Throughout my career, I have spent innumerable hours on porn and sex addiction treatment, treating individuals and couples with chemical dependency addictions like alcohol, heroin/opiates, cocaine, methamphetamine, marijuana, etc. I feel qualified to speak about addiction treatment and about what I have witnessed and claimed from a clinical therapeutic perspective that pornography addiction is the primary addiction of them all. Doing the right thing does not mean that it doesn t hurt, but with adequate support and love, hurt can lead to great transformation. It has been our research experience that virtually all of the couples we have worked with who go through disclosure will not only survive but thrive as a result. It is our prayer for all of you who are stuck because truth has not been completely shared, that God will lead you to professionals who can support your full-disclosure. In fact, attachment researchers talk about the paradox of attachment saying, The more effectively dependent people are on one another, the more independent and daring they become, (Attached). So the better our relationships are in terms of providing us with a sense of, I can depend on you the more we are able to move fully into the rest of our lives, face insecurity and take risks. Some counselors would say that spouses are codependent at this point, a term that is defined as: A psychological condition or a relationship in which a person is controlled or manipulated by another who is affected with a pathological condition (as an addiction to alcohol or heroin). 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. 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. For example, the individual may slip into a manic state and feel increased sexual urges. This, in turn, may manifest as reckless or out-of-control sexual behaviors. It is during this stage that the study found sex addicts truly began to enjoy life again and felt confident in having strong, healthy sexual relationships. The Need for Lasting Change It s only natural to feel a sense of despair when you see how long it can take to heal from sex addiction. You should also feel hope, though.