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Supplemental Study Guide: https://www.drdallasbragg.com/newsletters/blog/posts/intervention

In this powerful conversation, Dr. Dallas Bragg interviews renowned interventionist Brad Lamm, who has conducted over 1,300 interventions and brings both professional expertise and lived experience with methamphetamine addiction. Lamm shares his journey of struggling with meth from 1986 through 2002, highlighting the profound shame and isolation that often accompanies addiction in the LGBTQ+ community—particularly for those raised in evangelical environments that pathologized their identities. The discussion explores harm reduction and moderation management approaches as alternatives to abstinence-only models, with Lamm emphasizing the importance of setting realistic, achievable goals that build self-trust rather than perpetuating the all-or-nothing thinking that often traps people in cycles of relapse and shame. He introduces the "more good, less bad" framework and stresses that with a 90% relapse rate in the first year for chemsex recovery, meeting people where they're at is essential.

The heart of the episode focuses on practical guidance for family members who feel helpless watching a loved one struggle with addiction. Lamm introduces his "invitational intervention" method, which challenges the traditional surprise-ambush model by openly inviting the person to their own intervention—a gathering where loved ones share what they've witnessed, their hopes, and their fears in a compassionate, non-judgmental way. He helps families distinguish between healthy and unhealthy codependency, encouraging them to audit the financial and relational costs of their current support patterns while creating boundaries rooted in love rather than punishment. Throughout the conversation, both Lamm and Bragg emphasize viewing addiction through the lens of brain chemistry and trauma rather than moral failure, offering families permission to trust that their compassionate intervention is unlikely to make things worse—and that if they're asking themselves whether it's time to seek help, the answer is almost always yes.

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