Rituals could include things like fantasizing about having sex with a co-worker, imagining what your neighbour looks like without clothes on, arranging your schedule for some alone time with your computer so you can log in to porn sites uninterrupted. 3. Stopping fantasy Sexual fantasy is at the heart of sexual addiction and alone is enough to trigger sexual stimulation. She might start therapy or go to group sessions, but drop out. The crisis stage. During this brief stage, one to three months long, the addict s problems reach a crisis level. She makes a firm commitment to change after experiencing a crisis moment. This could be the diagnosis of a sexually transmitted disease, an arrest, attempting suicide or anything else that causes the addict to commit to change. Work with clients to establish definitions of healthy sexual behavior and fantasy. Help clients develop adequate social skills training. Integrate bibliotherapy and appropriate support groups as needed. Be empathetic. Collaboration within care is important with this population. Make no mistake about it: Treating a sex addict in a vacuum is not clinically recommended. A Sex Addict Needs to Want to Recover When thinking of the addict and addiction, one should think recover rather than total cure. This is akin to being declared in remission when cancer is involved. However, there is much growth and blessing to be received in the recovery process. The addicted person must come to a point in the active addiction process where he hurts enough to conclude that he wants his peace of mind back. Porn strips the relational and communal aspects away from sexuality. It s no longer about two people knowing each other and being known intimately within the boundaries and protections that God designed. God made sex as a sacred bond within marriage, but porn turns it into a commodity. God intended sex as two people giving themselves to each other. 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.