It is a state where the physical-chemical brain demands or compels one towards a specific behavior regardless of what the mind or conscience says. There appears to be something inherent in the human family that feels it is wrong to view the private sexual acts of others. In other words, the mind, the electrically intelligent part of us, cannot feel good about participating. Once the manic state is over, however, the individual may feel shame or remorse for their actions, exacerbating symptoms of depression. This, in turn, may lead to subsequent acting out behavior. For some people, there are specific triggers which cause the onset of manic episodes. For example, there may be certain places, times of the day, or thoughts that lead to manic episodes involving sexual acting out behavior. If he continues to violate boundaries or threatens your progress, you may need to extend the abstinence period. Physical Boundaries Physical boundaries are crucial during the emotional volatility that often accompanies recovery. These boundaries aim to provide space for both partners to heal and avoid conflict escalation. And intimacy, according to Linda Hatch, Ph.D., sex addiction expert and therapist, is the ability to be real with another person. 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. Truthful answers allow for more of the puzzle pieces to take shape. However, trust is only really built from someone who is willing to offer the truth, the whole truth, without being asked. The problem with questioning is that a betrayed woman may wonder if she has not asked just the right question, or enough questions, so her mind will continue to obsess about what she has missed. has led to a new assessment model that differs in both its assessment and its methods of treatment for the spouse. Her studies conclude that on discovering sex addiction, spouses are more likely to suffer from post-traumatic stress disorder (PTSD) than co-dependency. Together with co-author, Marsha Means, MA, Steffens wrote a remarkable book on sex addiction and PTSD as it relates to her research.