Rituals can be anything from thoughts to behaviours that eventually lead to sexual acting out. Addicts need to identify their personal rituals so that they can intercept the addictive cycle before they act out. Rituals could include things like fantasizing about having sex with a co-worker, imagining what your neighbour looks like without clothes on, arranging your schedule for some alone time with your computer so you can log in to porn sites uninterrupted. This could be the diagnosis of a sexually transmitted disease, an arrest, attempting suicide or anything else that causes the addict to commit to change. The shock stage. For the next six to eight months, the addict has admitted to the problem but is in shock and disbelief. She feels angry and hopeless but ultimately relieved that she has finally admitted to having an addiction to sexual behaviors. Psychiatric medications can also act as a helpful libido suppressant while the client develops new skills. Work with clients to establish definitions of healthy sexual behavior and fantasy. Help clients develop adequate social skills training. Integrate bibliotherapy and appropriate support groups as needed. And they learn that a relationship is something to value but not something they need to survive or to feel good about themselves. 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. He did not act out because you were not good enough or not worthy of his love. You could not cause his acting out. A secondary gain of mindfulness is that over time, you can learn to be present with the uncertainty, which is a normal response that is manifested out of betrayal trauma in a manner that was not reactive driven. For some people, there are specific triggers which cause the onset of manic episodes. For example, there may be certain places, times of the day, or thoughts that lead to manic episodes involving sexual acting out behavior. For others, manic states may appear randomly. In this case, the manic state is often caused by irregular brain chemistry.