3 Wonderful Life Events That Trigger Porn and Sex Addiction Relapse

Any porn addict will tell you how hard it is to stay away from porn.  In recovery the sex addict will work at identifying his or her most treacherous situations, circumstances and ritual behaviors that can be an engraved invitation to relapse.

Obvious triggers

The obvious triggers might include situations like being alone in a hotel room on a business trip.  There the deck is totally stacked against the addict: he is tired, bored, lonely, under pressure, and there is easy access to porn.  Other common life stressors like having your in-laws move in next door, a major illness or losing your job are also obvious stressors that can lead to cravings for an escape and can weaken the addicts defenses.

However, there are positive life events that are as likely, if not more likely, to trigger sexual acting out.  These are so common that the addict may not see them as posing a danger. Also they are generally so positive that no one would really want to escape form them.

Nevertheless, sex addiction therapists know these situations well and they can anecdotally support the fact that these happy circumstances are correlated with episodes of sexual acting out.

Three positive life events that trigger relapse

Each of the following circumstances can trigger relapse in its own way and for its own reasons.

  • Having children, no matter how much an addict welcomes the event, is a major life change.  It places stress on a relationship or marriage in a way that is challenging for an already intimacy-challenged addict.  Addicts fear they will not get their needs met under the best of circumstances and may be seriously stressed when their partner is less available.  Addicts typically experience abandonment fear due to early relational trauma and this may kick in as well.  And addicts are often quite narcissistic, meaning they may not take well to sharing the spotlight with a child.
  • Getting a promotion, getting a raise or otherwise gaining success and recognition add stress to the addict’s life.  Addicts are insecure to begin with and getting promoted may increase the demands and expectations of their work life.  This means increased fear of failure.  And the way addicts typically cope with insecurity is through escape.  Becoming more involved with work means the addict will have less energy for the relationship with a partner or spouse and may literally be gone more.  The resulting stresses for the couple can lessen the level of intimacy in an already intimacy challenged situation.  The addict may even use the new demands of work as a way to escape the interpersonal demands of relating.
  • Dating, or beginning to date again after engaging in sex addiction treatment is very problematic territory for a sex addict.  Very likely, the addict has never been comfortable with beginning and building a real relationship and may lack confidence and experience in conducting a normal courtship.  Addicts in early recovery will most likely bring their old addictive habits and fantasies with them into this new situation.  They may pick the wrong kind of person, someone who feels familiar but who mirrors their old acting out sexual fantasies.  The early relationships in recovery can become addictive in that they can be obsessive, dishonest or lack any firm basis in mutual caring and shared enjoyment.  They may also lack a future.  These old habits mean that a new dating relationship will also bring with it the addict’s same old fears and distorted thoughts an expectations.  This puts the addict back in an addictive mind set and can lead to further acting out and relapse.

The nature of stress

One definition of stress is: “A loss or the threat of a loss.”  Each of these three happy circumstances carries the potential for loss along with their many rewards.  The threat of a loss is inherent in any big change.  Even in a change for the better something will be given up in the process of change.

Find Dr. Hatch on Facebook at Sex Addictions Counseling or Twitter @SAResource

Intimacy After Sex Addiction Treatment: 5 Frequently Asked Questions

If you are in a relationship with someone who has been in sex addiction treatment you will have a lot of legitimate confusion and uncertainty.   Here are some of the questions I have heard most frequently.

Has he told me everything?

There is a serious chance that a sex addict who is in pretty good recovery may be holding back, some big or little fact about his sex addiction history.  As much as we would like for sex addicts in treatment to disclose everything that is relevant, there may be some information that they feel they simply cannot reveal, or at least not yet.  There is bound to be some residual shame about their addictive behavior and some fear that a particular fact would be a “deal breaker” for you.  If you can be non-judgmental and supportive, the addict will eventually feel safer telling everything.  But if you want to know it all, you should let the addict know that the whole truth is important to you.

Can I trust him not to cheat on me?

If having extra-curricular affairs was one of the addict’s sexually addictive behaviors, and assuming he has committed to avoiding this behavior then you probably can assume that he will not go out and start another affair.  But there is a caveat.  Addicts in recovery often find miniature ways of acting out their old behaviors.  He may flirt excessively, he may contact an old girlfriend online or he may have work relationships with women that are “just friends.”  These are things that are not a good idea for a recovering addict as they are ways of sneaking around the rules to get a “hit,” not to mention they will drive you crazy.  Someone he trusts needs to point this out to the sex addict when it happens because he will be unlikely to see it on his own.

Will he enjoy sex with me?

Your sex life may be perfectly fine.  However, for some addicts it is difficult to adjust to sex with a partner once they have stopped using sex as a “drug”.  The addict may even become sexually avoidant to some degree.  Sex with a partner can initially seem uninteresting to an addict who is used to the adrenaline rush of acting out.  And the addict may have insecurities about whether he or she will be sexually adequate, insecurities which were always there but which were submerged in the addiction.  The addict may be tempted to bring some addictive fantasies into your sex life, familiar thoughts and behaviors and role-playing that the addict found arousing in the past. This can be totally OK (if it’s comfortable for you both) but it can also be slippery territory for the addict; it is a judgment call and it’s important to talk about it together.

What are the signs of relapse?

The signs of possible relapse are many, but one of the most obvious is the addict’s letting go of his or her commitment to their recovery and continued growth.  Lessening of the total devotion to sex addiction treatment may be expected, but if the addict becomes too cavalier about being “cured” he may be at risk.  Another problem area is that of other addictions, which may surface and lead back to the sexual addiction.  Addicts may drink more, get too wrapped up in work or engage in other activities addictively.   If the addict begins using another substance or behavior as a drug this can lead back to sexual acting out.

Will we be able to feel intimate?

Regaining trust and intimacy is a long process.  It is necessary to be very patient and supportive with one another and not to panic.  Sex addiction is often called an “intimacy disorder” and this means that sex addicts have to gradually learn how to express things like nurturance and devotion.  Over the long haul, sex addiction treatment involves learning  how to be honest with a partner and how to feel safe being who you are, with all your imperfections and fears.  This level of honesty will ultimately lead to a closer, safer bond for both of you.  The addict (and you) will come to feel that you are going to be OK even if the relationship should end and that it is necessary to stop hiding and lying even if it means you risk everything.  I like the saying that your love should be unconditional, meaning you don’t have to sit in judgment, but that whether you choose to stay in the relationship is conditional.

Sex Addicts Need Healthy Narcissism

We are all getting pretty good a spotting unhealthy narcissism.  This is the narcissism that is often characteristic of sex addicts and that represents a kind of façade or false self.  The person is grandiose and self absorbed but underneath they feel unworthy and are deeply insecure.

The thing that distinguishes unhealthy narcissism is the lack of an underlying sense of self worth.  The person has a brittle narcissistic defense system which crumbles when the person gets negative feedback or when they are shown up or thwarted.  When the bubble bursts in this way, the narcissistic addict responds either with rage or with an orgy of self hatred, which can even turn suicidal.

The sex addict with a narcissistic defense system feels “I have to be the greatest or it’s all over.”  They are either feeling contempt for everyone else or they are feeling contempt for themselves.  These are two sides of the same coin.

What is healthy narcissism?

Healthy narcissism is not the same as self-esteem.  As I have argued previously, the concept of self-esteem involves judging ourselves, usually from the perspective of what others might think, and often from outward traits and accomplishments.  Self esteem, like unhealthy narcissism, is either high or low.

  • Healthy narcissism has no opposite.  It is an abiding feeling of inherent worthiness and value.  You may succeed or fail, you may do something you regret, and you may even decide to work on your issues and change, but you still feel OK about being you.
  • You feel good in your body and enjoy using your body for activity and pleasure.  You can even enjoy looking good, dressing and decorating your body and can do so without judging yourself or feeling self-conscious.
  • You have the ability to protect yourself from that which is harmful or dangerous to you.  You have an essential sense of your own emotional and physical integrity.  This in turn is a feeling of empowerment and safety in relating to people.
  • You are OK with your successes.  You are neither ashamed of them nor do you let them define you.  You don’t limit yourself from doing as well as you can do and reaching the heights that you can reach in terms of fulfilling your destiny, making money or whatever to try to do.  You don’t feel guilty about getting ahead.

Couples confronting sex addiction need healthy narcissism

Both partners in a couple need be narcissistic in a healthy way.  Particularly when confronting sex addiction, both partners will need to regain their sense of their own value and their own right to feel safe and empowered.  Regaining a basic sense of self worth supports the couple’s recovery.

  • Shame is a key feature of sex addiction for both partners and overcoming shame will involve feeling that although something you did was wrong or something that happened was wrong, you are not wrong.  You are worthwhile and not deserving of shame.
  • Couples in recovery need to learn to maintain boundaries that may never have been there to begin with.  Healthy narcissism means protecting yourself , feeling that you have the right to ask for what you want, and being assertive instead of aggressive.
  • Overcoming sexual addiction means learning to enjoy yourself physically to the fullest.  Caring for your body, enjoying your body and enjoying your sexuality will be growing over time in recovery for both partners.

Sex addicts in recovery will be engaging the world in a more confident way as their negative core beliefs about themselves subside.  This may take many forms but will often involve feeling entitled to fulfill your potential, feeling confident in situations that used to intimidate you and feeling important, not because you are superior but just because you are you.  Oh alright, you can go ahead and pat yourself on the back for all that great progress you’ve made!

Predatory Flirting and Intriguing as Sex Addiction Symptoms

When I first heard the term “predatory flirting” in connection with  sex addiction symptoms I was taken aback. Predatory sounds like something criminal, but flirting seemed so normal and harmless. But the term describes a symptom, a behavior, which is characteristic of certain sex addicts.

Who engages in predatory flirting?

One type of sex addict, dubbed the Seduction Role addict by Patrick Carnes, is particularly likely to engage in a lot of flirting.  The seduction addict gets his “fix” by getting women interested in him sexually or romantically.  The seduction is everything.  One seduction sex addict told me that the real high was the first kiss.  After that he would begin to lose interest and start looking for the next conquest.

The related concept in describing sex addiction symptoms is “intriguing.”  Like flirting, intriguing is a way to create a feeling of private, personal intensity.  It is a way of establishing through some subtle means such as coded comments, private jokes or pointed eye contact, that you and the other person share a connection that no one else is a part of.

Other sex addicts whose preferred behavior is serial affairs have flirting and intriguing as sex addiction symptoms.  They may use flirtation as a way to line up their sexual supply.  They follow through with the sexual liaison but can only take things so far.  A real relationship is frightening and overwhelming.  The addict will find a way to end things and move on to the next affair.  Many serial seducers are married and are investing most of their sexuality in their secret life.

Sex addicts who are addicted to romantic seduction and affairs are driven by the need to constantly re-establish their attractiveness to the opposite sex.  They are as insecure as most other kinds of sex addicts and often feel that their sexual attractiveness is all they have to offer.  They fear that if they do not hook people sexually then there will be no reason for people to be around them.

What does predatory flirting look like?

Normal flirting is a casual and tentative way of initiating contact that may become romantic.  It is the first step in a possible courtship and lets someone know that we are potentially interested.  It involves saying things that are more personal, intense, suggestive or flattering than we would say to just anyone and then if there is a response, following up with real attempts to get to know the person better.

Smoke and mirrors

When it is predatory, flirting is intense but not sincere.  It is designed to capture the person’s interest and attraction but it is not backed up by any genuine interest.  Rather it is just a habitual way that the addict approaches anyone in a broad category of target people.  It is almost automatic, a default position which represents the addict’s safest way of relating.

Wholesale sexualizing

If you know the seduction sex addict well and you observe them flirting, you will see that they are rather indiscriminate in who they flirt with.  They want to captivate everyone, from the waitress to their mother-in-law.  Also, they will begin flirting right away with someone who is attractive looking even if they don’t know them and will never see them again.

Deniability

Another feature of the seduction addict’s predatory flirting is that it is eminently deniable.  It is throwing out a lure while and the same time pretending that there is no such thing going on.  It is suggestive of something but it is hard to pin down, and this vagueness is frequently a part of predatory flirting.

One type of predatory flirting involves being over-attentive or caring toward a woman.  This suggests that the addict has a real interest in her and also that he is a caring and generally good guy.  This may be a consciously seductive scheme or not.  But often the woman will get interested in this “nice” guy and approach him back only to be told that she has misinterpreted the situation.

Intensity without intention

The predatory flirter will throw out seemingly suggestive comments designed to create a feeling of connection with not other intention than to get the woman’s attention on him. I observed a seduction addict I know run into a woman whom he had seen once before somewhere.  She remarked that it was a coincidence to which he responded: “There are no coincidences.”  It is the initial stage of the empty seduction, the attempt to create a feeling of intensity without intention.

Why is this process predatory?

The addict’s lack of intention or ability to follow through in establishing a relationship with his target women are not just sex addiction symptoms in the abstract.  What the behavior means is that he is being exploitive and insincere.  He is using his ability to hook the woman into thinking he is interested in her when in fact he is using her to get an addictive hit, to make himself feel attractive.

This kind of seductiveness and compulsive flirting is a distortion of what flirting is really for.  It is a symptom of a problem that underlies most sex addiction: deep insecurity and the fear of intimacy.   Find Dr. Hatch on Facebook at Sex Addictions Counseling or Twitter @SAResource

Partners Need to Know the Secrets and Lies of Sex Addiction

People generally do not want to disclose their sex addiction to their intimate partner.  And yet in sex addiction treatment we believe that couples cannot begin the process of recovery as long as the addict is still keeping secrets or telling lies.  Hence the saying in treatment circles:

“Tell it all, tell it soon!”

This is not to say that we cannot have a private inner life or that we have to tell our spouse or partner everything we think or do.  But telling the truth about sex addiction is an essential part of recovery.  It is essential for the addict, for the partner and for the relationship.

When disclosure is not necessary

Disclosing the full extent of a sex addiction is not generally advised when the couple are planning to divorce or separate.  Couples in the process of separation and divorce are dealing with a lot of emotional and real life upheaval.  The disclosure of the details of sexual betrayal may be detrimental to the process of separating.  It can fan the fires of resentment and conflict around settlement and custody issues.  Often a partial disclosure has taken place which is part of the reason for the divorce.  Disclosure can add to the traumatization of the partner who already feels betrayed, without serving any useful purpose.

Disclosing to a partner is often partial and disorganized

Partial disclosure, or disclosing in “stages,” is the norm although it is not considered a good idea.  The addict feels the pressure to come clean but wants to hold back some facts about the sex addiction, usually those that are most damaging or shameful.  The addict who has been partially found out is in a crisis state and is most often very afraid of abandonment by a partner.  The feeling is that if the spouse or partner knew everything they would surely leave.  This is not necessarily a true or rational idea.

However, full disclosure sets the stage not only for the addict to begin a new way of living but for the relationship to begin on a new basis of honesty and trust.  Every time another little piece of information about the addict’s past behavior trickles out it makes the partner feel like it is just more than they can take.  This is because the partner feels the dishonesty may have no end.

The commitment to truthfulness going forward

Holding on to secrets is a sign that the addict is not in very good recovery.  “Rigorous honesty” is considered to be at the heart of the 12-step model of addiction recovery.  There is a level of self hate and shame in the addict who feels he cannot be honest.  He is continuing to act on the core belief that if someone really knew him they could never love him.  It is a way to hang onto control but it is unfair.

Dishonesty about who we are sexually is a way to keep ourselves apart from our partner.  It is a fatal barrier to true intimacy, which involves allowing ourselves to be known.  It also gives the addict unequal power.

To the partner, the fact that they do not know what is going on or has gone on means that not only do they not know their addict partner very well but they do not have a view of their life that is based in reality.  Partners cannot find contentment and happiness if their reality is being manipulated by someone else.

What not to disclose

The optimal way to disclose the facts of a sex addiction to a partner is thought to be through a “planned disclosure.”  This is one where the couple prepare separately with their counselors and carry out the disclosure in the presence of a treating professional.

As part of the preparation, the partner or spouse will decide what it is they want to hear.  This is very important.  The addict may want to tell more than the partner wants to know.  The addict will have to take direction from the partner as to what to disclose.  For example, the partner may or may not want to know how many times the addict did a certain thing, or with whom, or what the details of the act were.

Planned full disclosure may be the ideal, but people are human and it is often not that neat.  We need to accept that both people may be afraid and mistrustful.  The addict may try to get away with holding onto a few key pieces of information our of fear, and the partner may resort to spying on the addict’s email in order to deal with the crazy-making feelings of mistrust.

But even if it is not perfect, the disclosure must take place for the relationship to survive and thrive.

Is it Possible to Recover from Sexual Addiction?

The concept of “recovery”

I have seen many sex addicts recover from an unhappy, lonely, self-destructive pattern of behavior in their sexual addiction and go on to not only rebuild their lives but to reach greater heights than they ever imagined.

Yet there is a tradition in the addiction field of viewing addictions as in some ways similar to “chronic” mental illness and chronic medical conditions like diabetes; conditions that require ongoing care and can be managed successfully over time.  This implies that there is no “cure,” that there may be periods of relapse and that there is no end point to recovery.

Current thinking about sexual addiction has moved beyond the earlier more limited concepts.  See a recent review of the history of the concept of recovery in mental health and addiction.

Recovery from sex addiction

Recovery from sex addiction is considered today to involve much more than abstinence from the sexually addictive behavior.  It involves a long term process of years rather than weeks or months in which the addict will make many positive changes in his/her life and functioning and in which abstinence is merely a first step along the way.

Sex addiction is viewed in the larger context of a problem with intimacy in general, usually relating back to a relational trauma of some sort during childhood.  Treatment involves resolving the underlying trauma issues and building up the life competencies that have been compromised.

Sex life in sexual addiction

The sex life of the practicing sex addict looks very different from that of the addict in recovery.  The sex life characteristic of sexual addiction is:

  • Compulsive in that it involves preoccupations, cravings and urges that defy control
  • Compartmentalized in that a chunk of the sexual life of the addict is separate from the addict’s intimate life i.e. the addict leads a double life
  • Secret in that the behavior characteristic of the addicts sexual addiction does not square with the rest of the addict’s life and the face he presents to the world, and
  • Used as a drug in that the hyper-arousal characteristic of the addictive behavior serves to distract, numb or otherwise escape from negative feelings
  • Does not usually involve a real relationship although the addict may fantasize a relationship with a stripper, a masseuse etc.

Sex life in recovery

In recovery the sex addict will be able to integrate his sex life and his “regular” life instead of keeping them separate.  This implies that the recovering addict will be:

  • Less narrow and rigid in sexual preferences and fantasy scenarios
  • Less compulsive about sex, meaning less preoccupied with seeking sex and less obsessed with sexual cravings
  • More relational and less isolated in sexual activity (e.g. sex with a person vs. porn only)
  • Less selfish, in that he will be less focused on himself and his gratification and more able to focus on a partner and
  • Able to give up the “hyper-arousal” of addictive sex in which sexual excitation is used as a drug

Long term benefits in recovery from sex addiction

Not only can the recovering sex addict have a richer, less destructive sex life, but he or she will throughout the time of recovery make many other changes as well.  If recovery continues to be a process of overcoming past fears and insecurities through active participation in treatment, therapy, support groups or a combination of these, the addict can grow in many ways over a period of 3 to 5 years and beyond.

Some of these areas of improved functioning are internal, and some have to do with relationships and general levels of functioning.  The addict in good recovery will show improvement in

  • Empathy for others
  • Less narcissistic attitudes
  • Greater feelings of overall comfort
  • Improved self-care
  • A commitment to honesty
  • Greater ability to be responsible and nurturing as a partner and parent

Addicts in recovery can expect to learn many life skills they never had before, such as the ability to set appropriate limits and boundaries, to stick up for themselves, and to set life goals and achieve them.

So where does it end?

These are pretty hefty promises but I have seen them fulfilled.  You might ask “So why do we keep on talking about ‘recovering’ addicts instead of ‘recovered’ addicts?”  Perhaps addicts feel the need to be vigilant about habits that may still be deeply buried in their “lizard” brains.  Perhaps it is just a leftover tradition from the founders of AA.  For the time being we could just think of it as a way to stay connected to a fellowship and a reminder to us to give back.

Sex Addiction Treatment and Forgotten Childhood Trauma

Many people in sex addiction treatment or recovery programs can remember and talk about their history of abuse or trauma.  But sometimes recovering addicts have all the outward symptoms of having had traumatic childhood experiences but they don’t remember being traumatized or mistreated in any way.

Sometimes  people in sex addiction treatment feel certain that “something must have happened to me” and though they rack their brains they cannot remember anything that they can label as abusive or traumatic.

We who work with sex addicts assume that there is always going to be a history of  some problems in relationships with caregivers which lead to  an insecure, avoidant or disorganized attachment style later in life.  This problem with close relationships relates directly to  sexually addictive behavior and is why we think of sex addiction as an intimacy disorder.

Often addicts will go in for EMDR (eye movement desensitization and reprocessing) or somatic techniques in an attempt to connect with forgotten memories, and many claim this helps.  And sometimes the abuse happened before the child learned to talk, which means that there is no way to remember it in words.

But just as often the traumatic events are there but are simply not recognized as such by the addict.

Why people can’t see their traumatic childhood

First and foremost, many people have a mistaken notion about what constitutes childhood trauma.  Infants and children need consistent nurturing, closeness, touch, connection and love in order to develop as strong, stable normal adults.  The absence of this kind of closeness and support does not allow the child to develop normally.  So people in sex addiction treatment need to look at the kind of relationship they had with their caregivers and at what was missing in that relationship.

Many addicts were not held enough as infants, were not soothed enough or were left alone or with strangers.  These things are traumatic to the developing child.  As children many addicts experienced abandonment, were sent away, or were devalued or rejected by their caregivers in some way.  All of these things constitute abuse and lead to problems later on.

Most people whether they are sex addicts or not tend to idealize their family and their early life, or at least to minimize the hurt or deprivation they suffered.  Growing up we need to see our parents in a positive light; it is part of what helps us get through childhood.  We want to trust and look up to our parents and it is very threatening for a child to think anything bad about their parents.  This leads to a tendency to idealize our childhood even in the face of evidence of stressful and traumatic experiences.

Add to this the fact that most of us resist seeing ourselves as “damaged.”  If we are survivors, we have come through a lot and we want to see ourselves as basically OK.  This makes it all the harder to understand our early life.

How to connect with childhood trauma

In addition to understanding the biases described above, it is important to understand that people do not have to remember major horrible events in order to connect with their trauma history.  Very often we already know everything we need to know but we have not looked at it closely enough.

Much of the work of uncovering our traumatic past history involves looking at events that took place and reinterpreting what was going on in light of what we now know as adults.  What seemed like our parents having high standards for us may turn out to have been a way they put us down or conveyed negative expectations about us.  What we saw as encouraging self-reliance or being given a lot of freedom may have been a form of neglect.  And what we took for bonding may have been invasive or inappropriate.

It will be important to go back and look at what were vivid memories or recurring themes in childhood and look at them with fresh eyes, critical eyes.

What I hear over and over is “well, they did the best they could!”  People don’t want to blame their parents or caregivers or seem ungrateful.  But it goes without saying that our parents did the best they could.  That does not help us unravel our own issues.  In sex addiction treatment we need to look at what went wrong as much as, or more than, what went right.  This is the real eye opener.   Find Dr. Hatch on Facebook at Sex Addictions Counseling or Twitter @SAResource

How to Get Your Spouse into Sex Addiction Treatment

As a porn and sex addiction therapist I am often contacted by the spouses looking for sex addiction treatment for their partner.  I will look at the reasons for this and give my views on why the role of the spouse or partner is important in getting treatment for the addiction.

Why partners do the initial reaching out for help

  • The sex addict usually resists treatment for the same reason any addict does—part of them would really like to keep doing what they are doing no matter what the consequences are.  Hence it is easier to let the partner do the leg work of finding help.  At this early crisis stage immediately after disclosure the addict will be inclined to say they want help but will not want to be proactive in seeking out what might actually be an effective intervention.
  • The spouse of partner of the sex addict may be the one who is experiencing more of the distress in the situation.  The addict will surely be feeling shameful and remorseful when the addiction is disclosed, but this is nothing compared to the trauma of the betrayal usually experienced by the partner.  This in turn motivated the partner to go into crisis mode and begin trying to find solutions.
  • The sex addict may resist being the one to reach out for sex addiction treatment because he is too embarrassed to call up and admit to a stranger that he has these problems.  I often hear this discomfort in the voices of addicts who do call me and I hear them groping for a way not to have to state the problem directly.

Why the partner’s role is so important in getting help

Most often a sex addict or porn addict is in the grip of a strong compulsion to “act out” in their addictive behavior, whatever it is; porn, sexual hook-ups, infidelity, prostitutes, online sexual encounters, etc.  They may engage in this behavior frequently or less frequently, but the main point is that they are doing it addictively, meaning they are leading a separate sex life, they cannot stop, it is going to escalate over time, and it will have negative repercussions for their life and relationships.

The untreated sex or porn addict is in a state of denial.  Very often it will take some force from outside to get his attention and to convince him to get some serious treatment.  That force may come in the form of getting in trouble with the law, losing a job, or losing a marriage.  But whatever it is it will exert the necessary pressure on the addict. 

When spouses and partners discover a sex addiction they are in a unique position to use the crisis to force the addict to get help.  Addicts tend to panic at the thought that they will lose their wife and possibly alienate their children.  The spouse needs to recognize that very often they and they alone can lower the boom on the addict and cause an effective intervention.

Spouses should not expect that the therapist, even the most expert therapist, will be able to force treatment on an addict.  In the simplest terms, the therapist has no ammunition compared to the spouse. 

What the spouse needs to do

Spouses and partners seeking sex addiction treatment should be prepared to draw a line in the sand about the need for the addict to get help.  They need to say that they will live with a recovering sex addict but not with a practicing one.  And they need to mean it, in other words they need to be prepared to separate if there is inadequate movement.

Spouses need to be realistic about the kind of help that is required.  Often sex addicts will promise to quit, attend a few 12-step meetings, engage in an online program, install blocking software or get some couple counseling.   Sometimes addicts try to convince their partner that the addiction is really the partner’s fault, which it never is!

These can be ways to diffuse the situation while still having no real motivation to change.   A serious sex addiction requires a serious treatment program, often a one or two week outpatient intensive or a four to six week residential program followed by active12-step participation, and follow up therapy. 

Ultimately the addict will have to become engaged in their own recovery for it to work.  But the initial impetus can often come from the desire to hold on to a partner.  And in the long term, the relationship can get on the right track if both partners are engaged in recovery both separately and as a couple.  Find Dr. Hatch on Facebook at Sex Addictions Counseling or Twitter @SAResource

Treatment for Partners of Sex Addicts: The Fallout and the Recovery

When a partner discovers they are in a relationship with a sex addict they are to a greater or lesser degree in a kind of post traumatic state of shock.  This means that they may not be able to sort out what they are feeling very well.

Often the first reflex is to be angry and want to reject the addict.  But I have found that the partner or spouse will usually realize that the addict has a serious problem and begin to do the leg work of finding the right kind of help.

Sometimes the partner will be interested in participating in the addict’s recovery and sometimes not.  Often the partner will be on the fence about whether they will be able to stay in the relationship.  There are many different kinds of responses to this crisis and many different ways of coping.

Some common reactions

Some spouses and partners focus too much on the addict.  They go into an emergency mode in which they concentrate their energy on the addict’s need for help that they neglect their own needs.  The feeling is to get this problem solved as fast as possible and get back to “normal.”  But the treatment for sex addiction will of necessity change the people involved in some profound ways and will therefore mean that the relationship will not go back to exactly the way it was.

Getting help for a sex addict partner is not like helping a partner get through knee surgery.  It involves the addict getting help with problems relating to intimacy.   A relationship that was one of dishonesty and compartmentalization becomes one of openness and trust.  This big picture is usually hard for either partner to discern at the outset.

Some partners feel an urge to explain away the addict’s problem.  They feel very invested in what they may think was a great relationship and don’t quite know how to adjust to the idea that there is a major problem.  One way to attempt to get clarity  is to blame themselves or other circumstances, such as a separation, a pregnancy and so on.  “If such-and-such hadn’t happened then my partner wouldn’t have felt X or Y or Z and he wouldn’t have needed to engage in sexually addictive behavior.”

But the addict does have a problem and the fact that a life stressor caused it to escalate does not mean that it is not there.

Sometimes partners are so angry at their spouse or partner that even though they do not immediately decide to leave the relationship they try to completely shut out the problem.  They say in effect: “I’m fine, you’re messed up and you need to go get fixed.”  Meanwhile, their thinking goes, I will just get on with my life, and if you get better then we’ll be a couple again.

This is also a natural response but the fact is that although the addict’s recovery is not the partner’s responsibility, the partner does have to face up to what has happened to the relationship and to the impact that it has had on them.  Eventually partners of sex addicts need to be able to recognize that the kind of betrayal they have experienced is not a small matter and that it is OK to be vulnerable to being hurt and OK to get support.  We are human and we need to be able to trust those we love.  And because we are human our loved ones can hurt us. This means we deserve help too.

What kind of help do partners and spouses need

The kind of support that partners need and want varies enormously.  I have seen spouses so devastated by sexual betrayal that they wanted and needed a residential treatment program of their own.  Other partners find it useful to get therapy with a sex addiction counselor for themselves.  They need to better understand the nature of sex addiction and the fact that they didn’t cause it and they can’t cure it.  They may need to learn to set boundaries, communicate their feelings more clearly and sort out, bottom line, what they are willing to accept and what they are not.

Most spouses and partners benefit from the support of other spouses and partners of sex addicts who are dealing with the same experiences.  This can take the form of group therapy, 12-step programs for partners of sex addicts or co-dependents generally, on online resources for educational information and websites by and for partners of sex addicts.

It is surprising how many couples survive sex addiction and go on to thrive.  The research has indicated that the participation of the spouse or partner in the process of recovery at an appropriate time is key to this success.  Both the addict and the partner need to get the right kind of help and then they need to work together to rebuild their relationship.  Find Dr. Hatch on Facebook at Sex Addictions Counseling or Twitter @SAResource

Do You Have Healthy Boundaries in Your Relationship? Take the Quiz

Boundaries are a necessary part of any intimate relationship and of relationships in general.  They are guiding principles that I have which determine how I behave; what I will do and refrain from doing.  As such they are part of the definition of “me.”  For example setting a boundary that says “I will tell my partner if I have engaged in my addictive sexual behavior or if I have come close to it” defines me as “honest about my sexual behavior.”

Without boundaries I have no solid sense of myself. 

Without a solid foundation to who I am I cannot hope to weather strong emotional upheavals or protect myself from destructive situations.  In this case “me” becomes very vulnerable to what people say and do to me, to the momentary problems that crop up and therefore I cannot regulate my emotions.  I am likely to respond reflexively, unconsciously or on the basis of old “scripts” from my past.  I am a slave to my irrational thoughts and feelings.

Boundaries help keep me emotionally regulated

If I am emotionally dysregulated (meaning that I respond with excessively strong emotions and that I take too long to get back to baseline) then I have diminished self-efficacy.  I will be less effective at getting my needs met in a relationship or in life in general.  I will be vulnerable to the urge to grab hold of anything that offers some way to get back into emotional equilibrium, i.e. my drug of choice.

Boundaries in relationships: the quiz

The lack of boundaries can wreak havoc on relationships.  Boundaries are essential to the ability of the partners to meet their own needs and relate to each other in a calm, open and rational way.  Without boundaries I may become overly combative or overly compliant with my partner. I may allow myself to feel controlled and victimized.  Or I may try to control the other person or “fix” them.

The following will help you look at your own boundaries or lack of them. Granted these items are somewhat arbitrary and there are a lot of different ways to describe the same processes.  See for example David Richo’s Maintaining Personal Boundaries in Relationships (The California Therapist July/August 1990.)  Look at the statements below and check those that apply to you.

  1. I often excuse or try to ignore behavior that is really unacceptable
  2. I go along with what my partner wants to keep the peace
  3. I get obsessed with what my partner is doing wrong
  4. I try to find roundabout ways of getting my partner to change
  5. I feel guilty about claiming my right to privacy and alone time
  6. I do favors I don’t want to do just because I am asked
  7. I don’t know how to avoid drama and blow-ups
  8. I stay in relationships that are probably hopeless
  9. I am afraid of disagreeing or doing something my partner won’t like
  10. My self esteem goes up or down depending on my partner
  11. I try to be perfect and not show vulnerability
  12. I have to feel “needed” in order to be in a relationship

Building better boundaries

If you check any of these statements you may need to think about the need to look at your lack of boundaries and work with someone on building better, healthier boundaries.

Having good boundaries is learned in childhood or is not learned properly.  The process of getting better at setting and keeping healthy boundaries involves looking at your early experiences that may have made us feel unwilling or unable to stick up for ourselves.  For example you may have had a family situation that discouraged or punished you for asking for what you needed or expressing your feelings.  You may have had experiences that left you with abandonment fear and insecurity about whether you can put your needs first.