People often avoid even discussing sex and sexual problems, but this same approach should not be used when clinically treating problems in sexual behavior. I have mistakenly referred past sex addict clients to support groups in which they were shamed for having sexual thoughts and masturbating. This triggered relapse behavior and a general clinical regression. Why Mindfulness Can Help You Both with Uncertainty By Carol Juergensen Sheets LCSW, CSAT, CCPS-S, PCC You as the addict are working hard to create safety, which is a new truth. The mind is conditioned to create certainty, which is a survival mechanism. The traumatized partner s mind is on a perpetual search to find more certainty, which can lead to more suffering, and yet it is the survival skill attempting to keep the partner safe. 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. When the work has begun in earnest, and after real time has been put in, only then can healthy relationships stand a chance of developing for addicts. Abuse of stimulants and the intense sexual desire that can accompany these drugs can jumpstart a pattern of compulsive sexual behavior, and sexual addiction can also become a substitute addiction for people who are in the process of quitting an addictive substance. Nevertheless, the history of abuse that dominates the pasts of a large majority of sex addicts shows the strong correlation between this addiction and early trauma. Recovery Doesn t Mean No Sex Sexual abstinence is not the goal for you in recovery unless you choose to remain celibate, but that s purely your decision. Instead, the goal should be a pursuit of healthy sexual behavior and true intimacy. You should strive, then, to see authentic love. What If You Relapse? We recommend that full-disclosure be witnessed by a professional. As in all steps of healing, it is important that there is safety for everyone. Doing the right thing does not mean that it doesn t hurt, but with adequate support and love, hurt can lead to great transformation. It has been our research experience that virtually all of the couples we have worked with who go through disclosure will not only survive but thrive as a result.