As a professional counselor working in the sex addiction treatment field for more than 20 years, I want to make it clear: sexual addiction issues, like pornography and sex compulsions, are a chemical addiction. Brain Disease And Sex Addiction Treatment One ring to rule them all, One Ring to find them. The first is what I call a border line , which is any behavior that increases the risk of relapse and therefore must be carefully monitored. Borderline behavior isn t the same as a relapse but it can be the beginning of a gradual slide back to one. Finally, top lines are all forms of healthy behaviors that promote sobriety and good self-care. Or, more broadly speaking, this can be defined as: Dependence on the needs of or control by another.1 However, while in most addictions the assumption can be made that the partners are co-dependent, or at least the addict s partner had co-dependent behaviors, this is not necessarily so in the case of sex addiction. Sure, there is a strong argument for genetic predisposition, but not all people are genetically predisposed to addiction. Sexual addiction is not a cookie-cutter issue, so I feel it cannot be dealt with via thought extinction, complete behavioral abstinence and a pathologizing mindset. Later in this article, I discuss some treatment approaches that encompass both the similarities and differences of other addictions. It was the therapist that indicated his inability to surrender and heal was holding back recovery. Was this a special case? Sadly no, too often, many betrayed spouses receive this message. The additional emotional burden results in further confusion and harm. Both are unnecessary and further delay the betrayal trauma recovery the couple needs. A recovering addict who has accomplished these things and desires a healthy relationship may consider some factors for further readiness. Consider the following checklist: Is in active, engaged recovery and maintains a support group of friends, recovery partner(s) and sponsor Has grown more aware of his or her feelings and is able and willing to talk about them to others Has learned how to reach out to others when difficult feelings or cravings emerge, or when issues arise in close relationships Has acknowledged any co-occurring or crossover addictions and is working on them in recovery Has acknowledged any co-occurring mental illnesses that may be present and has sought help.