Carnes coined the term sexual anorexia to describe the shame-based and unhealthy avoidance of sexual behavior. People often avoid even discussing sex and sexual problems, but this same approach should not be used when clinically treating problems in sexual behavior. I have mistakenly referred past sex addict clients to support groups in which they were shamed for having sexual thoughts and masturbating. This is the most important stage recognizing that what we are feeling is likely less about them and who they are and what they are doing and more about a need that we have. So, we identify: I probably have a need . 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. To the one struggling, it relates to their addiction and behaviors. The survivor tends to focus on wanting their spouse s addiction and behavior cured but realizes that is out of their control. For them, the question then goes to their need to heal and move forward from the wounds and trauma of betrayal. You cannot possibly know the intensity of her feelings, but when you are able to look at what she is struggling with through her eyes, you are better able to assess what she needs. To the Partner: I recognize that the AVR formula will sound scripted and rote. I promise you he does not know how to empathize, so he must learn the skills before it becomes natural to him. With lots of work, support, and the help of tools like Covenant Eyes, I can honestly say that long-term recovery is possible for anyone who truly wants it. My heart has healed over these last 6 years as we have each grown into stronger, more compassionate people. The biggest victory for my husband has been his success at work. In this way our adult relationships mirror our relationship with our parents as children; both, when functioning well, provide us with a secure base from which we can enter our worlds with confidence. Breaking Bad If it is true that when we attach to someone healthy and functional, it feels good and provides a sense of security, grounding, safety and wholeness, then the opposite is also true.