Sex addiction, also known as compulsive sexual behavior, has been defined as an excessive focus on and participation in sexual activities despite negative consequences. It can have extreme consequences on one s emotional, psychological and social well-being. When the American Psychiatric Association made the bold decision not to include sex addiction in the DSM-5 (the Diagnostic and Statistical Manual of Mental Disorders, fifth edition), many felt the choice was controversial. The Early Recovery Couples Empathy Model incorporates these skills to help you to become less reactive to your environment and the reality of the betrayal. You replace the fear with a constructive compassion that is reinforced using the Ford Isomorphic Path to Self-Intimacy. I know that you want to be less fearful of the unknown, and yet, you are afraid to stop looking for clues that he is acting out because you do not want to be betrayed again. The timing to resume sexual intimacy varies, but it s generally recommended to have at least 45 days of abstinence, with a true reboot possibly taking 90 days or longer. 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. Some counselors would say that spouses are codependent at this point, a term that is defined as: A psychological condition or a relationship in which a person is controlled or manipulated by another who is affected with a pathological condition (as an addiction to alcohol or heroin). Or, more broadly speaking, this can be defined as: Dependence on the needs of or control by another.1 However, while in most addictions the assumption can be made that the partners are co-dependent, or at least the addict s partner had co-dependent behaviors, this is not necessarily so in the case of sex addiction. Stopping fantasy Sexual fantasy is at the heart of sexual addiction and alone is enough to trigger sexual stimulation. Fantasy has a powerful grip on the mind, which does not respond to commands to "stop." The more effort made to stop fantasizing, the stronger the fantasy gets. So how does a sex addict stop fantasizing? 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.