Checking in as often as necessary with a Sponsor (a sex addict who is sober, is a member of SAA, and continues to work his program in order to remain sober). Therapy with a counselor who has undergone rigorous training to earn the designation of Certified Sex Addiction Therapist3 (CSAT) status. The realization that it takes time and allegiance to the program and to God, (aka the Higher Power in 12-step groups) in order to achieve sobriety. The decision to resume intimacy should be based on your readiness and trust in your husband s commitment to recovery. If he continues to violate boundaries or threatens your progress, you may need to extend the abstinence period. Physical Boundaries Physical boundaries are crucial during the emotional volatility that often accompanies recovery. Group Treatment Experience When I provided inpatient treatment for Dr. Carnes, we had stuffed animals for hugging in our hospital day room. Between the cute stuffed animals was an ugly, humpbacked dragon with only one eye. Once, as I walked past, I saw some patients kicking this creature around and calling it names. I can see as you look at the pictures from the Memorial Day family picnic that you feel sadness because now you question the reality of what really happened on that day. It feels like I contaminated the joyful event. Reassurance That You Have Changed, and Your Top Priority Is to Help Her Heal It will be necessary to share how you are changing and what you are working on to focus on your recovery and her healing (You do not want to be cocky or arrogant. The brain responds to information received from the eye quicker than from any other source. Visual information is processed in the limbic system in microseconds. This is why pornography is such a big deal. Visual information is processed faster than any of our other senses. Even the ingestion of heroin or cocaine is much slower in comparison. Step 2: Second, we learn to articulate our need in a hearable way. There are two parts to communication: 1) saying it in a hearable way, and 2) being in a posture to receive. We are only in charge of one part of that equation - so to keep it clear and hearable there are some phrases to listen for in our conversation: I need to is really a should in disguise and I need you .