Treatment Stages One expert in treating patients with compulsive sexual behaviors conducted a study that included nearly 1,000 people. He examined the steps these patients took in recovery and treatment and was able to outline the general stages and how long they lasted. Each person is unique, but he found that, in general, patients moved through these stages before being in recovery. Men seem to have an empathy deficit and so I found that breaking it down was much more helpful in teaching this all important skill. 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. 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. Once, as I walked past, I saw some patients kicking this creature around and calling it names. I stopped and asked why they were abusing this ugly, but harmless, dragon. One patient replied, "He's green and ugly and reminds me of my addiction. I'm kicking him around because that is how I feel about my addiction. 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. People establish and maintain appropriate top lines to keep from crossing their bottom lines. Support for Maintaining Sexual Sobriety Most self-identified sex addicts who want to maintain their sexual sobriety find it extremely beneficial to have regular contact with other people who are on similar journeys. So, we identify: I probably have a need . Step 2: Second, we learn to articulate our need in a hearable way. There are two parts to communication: 1) saying it in a hearable way, and 2) being in a posture to receive. 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 .