Is willing to be forthright about STI history and willing to speak openly about a potential partner s STI history before sex Desires a relationship not out of need or desperation, but as a reasoned decision to add value to his or her life As the SLAA 12 Promises state: Love will be a committed, thoughtful decision, rather than a feeling by which we are overwhelmed. Though the therapist promised to help them navigate recovery in the most positive way, he had been labeled too emotionally stuck and sent off to individual therapy with me! It was the therapist that indicated his inability to surrender and heal was holding back recovery. Was this a special case? Sadly no, too often, many betrayed spouses receive this message. When anxiety and trauma are severe enough, the sexual behavior can become all-consuming. Eye Movement Desensitization and Reprocessing (EMDR) is a common treatment for those with a sex addiction rooted in trauma. EMDR is a trauma-focused therapy that helps patients identify and process their trauma. Often, trauma gets stored in the right side of the brain (the emotional side). Table of Contents The Neuroscience Behind Sex Addiction Neuroscience shows us that there is little difference in the physical or chemical changes in the pleasure and control centers of the brain, whether the addiction is from a chemical or an experience. Neurosurgeon Dr. Donald L. Hilton Jr. states, It is imperative that we treat pornography and sexual addiction with the respect accorded any drug addiction, for as we shall see, that is precisely what it is. It's obvious that for substance abuse sobriety means completely stopping the use of alcohol or drugs, but it's a little more complicated for a sex addict. While it's true that usually some sexual behavior has to cease completely, the ultimate goal for most people is not to go without sex for the rest of their lives. Sex addicts often drag perfectionism, shame, and self-hatred into their sexual decision making process, which is what drove the addictive behaviors in the first place. While the first few months of sexual recovery does require somewhat rigid boundaries, it is essential to help addicts negotiate the line between healthy sexual recovery and a healthy nurturing of self.