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Supplemental Study Guide:

https://www.drdallasbragg.com/newsletters/blog/posts/neurodivergence

In this episode of The AfterMeth Podcast, host Dr. Dallas Bragg welcomes New York City psychotherapist Brian Molloy for an in-depth exploration of ADHD and neurodiversity as they relate to chemsex addiction. Both a mental health counselor and a person living with ADHD, Brian brings firsthand experience as a person in recovery to the conversation. Together, they examine how ADHD's core features—including executive dysfunction, emotional dysregulation, impulse control challenges, and rejection sensitivity dysphoria—can intensify the struggles of addiction and recovery. Brian explains that people with ADHD experience emotions more intensely and may turn to crystal meth not just for sexual enhancement, but for the profound relief it provides from constant mental overwhelm, making the reward system even stronger than for neurotypical users.

The conversation moves beyond diagnosis to practical recovery strategies, emphasizing the critical need for structure, support systems, and compassion. Brian discusses tools like body doubling, ice therapy for managing cravings, and the importance of detailed scheduling—particularly during vulnerable periods. Both guests stress that people with ADHD in early recovery may need extra barriers and safety nets, as willpower and self-control are already compromised by the condition itself. A powerful theme emerges around reducing stigma: Brian urges the community to stop casually claiming ADHD without proper diagnosis, as this trivializes the genuine struggles of those living with it. The episode concludes with a call for the LGBTQ+ community to lead with empathy rather than shame, recognizing that individuals navigating both addiction and neurodivergence face compounded layers of trauma that require understanding, not judgment.

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