theta” states). Bodhi explains how ketamine calms the nervous system, reduces default‑mode network activity, and promotes neuroplasticity, making it easier to access and integrate subconscious trauma. The duo discusses the importance of set and setting, therapist‑guided integration, and the risks of unsupervised street use, including its addictive potential. They compare ketamine to other psychedelics (ayahuasca, psilocybin, ibogaine), outline contraindications (psychosis, certain personality disorders, cardiovascular issues, medication interactions), and note insurance challenges. Throughout, they frame addiction as a maladaptive protective response rooted in shame and core beliefs, using concepts from Internal Family Systems (IFS) and somatic work to illustrate how ketamine can lower the “volume” on these belief‑driven lenses, allowing clients to observe and re‑write them. Integration is emphasized as the critical component of lasting change, with Bodhi describing a typical protocol of six ketamine sessions plus 6‑8 integration sessions over six months, and a community‑based, donation‑based weekly integration group that can be attended virtually. The episode ends with practical advice for listeners about seeking professional guidance, study guides, and safety warnings.

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