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

30 Apr 2026 · 62 min

0:00

In this episode of The Aftermath Podcast, host Dallas Bragg introduces the pervasive issue of chemsex—sexualized drug use among men who have sex with men—and its entanglement with shame, moral injury, and sexual offending. He welcomes licensed clinician Scott Stolarik, who has over three decades of experience working with trauma, substance misuse, and sex‑offender populations in correctional and community settings. Scott outlines his professional background, describing his trauma‑informed, humanistic approach and the challenges of engaging individuals who are court‑ordered to evaluation, often reluctant to speak due to legal advice and stigma. The conversation delves into the role of polygraph testing in sex‑offender assessments, its perceived accuracy, legal admissibility, and how it can be used to build accountability without a punitive tone. They discuss the stark differences between probation and parole supervision, community‑based sentencing, and the practical hurdles faced by clients post‑release. Throughout, the hosts explore the concept of “accountability versus acceptance,” using a concentric‑circle model to help clients acknowledge urges (including drug‑induced or illegal fantasies) without endorsing them, and to construct safeguards and structure for recovery. The episode also addresses the compounded stigma faced by gay men who engage in chemsex, the high rates of HIV, and the additional burden of a sex‑offender label. Scott emphasizes the importance of a non‑judgmental therapeutic space, respecting legal counsel, and the need for clinicians with specific expertise. He provides practical guidance for listeners seeking help, noting his licensure in Illinois and Wisconsin, telehealth limits, and willingness to refer. The dialogue ends with reflections on the mosaic nature of individuals, the necessity of recognizing the whole person, and an invitation for future conversations.

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