Help and support can be found in many ways. Recovery support can include support groups, like Sex Addicts Anonymous, recovery sponsors, accountability partners, in- or outpatient treatment programs, counselling, medical help and Internet filters. 2. Stopping rituals All addictions have rituals. Rituals can be anything from thoughts to behaviours that eventually lead to sexual acting out. Develop allies within the addict s life system to aid in supporting the treatment plan. Refer to a psychiatrist for a medication assessment to address anxiety and depression. 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. Either way, during an initial period of sexual abstinence it's best to keep masturbation off limits just like any other form of sexual expression. Bottom Lines, Border Lines and Top Lines All this discussion of sexual sobriety leads to the need to discuss exactly what constitutes a "relapse" in sex addiction. The shock is debilitating for betrayed partners and can last for years. Their lives are broken to pieces, and they are overwhelmed with shame, often thinking, How could I be so stupid not to realize what was happening right under my nose? I m such a fool for trusting him/her. They feel they are going crazy. As he age progresses himself through his story, it becomes clearer and clearer how his sexual sin developed and progressed. Understanding these facts and the dynamic that hurt people can go on to hurt people can help a wife build empathy and can also help her to depersonalize his behaviors. She can hopefully hear in his story that these behaviors are not really about her, they are about much older and deeper pain. This serious period of healing from sex addiction and its underlying causes can last from one to three years. During this period, the addict gets intensive therapy, learns to take responsibility for her actions, deepens her relationships with her loved ones and learns to have a healthy relationship with sex.