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. The developing stage. This first stage can take up to two years. The Role of Masturbation in Sexual Sobriety You may be wondering how masturbation relates to the concept of sexual sobriety, especially for people without sexual partners. For some sex addicts compulsive masturbation can become a heavily reinforced behavior that is central to the addictive cycle. 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. If they can t, that s also fine, but because of that baseline foundation that each of our needs matter, they will hopefully offer an alternative that honors our need, our vulnerability in our request and values our connection. Step 4: Fourth, because we are now wise adults, we retain ownership of our need. 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. As a certified sex addiction therapist and a member of the American Counseling Association, I (Allan) have seen firsthand that betrayal trauma is real. 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? Proponents of its inclusion, however, argue that without a formal categorization system people may not receive the help they need. For example, will insurance cover health care treatment for sex addiction if it is not considered a mental health disorder? While both sides make fair arguments, we cannot deny the connections between mental health and sex addiction.