Addicts may feel hopeless and powerless in their situation, believing they have no control over their sexual thoughts and actions. Therefore, they get stuck in a loop of negative behaviors. Patrick Carnes calls this The Offending Cycle . As a result, antidepressants and cognitive behavioral therapy are a common treatment option for sex addiction. 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. Instead, it is to manage sexuality in manner that is safe, sane and healthy for them. This makes recovery for sex addiction more similar to compulsive overeating where the goal is to manage food appropriately, not stop eating altogether. For many people, a good definition of sexual sobriety is to engage in sex only with a primary partner when true emotional intimacy is present. Rituals could include things like fantasizing about having sex with a co-worker, imagining what your neighbour looks like without clothes on, arranging your schedule for some alone time with your computer so you can log in to porn sites uninterrupted. 3. Stopping fantasy Sexual fantasy is at the heart of sexual addiction and alone is enough to trigger sexual stimulation. We work with many couples for whom there has been lying and covering up of sexual and emotional betrayal. For couples who seek to heal these hurts, we know that there needs to be a new foundation built from telling the truth the whole truth. We call this process full disclosure. I (Debbie) work with wives and partners of men who struggle with being relationally faithful. Or, more broadly speaking, this can be defined as: Dependence on the needs of or control by another.1 However, while in most addictions the assumption can be made that the partners are co-dependent, or at least the addict s partner had co-dependent behaviors, this is not necessarily so in the case of sex addiction.