Counselors can also receive training and specialized certifications in sexual addictions, such as the certified sex addiction therapist program at the International Institute for Trauma and Addiction Professionals, which was founded by Carnes. The bottom line is that if you have zero experience working with this population, you should refer accordingly and seek training if you want to work in this area. If he refuses help, you must follow through with consequences when boundaries are crossed. Boundaries are essential in healing a marriage affected by pornography use. Boundaries create a framework for both partners to take responsibility for their healing, rebuild trust, and foster a healthier relationship. Healing shame There is hope for recovery from sexual addiction. Recovery is a process that occurs over time. Recovery and healing are not one-time events. Sexual addiction takes many years to develop and will require time for genuine health to be restored. It s much like losing weight: it takes time to gain weight and will take time to lose it. For them, the question then goes to their need to heal and move forward from the wounds and trauma of betrayal. The Gospels record Jesus asking a total of 307 questions throughout His ministry. One takes place at the pool of Bethesda and is recorded in the Gospel of John, Chapter 5. Here, we are told of Jesus asking a paralytic, Do you want to get well? 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. Is willing to be forthright about STI history and willing to speak openly about a potential partner s STI history before sex Desires a relationship not out of need or desperation, but as a reasoned decision to add value to his or her life As the SLAA 12 Promises state: Love will be a committed, thoughtful decision, rather than a feeling by which we are overwhelmed.