We work with many couples for whom there has been lying and covering up of sexual and emotional betrayal. For couples who seek to heal these hurts, we know that there needs to be a new foundation built from telling the truth the whole truth. We call this process full disclosure. I (Debbie) work with wives and partners of men who struggle with being relationally faithful. I felt completely unprepared for the long battle ahead. He felt like he was spiraling out of control and absolutely could not stop compulsively (and secretly) viewing pornography. He started therapy and support meetings, but the addiction still felt heavy and impossible. He admitted that this problem started as a young teenager with no restrictions to television or the internet. " As the other addicts nodded their heads, something in their attitude struck me as wrong. I realized then that it is impossible to "kill off" the addiction, and that hating and controlling the addict part of themselves could only lead back to shame and problems. That afternoon, I sat down with the guys and we had a group treatment experience. For other people the goal is simply to have no sexual secrets. For still others the definition of what constitutes sexual sobriety may be defined by whether or not a person is engaging in certain behaviors or activities. So sobriety may look different for different people. A core concept from 12-step recovery programs is that there is a profound difference between true sobriety and mere abstinence. As a result, antidepressants and cognitive behavioral therapy are a common treatment option for sex addiction. Bipolar Disorders as Symptom and Cause Bipolar disorder can be both a cause and a symptom of compulsive sexual behavior, as, untreated bipolar disorder may lead to behaviors consistent with sex addiction. You replace the fear with a constructive compassion that is reinforced using the Ford Isomorphic Path to Self-Intimacy. I know that you want to be less fearful of the unknown, and yet, you are afraid to stop looking for clues that he is acting out because you do not want to be betrayed again. It is an auto-exacerbating cycle.