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Is It Addiction or Just Pleasure?

In this episode, we sit down with sex therapist Michael Vigorito to talk openly about the intersection of sex and substances — from alcohol and cannabis to crystal meth, MDMA, poppers, GHB, and ketamine. This conversation is educational, promotes health and safety, and does not promote dangerous or illegal behavior. We explore: When drug use with sex is preference vs. out-of-control behavior Why shame shuts down learning The role of trauma and “firefighter” parts (IFS) Consent, risk, and harm reduction And how to actually talk to a therapist about this without feeling judged This conversation is candid and explicit. If you struggle with substance use or boundary issues, listen with care. If you or someone you love is struggling with substance use: 📞 U.S. Substance Abuse & Mental Health Services (SAMHSA) National Helpline: 1-800-662-HELP (4357) Free, confidential, 24/7 treatment referral and information service. You can also visit findtreatment.gov for local resources. Michael Vigorito's Website: http://michaelvigorito.com/ ⏱ Chapters 00:06:43 – Meet Michael Vigorito: Sex Therapy & Substance Use 00:07:22 – Why Talk About Psychedelics & Sex? 00:08:30 – When Is It a Problem vs. a Preference? 00:11:31 – The Most Common Substances Used With Sex 00:14:00 – Crystal Meth, Cannabis & MDMA Differences 00:15:45 – Why Drugs Can Intensify Sexual Experience 00:20:08 – IFS “Firefighters” & Using Sex to Escape Emotions 00:22:51 – Can MDMA Be Therapeutic for Sexual Trauma? 00:26:49 – What Alcohol Actually Does to Arousal 00:28:05 – Cannabis and Sexual Sensitivity 00:30:19 – GHB, Disinhibition & Risk 00:33:10 – Poppers Explained 00:35:03 – Why Education Reduces Shame 00:37:19 – How Michael Got Into This Work 00:41:22 – Ketamine and Sexual Experience 00:43:07 – Consent, BDSM & Power Dynamics 00:48:42 – Sex Work, Drugs & Out-of-Control Behavior 00:51:26 – How to Find a Therapist Who Can Talk About This #addictionrecovery #drugsafety #personalgrowth