When the American Psychiatric Association made the bold decision not to include sex addiction in the DSM-5 (the Diagnostic and Statistical Manual of Mental Disorders, fifth edition), many felt the choice was controversial. Those against its inclusion argue that it does not meet sufficient diagnostic criteria and that pathologizing sexual behavior can have dangerous ramifications. Rituals can be anything from thoughts to behaviours that eventually lead to sexual acting out. Addicts need to identify their personal rituals so that they can intercept the addictive cycle before they act out. 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. Trusting a different therapist with the details of your relationship is no small thing. It takes a lot to offer trust and to earn it. Doing so after betrayal. Is a monumental feat. You don t need a therapist to make further demands! Your partner s struggles should not be depicted as unreasonable problems. People With Sex Addiction Often Suffered Early Trauma The cycles of behavior exhibited by people with sex addiction are often connected to traumatic childhood experiences, particularly attachment-related trauma that continues to impair their ability to form healthy interpersonal relationships. Attachment-related trauma can include physical, sexual or emotional abuse by a parent or caregiver. 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. You develop an improved sense of confidence that allows you to attune to the reality that the addict s behaviors affect you but are in no way, shape, or form because of you. To do that, we ll need to spend a bit of time understanding the early wounds that created our intimacy disordered behavior (addictions). So sex addiction recovery is about far more than one-day-at-a-time abstinence; it s real work we do on who we are, how we were formed and how we communicate with others.