After all, how do you draw the line between a healthy relationship with sex and compulsive sexual behaviors? Proponents of its inclusion, however, argue that without a formal categorization system people may not receive the help they need. For example, will insurance cover health care treatment for sex addiction if it is not considered a mental health disorder? When Jesus instructs him to stop sinning or something worse may happen, Jesus is telling him that, while the outer circumstances of his condition have been healed, the inner condition is still to be addressed. As with the paralytic, the conditions we deal with actually consist of two problems. With a pornography/sexual addiction, the outer problem is our acting out behaviors. In the Land of Mordor where the shadows lie. -J.R.R. Tolkien The Prevalence and Impact of Pornography Addiction Sex addiction treatment is one of the most challenging addictions to treat because it strikes at the core of our humanity. Interest in sexuality is a primary driving force in human beings. It is pleasurable for a reason and necessary for the human race to exist. Support for Maintaining Sexual Sobriety Most self-identified sex addicts who want to maintain their sexual sobriety find it extremely beneficial to have regular contact with other people who are on similar journeys. This is often best obtained by attending 12-step meetings. This is where you can find a sponsor, which is a person who has extensive sobriety who provides ongoing personal support and mentoring. 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. Understanding what drives the behavior is also crucial. Having said that, I am not professing to have a recipe for recognizing someone with a sexual addiction, but there are telltale signs. The couples we counsel are forewarned that recovery is not pretty. There is no expectation that they will navigate it in the most positive way possible. Pretending to be positive only makes matters untrustworthy and messier for longer. B: Advice Regarding Surrender Or Getting Over Hurt On Your Own Any therapist s expectation that a hurt, betrayed partner would get over it and make recovery less messy is not helpful.