I have developed a formula that helps them to remember to do a read on the partners feelings and see things from her perspective. The formula is easy to follow because it only has 3 steps to follow. AVR-The Empathy Formula Practicing the A in AVR requires that you acknowledge the situation and accompanying pain. While the first few months of sexual recovery does require somewhat rigid boundaries, it is essential to help addicts negotiate the line between healthy sexual recovery and a healthy nurturing of self. Despite the negative consequences caused by their addiction, recovering addicts need to find ways to love and value the addiction. This serious period of healing from sex addiction and its underlying causes can last from one to three years. During this period, the addict gets intensive therapy, learns to take responsibility for her actions, deepens her relationships with her loved ones and learns to have a healthy relationship with sex. Although they may not understand the why behind the behavior, betrayed partners can gain answers that help provide clarity and make healing possible for them and the relationship. Daphne, a heartbroken partner, described her why questions as follows: What were you thinking? Was I the only one longing to share my life with you? We are already made holy by the finished work of Jesus on the cross. We are already forgiven, justified, and saved. But we are not yet fully conformed to the image of Jesus. We have not yet conquered sin entirely. We have not yet been perfected and freed once and for all from temptation to look at porn. Patrick Carnes calls this The Offending Cycle . As a result, antidepressants and cognitive behavioral therapy are a common treatment option for sex addiction. Bipolar Disorders as Symptom and Cause Bipolar disorder can be both a cause and a symptom of compulsive sexual behavior, as, untreated bipolar disorder may lead to behaviors consistent with sex addiction.