The AfterMeth: Gay Men Recovering from Crystal Methamphetamine and Chemsex Addiction
Vision:
To eradicate crystal meth addiction and chemsex misuse, especially among the gay male population.
Mission:
Using the power of social media, The AfterMeth will increase awareness around the characteristics and effects of crystal meth and chemsex on the community of men who have sex with men, provide stories of hope to inspire struggling users and produce a repository of tools to be used by the loved ones of men who want to break free from the addictive patterns of chemsex.
Join Dr. Dallas Bragg every other week. You can find The AfterMeth Podcast anywhere you listen to your favorite podcasts. Find answers to:
How can I stop relapsing?
How can I heal my addiction?
How does crystal meth addiction affect gay men?
How can I get sober?
The AfterMeth: Gay Men Recovering from Crystal Methamphetamine and Chemsex Addiction
EP 2:45 Eroticism for Chemsex Recovery with Dr. Tom
Supplemental Study Guide:
https://www.drdallasbragg.com/newsletters/blog/posts/Eroticism
In this episode of The AfterMeth Podcast, host Dr. Dallas Bragg welcomes back Dr. Thomas Gaither, a urologist and academic researcher specializing in MSM sexual health, to explore the concept of eroticism and sexual reintegration after chemsex addiction. Drawing from Jack Morin's book "The Erotic Mind," they discuss the four cornerstones of eroticism: violating prohibitions, longing and anticipation, searching for power, and overcoming ambivalence. Dr. Gaither introduces the framework of sexual "accelerators and brakes," emphasizing that addressing psychological barriers like internalized homophobia, anxiety, and self-hate is more crucial than adding stimulants to achieve arousal. The conversation centers on helping men who struggle to reconnect with their sexuality after meth use, particularly those who associate sexual thoughts exclusively with drug cravings or feel sexually numb years into recovery.
The discussion provides practical tools for sexual healing, including an exercise in identifying "peak erotic experiences" (PEEs) from pre-addiction periods to map one's natural arousal template. Dr. Gaither explains the concept of "core erotic themes"—unfinished emotional business from childhood that manifests in sexual experiences—and how understanding these patterns can help reclaim agency over one's sexuality. Both hosts emphasize that diminishing sexual desire during recovery may actually signal healthy growth rather than dysfunction, encouraging patience as the brain rewires itself without chemical stimulation. The episode addresses common post-addiction challenges including erectile dysfunction, delayed ejaculation, and porn dependency, while reinforcing that 90% of sexual function originates in the brain and requires introspection beyond medical interventions.
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IG is @that_prostate_doctor
Tiktok is: @that_prostate_doctor
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Dr. Dallas Bragg
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