Recovery Alchemy with Dr. Dallas Bragg
My Story Free Course Meth-Free Blueprint EBook The Aftermeth Podcast Blog
← Back to all posts

Contingency Management

May 01, 2025
Connect

The first time I heard the term "Harm Reduction" was from a straight male meth dealer.

I was later in my active use when my mom brought me to West Virginia to get my life together.

This guy needed someone who could 'hit a vein,' and I needed free drugs. So, our relationship was transactional and chaotic.

(You'll have to wait for my book to hear more about that shit show.)

The first time we used together, I saw him lay out a case holding fresh needles, cotton swabs, and alcohol wipes. 

I watched in confusion as he prepared a needle for me. 

"What is this?" I asked him.

He went on to show me packets of fresh sterile water, how to prepare the site for injection, and then he ran the meth mixture through cotton.

I was confused. Is this how the straights do it? 

After years of intravenous meth use with hordes of gay men, I had never once seen any safety precautions used. 

He even introduced me to the local needle exchange, something I had never heard of. 

Perhaps this is only my experience?

But, why did it take a straight man to show me how to safely inject? Why were none of the gay guys doing this? 

I don't have an answer for this. But, for me, this experience was one of many showing me the stark differences in meth use characteristics between men who have sex with men and straight-identifying men.

This also showed me that we must provide harm reduction education and services to our LGBTQIA+ community. And today you'll hear about one of those services.

I'm happy to use this podcast as a platform to advance the cause. 

Enjoy today's episode with Tyrone Clifford! 


Listen to the podcast HERE

Watch the podcast HERE


Understanding Harm Reduction

Harm reduction isn't a separate approach to recovery—it's an umbrella that encompasses all approaches. Whether you're practicing abstinence or managing your use, you're engaging in harm reduction.

"Abstinence is harm reduction. What better way to reduce the harm than to abstain completely." - Tyrone Clifford, Program Manager of PROP at San Francisco AIDS Foundation

Key principles of harm reduction include:

Subscribe to keep reading this post

Subscribe

Already have an account? Log in

Loading...
Chemsex Recovery: Epiphany Phase
  "Eyes opening to new parts of yourself, realizing what has truly been driving you, seeing the world in a new way." Hey y'all, Welcome to Part 2 of the 12-Week Upward Spiral series. If you read Part 1, you know we started with the Honeymoon Phase—those first three weeks of electric resolve and dangerous optimism. If you're living it right now, I hope you followed the strategy and built your ...
100th Episode and Season 2 Finale: 7 Guiding Practices for Chemsex Recovery
A Note from Dallas One hundred episodes. When I started this podcast, I genuinely thought we'd run out of things to say. I could not have been more wrong. What keeps me going — what has always kept me going — are the messages from men all over the world telling me they listened to the podcast in their hotel room to keep from using, or that they put it on while they were coming down just to f...
Chemsex Recovery: Honeymoon Phase
  "Hopeful to try something new, excited about possibilities, new resolve to quit." Hey y'all, This is the first in a series of newsletters where I'm going to walk you through what I call the 12-Week Upward Spiral of chemsex recovery—a map I created after years of working with gay men in chemsex recovery and, honestly, after living through it myself. These phases are not backed by science; th...

Blog

© 2026 Coaching with Dr. Dallas Bragg | Website by LlanoMedia.com

Join The FREE Challenge

Enter your details below to join the challenge.