Supplemental Study Guide: https://www.recoveryalchemy.org/newsletters/blog/posts/psychosis
In this episode of The AfterMeth Podcast, Dallas opens with a raw recounting of his own experience with meth-induced psychosis — nine days without sleep, curled in a corner convinced his house was surrounded — before welcoming Dr. Patrick Lockwood, a licensed clinical psychologist based in Los Angeles who has spent his career working across every level of substance use treatment. Together they unpack one of the most stigmatized and least-discussed dimensions of chemsex: paranoia, hallucinations, and meth-induced psychosis.
Dr. Lockwood breaks down the spectrum of psychotic symptoms, distinguishes paranoia as one type of fixed false belief, and offers the grounding metaphor that intrusive thoughts and delusions function like reflexes — closer to a sneeze than a character flaw — which reframes the work from "fixing" the experience to skillfully managing it through distraction, reality testing, and reducing catastrophic thinking.
The conversation moves into deeply practical territory for men in recovery: how to set realistic expectations for brain healing, why patience and self-compassion matter more than timelines, when antipsychotics or beta blockers may help (and when they won't), and how to find support through professional care, telemedicine, or peer communities like Crystal Meth Anonymous.
Dallas and Dr. Lockwood also speak tenderly to the lingering trauma carried by men who experienced violence, abandonment, or terror while in psychotic states during use, and to those still trapped inside delusions without knowing it. The episode lands as both a clinical primer and a permission slip — a reminder for listeners around the world that they are not broken, not crazy, and not alone, and that healing the chemsex-affected brain is possible with time, support, and grace.
Find Patrick here:
Website: https://www.lockwoodconsultingsolutions.com/
My Twitter: @alobhapatrick
The AfterMeth:
Join our Facebook Community: https://www.facebook.com/groups/theaftermeth/
Dallas Bragg
Subscribe to our weekly newsletter: https://www.drdallasbragg.com/newsletters/blog
Facebook: https://www.facebook.com/drdallasbragg
Instagram: https://www.instagram.com/drdallasbragg/
TikTok: https://www.tiktok.com/@drdallasbragg
YouTube: The Aftermeth Podcast
X: https://twitter.com/Drdallasbragg
Free online course to End the Relapse Cycle: https://www.drdallasbragg.com/offers/e7c2Eo22/checkout
Meth-Free Blueprint EBOOK: https://www.drdallasbragg.com/offers/o8qFhK5i/checkout
