If medications have been prescribed, manages their use safely and consistently and attends doctor and therapy appointments regularly Has been screened for STIs and treated when necessary. 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. 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. Self hatred leads to despair and sometimes even to suicide. This lack of congruency around sexual addiction demonstrates the barriers that counselors and the public often face when trying to conceptualize sexual addiction. What are the signs? Looking at the behavioral manifestation and realizing how the behavior shows up is one important aspect when determining if someone is struggling with a sexual addiction. When we lead a couple through full disclosure, the husband (or unfaithful partner), creates a time-line of his entire sexual history, starting from birth. In fiveyear increments, he builds the story of how his sexuality developed. In the early years, many husbands have rather normal experiences of sexual experimenting which contribute to the shaping of sexual identity and development. Others can support his work toward sobriety, but no one can do the work for him. In addictions whether sexual or of any other kind the addict must be responsible for changing his perceptions, attitudes, actions, and self-concepts, as well as the belief system that underscores his addiction issues. Help and support await the addict but he needs to show up and work the process. I wish that when I was going through the many rounds of betrayal I experienced that I knew then what I know today. More information would have helped me feel normal and I would have been able to be kinder to myself when my emotions and behavior felt out of control. At the time I did not understand the science and theory behind the way that we pair-bond and what happens when that attachment is damaged.