In her What Your Therapist Really Thinks column for New York magazine on May 11, 2017, Lori Gottlieb responded to a letter from a reader wondering whether their husband might be having an affair. Gottlieb mentioned that whenever someone comes into her office to discuss infidelity, she wonders what other infidelities might be going on not necessarily other affairs but the more subtle ways that partners can stray that also threaten a marriage. 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. Someone suffering from both substance abuse and mental health issues, including sex addiction, is defined as having a co-occurring disorder. KeyStone Center ECU understands the importance of treating individuals with co-occurring disorders and takes this into consideration when developing an individualized treatment plan. To the Partner: My goal is to teach you how to become aware of your emotionality and identify what emotion is driving your mind state. 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. I wish that when I was going through the many rounds of betrayal I experienced that I knew then what I know today. More information would have helped me feel normal and I would have been able to be kinder to myself when my emotions and behavior felt out of control. At the time I did not understand the science and theory behind the way that we pair-bond and what happens when that attachment is damaged. He admitted that this problem started as a young teenager with no restrictions to television or the internet. In those early days of this heartache coming to light, there were multiple relapses, dishonesty, denial, and an eventual separation. Tangible Solutions In addition to the help of professionals, we needed a tangible solution to a problem with a very specific technological outlet.