Together with co-author, Marsha Means, MA, Steffens wrote a remarkable book on sex addiction and PTSD as it relates to her research. Readers reviews3 of Your Sexually Addicted Spouse2 indicate that the book offers the spouse an understanding of her trauma, supports her needs, validates her long-term suspicions, and serves as an important pillar of her healing journey. We are only in charge of one part of that equation - so to keep it clear and hearable there are some phrases to listen for in our conversation: I need to is really a should in disguise and I need you . indicates we still have to dig one more level down to discover what our need is. Neither of those first phrases point to our actual need. It took years for me to truly understand that this addiction is very much a physical pathway problem in the brain. The biggest struggle for my husband through this heartbreaking addiction was the concept of integrity and honesty. I firmly believe that true recovery is not even remotely possible until all the cards are face up on the table. Many adjustments will need to be made in order to overcome sexual addiction. Changes include giving up sexual fantasizing and flirting, changes in the way one dresses, getting Internet filters, joining support groups and entering therapy. Honesty is the foundation to recovery for any addict, and it's no different for the sexual addict. I hate it and want to kill it off, that is why I am here." As the other addicts nodded their heads, something in their attitude struck me as wrong. I realized then that it is impossible to "kill off" the addiction, and that hating and controlling the addict part of themselves could only lead back to shame and problems. 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.