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. Brain Disease And Sex Addiction Treatment One ring to rule them all, One Ring to find them. One Ring to bring them all, and in the darkness bind them. In the Land of Mordor where the shadows lie. -J.R.R. Tolkien The Prevalence and Impact of Pornography Addiction Sex addiction treatment is one of the most challenging addictions to treat because it strikes at the core of our humanity. 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. From this perspective, sobriety is much more than staying away from unwanted behavior. It includes a deep sense of serenity and a consistent ability to "live life on life's terms", often with deep connections with other people and a sense of meaning in daily life. I (Debbie) work with wives and partners of men who struggle with being relationally faithful. Behaviors include masturbation, fantasizing, pornography, flirting, prostitution, massage parlors, sexual affairs, emotional affairs & other acts of infidelity. The lies and deception used by husbands to keep these behaviors hidden can create many emotional and physical symptoms for their wives. Once the addiction is admitted, the next step is to stop addictive behaviours. Just as an alcoholic must stop drinking alcohol, a sex addict must stop all sexual acting out behaviours. Sometimes these behaviours are obvious, like no more sex outside of marriage, but sometimes they are subtle, like flirting. The Outer & Inner Condition The conditions we are dealing with in our lives may not be paralysis but they can be equally debilitating and threatening. For those facing pornography addiction or betrayal trauma, even though the condition may not be outwardly visible to those around them, the effects can be devastating to them individually as well as for those around them.