This might seem like a simple thing, but any addict, not just those who experience sexual compulsion, is a person who struggles with being real, (i.e., honest, available and truly vulnerable) with another person. According to Hatch, these intimacy disorders develop in addicts as a result of early experiences in their [families] of origin that failed to produce a secure attachment to their caregivers. Each relapse into pornography was a cut deep into my personal self-esteem. It took years for me to truly understand that this addiction is very much a physical pathway problem in the brain. The biggest struggle for my husband through this heartbreaking addiction was the concept of integrity and honesty. 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? The fact that sexuality is a core part of the human experience explains why categorically it is different from other types of addiction such as alcohol and substance use, gambling, and shopping. Sure, there is a strong argument for genetic predisposition, but not all people are genetically predisposed to addiction. I hate it and want to kill it off, that is why I am here." As the other addicts nodded their heads, something in their attitude struck me as wrong. I realized then that it is impossible to "kill off" the addiction, and that hating and controlling the addict part of themselves could only lead back to shame and problems. 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. The shock stage. For the next six to eight months, the addict has admitted to the problem but is in shock and disbelief.