It feels as if you are suddenly outside of yourself watching a movie, seeing yourself react and not feeling connected to your own body. International trauma expert Peter Levine explains that when we are confronted by a situation that our brain experiences as frightening, we automatically go into a freeze response. In this mysterious attachment, we actually start to physically operate as one biological organism. The book Attached: The New Science of Adult Attachment says, Numerous studies show that once we become attached to someone, the two of us form one physiological unit. Our partner regulates our blood pressure, our heart rate, our breathing and the levels of hormones in our blood. Bottom Lines, Border Lines and Top Lines All this discussion of sexual sobriety leads to the need to discuss exactly what constitutes a "relapse" in sex addiction. 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". 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. By understanding how to recognize the occurrence manic episodes, the person is better armed to stabilize their sexual addiction as well. Substance Abuse and Sex Addiction The connections between substance abuse and sex addiction, often referred to as pairing go back to the roots of the term sex addiction itself. Understanding these facts and the dynamic that hurt people can go on to hurt people can help a wife build empathy and can also help her to depersonalize his behaviors. She can hopefully hear in his story that these behaviors are not really about her, they are about much older and deeper pain. This is not an excuse for sinning; it is an opportunity to grow through pain.