Something broken can be fixed independently of who broke it. A hurt person heals amid the remorse, accountability, and responsiveness of the person who injured them. Permit yourself to stop feeling bad about not forgiving quickly enough for your partner, your therapist, or anyone else. Does being unable to surrender to the process mean you are cruel or hard-hearted? Masturbation almost always includes fantasy and for true sex addicts such fantasy can amplify into a downward spiral of obsession, objectification and eventually full-fledged compulsion. This is especially true when pornography is included as part of a masturbation ritual. From this perspective masturbation may need to be considered off-limits for many sex addicts. This is something that never would have happened without the trials that my husband and I have endured together. Another victory for me has been that I found the confidence in myself to apply for nursing school at age 34 with four kids also in school. I have found joy in following this dream that I thought I had given up a decade ago when I didn t get accepted back in 2010. 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. This is why mood stabilizers, antipsychotics and therapy are often an effective treatment option for those experiencing compulsive sexual behavior. The patient begins to realize that she has a problem and may even reach out for help, but can t commit. She might start therapy or go to group sessions, but drop out. The crisis stage. During this brief stage, one to three months long, the addict s problems reach a crisis level. She makes a firm commitment to change after experiencing a crisis moment. Sex addiction, at base, is an intimacy disorder. And intimacy, according to Linda Hatch, Ph.D., sex addiction expert and therapist, is the ability to be real with another person. This might seem like a simple thing, but any addict, not just those who experience sexual compulsion, is a person who struggles with being real, (i.