Treatment Stages One expert in treating patients with compulsive sexual behaviors conducted a study that included nearly 1,000 people. He examined the steps these patients took in recovery and treatment and was able to outline the general stages and how long they lasted. Each person is unique, but he found that, in general, patients moved through these stages before being in recovery. 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. Either way, during an initial period of sexual abstinence it's best to keep masturbation off limits just like any other form of sexual expression. Bottom Lines, Border Lines and Top Lines All this discussion of sexual sobriety leads to the need to discuss exactly what constitutes a "relapse" in sex addiction. Behaviors include masturbation, fantasizing, pornography, flirting, prostitution, massage parlors, sexual affairs, emotional affairs & other acts of infidelity. The lies and deception used by husbands to keep these behaviors hidden can create many emotional and physical symptoms for their wives. When wives internal world of perceptions and intuition does not match up with their external world of what they are seeing and being told, they can develop feelings of being crazy. So sex addiction recovery is about far more than one-day-at-a-time abstinence; it s real work we do on who we are, how we were formed and how we communicate with others. When the work has begun in earnest, and after real time has been put in, only then can healthy relationships stand a chance of developing for addicts. Each of us told him that in recovery we were committed to loving and appreciating him. We understood that he was not going away, but would remain in us as a guide and observer. It was our job to listen and respond to him appropriately. Our addict, who longed for acknowledgement and help, had been angry about being ignored and shut out, and had found sex as a means for attention and validation.