The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) does not acknowledge sexual addiction, but it is hoped that the next version of the DSM will acknowledge the congruence between behavioral and chemical addiction and include sexual addiction as a legitimate diagnosis. The almost impossible challenge we face is the fact that most addicts encounter it very young. Young people throughout the world become addicted before realizing what is happening. The age most people say they were exposed to porn ranges from 6 11 years old, some even younger. Pornography Primary Addiction Pornography Addiction Treatment Is DifficultHow would you feel if you saw a person holding a young child on the ground and injecting them with heroin? When I first began a journey toward recovery I intellectually understood the concept and need for surrender but found it difficult to get to the heart of true surrender. Until 1543, the accepted understanding of the universe put the Earth at the center with all other celestial bodies circling it. This thinking aligns with our instinctual tendency to see, and put, ourselves at the center of our universe. When I experienced this, in seconds, the person who I depended on and was deeply connected to went from being a source of support and companionship to being a source of pain, fear and deep uncertainty. My relationship, which had created a stable base from which I was able to operate in the world, was suddenly a rickety, wobbly mess. The addict acted out because he is an addict. He did not act out because you were not good enough or not worthy of his love. You could not cause his acting out. A secondary gain of mindfulness is that over time, you can learn to be present with the uncertainty, which is a normal response that is manifested out of betrayal trauma in a manner that was not reactive driven. has led to a new assessment model that differs in both its assessment and its methods of treatment for the spouse. Her studies conclude that on discovering sex addiction, spouses are more likely to suffer from post-traumatic stress disorder (PTSD) than co-dependency. Together with co-author, Marsha Means, MA, Steffens wrote a remarkable book on sex addiction and PTSD as it relates to her research.