48:59

In this episode of The Aftermath Podcast, host Dallas Bragg interviews Michael Power, a seasoned addiction counselor with over 15 years of experience working with chemsex, sexual compulsivity, trauma, and LGBTQ+ mental health. The conversation begins with an overview of chemsex—its substances, rise, and public health impacts—followed by Power’s personal journey from user to counselor. They discuss how education has shifted the landscape, the importance of addressing the psychosexual dimension after drug cessation, and introduce the "erotic desire cycle" as a framework for rebuilding sober sexuality. A substantial portion of the episode is devoted to "app hygiene": practical steps for safely re‑entering geosocial dating apps (Grindr, Sniffies, etc.) including profile design, safety mechanisms, timing, and the use of structured safety plans. They explore the role of masturbation and pornography as relapse‑prevention tools, warning against chemsex‑related porn and advocating mindful use. The hosts stress transparency, support networks, and avoiding secrecy when using apps. Power shares a concrete intervention model (pause, HALT, TIP, decisional balance) to manage impulsivity and urges, linking it to neuro‑cognitive processes. Finally, they describe a new weekend intensive program at the Innisfree clinic in London, tailored for gay, bi, and MSM clients, combining relapse prevention, psychosexual work, and trauma‑informed care. Throughout, the dialogue balances clinical insight with personal anecdotes, offering actionable guidance for individuals navigating chemsex recovery and sober dating.

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