As a relationship expert, I had two immediate questions: Who gave him the idea that he needed to surrender to anything? Why did he think was doing it wrong? I soon learned that the very person he and his betraying partner turned to for guidance, their couples therapist, had implicated him as the problem partner! Sex Addiction as a term first appeared in the mid-1970s when a group of people in Alcoholics Anonymous got together to apply the principles of 12-step programs to issues of compulsive sexual behaviors. Research has shown that sexual addiction and substance abuse are often correlated. An estimated 40-64% of sex addicts also suffer from substance abuse disorders. With some of the messier, more complicated needs, if no clear option appears available to you right now and you are unable to come up with any alternatives after being active in your own hoop to communicate it relationally or attempt to meet it for yourself, can you surrender your need to God or your higher power, trusting that He may meet it or there may be something in it for you to learn about yourself? That intimacy then ripples out into every other aspect of the partner s life. This allows the betrayal trauma response to calm as you gain the ability to be present with the natural normal distress resulting from the discovery that the addict has betrayed them. Your reactivity decreases and your distress acceptance takes the charge out of the fear equation. In my work with sex offenders, I often used the term transitory guilt, which is a short-lived guilt that is very intense in nature and not manageable to carry around in one s mind, to describe the offensive cycle of behavior. A myriad of thinking errors or cognitive distortions are used to decrease and eventually eliminate the guilt, thus putting the offender in a position to reoffend. Bottom Lines, Border Lines and Top Lines All this discussion of sexual sobriety leads to the need to discuss exactly what constitutes a "relapse" in sex addiction. The simple answer is that relapse is defined as any sexual activity that falls outside of pre-determined boundaries. Sometimes people in 12-step recovery refer to acts that would constitute a relapse as "bottom-line behaviors".