In our work with couples and individuals, we talk a lot about needs. Often, because of mistaken understandings within our family of origin about needs and how to navigate needs within relationship, we have developed a way of being along a continuum. We may have learned to be needless and wantless (self-sufficient), or that your needs don t matter, or we may have learned to be somewhat needy (a passive requiring of others to do for me what perhaps I could sometimes take care of myself learned helplessness). But a visit to the dentist will most often make it just a memory after a few short weeks or even days. However, conditions don t want to go away despite our best efforts and intentions they seem to camp out in our lives, building and creating more and more disruption and pain not just to ourselves but often to those around us. You cannot possibly know the intensity of her feelings, but when you are able to look at what she is struggling with through her eyes, you are better able to assess what she needs. To the Partner: I recognize that the AVR formula will sound scripted and rote. I promise you he does not know how to empathize, so he must learn the skills before it becomes natural to him. In this case, the manic state is often caused by irregular brain chemistry. This is why mood stabilizers, antipsychotics and therapy are often an effective treatment option for those experiencing compulsive sexual behavior. By understanding how to recognize the occurrence manic episodes, the person is better armed to stabilize their sexual addiction as well. And this is reflected in our sexuality, and the way we look at and think about other people. 4. Holiness Means Dying to Sin The Bible uses the metaphor of death to describe a Christian s relationship with sin. This can be difficult to understand. What does it mean to be dead to sin? Among other things, dying to sin means taking practical steps to remove opportunities for temptation. My job is to help you use compassion so that you can surrender to what has happened to you and through compassion find an identity that is separate from partner betrayal. When you do this, you decrease reactivity and begin to trust yourself again so that you can appreciate who you are and your own intuition.