Mitcham realised he was gay at an early age but felt ashamed of his sexuality. For years he pretended to be straight around teammates, and subsequently began resenting the sport.
"I was so scared of it that I would actually tie a rubber band around my wrist and every time I had a gay thought I would snap it, to try and associate pain and suffering with the gay thought. To try and train myself out of being gay," he said.
After briefly quitting diving, Mitcham made a comeback to the sport just 15 months before the Beijing Games in 2008.
The decision paid dividends, with Mitcham breaking an Olympic record to secure an unlikely gold medal in the men's 10m platform event.
The 20-year-old stunned local spectators by scoring 112 in his final routine, clinching gold from Chinese rival Zhou Luxin.
Having gone public with his sexuality in the lead-up to the Games, Mitcham cemented his spot in history as the first openly gay male Olympic champion.
However, Mitcham slipped into old habits after discovering he remained at No. 2 on the global rankings, abusing his body and developing an addiction to crystal meth.
"Knowing I would be drug-tested at every competition I would detox from drugs for the weeks before competing and I'd go through these horrible withdrawals," he told the BBC.
"They were so bad that I'd promise myself with every cell in my body that I was not going to use again, but I couldn't ever keep the promise.
"It got dark. My self-esteem was shattered, at times killing myself seemed like the easiest way to deal with this, but I finally took myself to rehab."
Mitcham has been clean since retiring from the sport in 2016, and last year married his British partner Luke Rutherford.
Alongside his famous Olympic triumph, he claimed a gold medal and six silvers at Commonwealth Games events in 2010 and 2014.
"I'm really happy with how my life is," Mitcham said.
"I've been hard on myself throughout my life, but I look back with kinder eyes now, and I'm proud of not only what I won but being able to do it all as an openly gay man, because of the oppression that is still felt in so many countries around the world.
"I'm pleased to have hopefully played a small part in that because visibility is so important."
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