They may return to sex, over and over again, to experience the high of it despite negative consequences. Just like with other addictions, they may escalate their behavior over time. They may begin to engage in sexual behaviors more frequently or with more recklessness. Someone suffering from both substance abuse and mental health issues, including sex addiction, is defined as having a co-occurring disorder. Honesty is the foundation to recovery for any addict, and it's no different for the sexual addict. Healing does not occur if secrets are kept. Recovery will require a willingness and commitment to go the distance. The quality of recovery is directly related to how much effort is made to get well. We can never underestimate the power of prayer in the healing of addictions. The rush from pornography addiction or other types of sexual compulsivity is the way some users counteract feelings of inadequacy or emotional torment they may have experienced as a child or young teen. This research, and other studies, suggests that while many men reach a sexual peak in their 20s, those who began an addiction to pornography early in their teen years may actually experience the opposite; a loss of drive, interest and physical performance ability, along with emotional side effects like feelings of shame associated with sex. The simple answer is that relapse is defined as any sexual activity that falls outside of pre-determined boundaries. Sometimes people in 12-step recovery refer to acts that would constitute a relapse as "bottom-line behaviors". In addition to bottom lines , two other "lines" are helpful to understand. We encourage being authentic. We work with many couples for whom there has been lying and covering up of sexual and emotional betrayal. For couples who seek to heal these hurts, we know that there needs to be a new foundation built from telling the truth the whole truth. We call this process full disclosure. He did not act out because you were not good enough or not worthy of his love. You could not cause his acting out. A secondary gain of mindfulness is that over time, you can learn to be present with the uncertainty, which is a normal response that is manifested out of betrayal trauma in a manner that was not reactive driven.