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. For example, the individual may slip into a manic state and feel increased sexual urges. This, in turn, may manifest as reckless or out-of-control sexual behaviors. You might begin to feel frustrated, irritated, annoyed and begin thinking about how ridiculous this is, they always do this, does he/she think we are teenagers, what s wrong with them etc. We could say you are triggered and you probably have a need (stage one). You could say, I need you to stop acting like a teenager and take me home or you could say, I m noticing I m tired and I have a need for sweatpants (or to be home, comfort, rest stage two). He did not act out because you were not good enough or not worthy of his love. You could not cause his acting out. A secondary gain of mindfulness is that over time, you can learn to be present with the uncertainty, which is a normal response that is manifested out of betrayal trauma in a manner that was not reactive driven. It could include downloading accountability software, or removing your access to forms of media that could be triggering (Matthew 5:29-30). Holiness requires an active, ongoing battle against sin (Galatians 5:16-17). Christians should not expect instant perfection but rather steady progress. When a believer stumbles, they should confess, receive God s grace, and continue in the fight rather than fall into despair (1 John 1:9). So how does a sex addict stop fantasizing? First, by understanding that the fantasies are created for a reason: they provide emotional escape and reduce stress. If an addict is to break free from fantasizing, they must uncover the reasons why they have to "escape." 4. Healing despair Most sex addicts feel they are beyond redemption, that their sexual behaviour is so appalling that forgiveness is impossible. As clinicians, we have to embrace our inner case manager to keep up with the demands of this work. And remember, we play an important role in helping clients who are struggling with sexual addiction. With counseling, they can learn that sex is not a bad thing and that they can experience it in a healthy way.