Meth and Sex Addiction - The 6-Step Brain Reset

In this video, consultant psychiatrist Dr Sanil Rege breaks down a 6-step roadmap to treat meth and sex addiction—a combination that rewires the brain and creates a uniquely challenging cycle of relapse.
Whether you're a clinician, in recovery, or supporting someone affected, you'll walk away with a dual-track model that targets both the neurobiology of addiction and the emotional reintegration of intimacy, without shame, moral judgment, or unrealistic expectations.

📚 Chapters:
0:40 Why Meth + Sex Is Different
2:52 The Two-Track Treatment Model
3:13 Medications that can help
4:47 Stabilisation Phase: Sleep, Nutrition, Safety
5:25 Evidence-Based Therapies and Group Support
6:06 Sexual Reintegration – A Phased Approach
6:56 What Clinicians Must Understand
7:19 Identity Repair, Pleasure Without Chaos
7:49 The 6-Step Recovery Roadmap
#MethAddiction #SexAddiction #Recovery #DualDiagnosis #AddictionRecovery #Dopamine #Neuroplasticity #MentalHealth #DrSanilRege #PsychiatrySimplified #PsychSceneAcademy #Chemsex #MSMRecovery #StimulantAddiction #Bupropion #Naltrexone #TraumaTherapy #AddictionTreatment #IntimacyRecovery #MentalHealthEducation #YouAreNotYourRelapse

💡 Key Learning Points:
🔹 For clinicians:
– Dual-track recovery: stimulant abstinence + sexual reintegration
– Effective use of bupropion + naltrexone
– Why standard SSRIs and psychedelics may worsen outcomes
– How to supervise countertransference, validate shame, and support identity reintegration in MSM clients
🔹 For people in recovery:
– Relapse ≠ failure — it’s feedback
– Why avoiding sex entirely can backfire
– How to gradually rewire desire through safe and mindful exposure
– What to expect in the first 90 days and how to rebuild intimacy without meth
🔹 For health optimisers and biohackers:
– Understand how meth + sex can spike dopamine up to 3000%
– Learn the role of executive fog, anhedonia, and visual dominance in relapse
– Explore why mirror work and somatic practices are tools for long-term healing

👨‍⚕️ About Dr Sanil Rege:
Dr Rege is a consultant psychiatrist and founder of The Academy by Psych Scene, which offers advanced clinical education for psychiatrists and mental health professionals.

Relevant Resources:

Related Videos 👉 Meth, Sex & Dopamine - The Pleasure Trap That Hijacks Your Brain
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