Patrick Carnes calls this The Offending Cycle . As a result, antidepressants and cognitive behavioral therapy are a common treatment option for sex addiction. Bipolar Disorders as Symptom and Cause Bipolar disorder can be both a cause and a symptom of compulsive sexual behavior, as, untreated bipolar disorder may lead to behaviors consistent with sex addiction. 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. Betrayal Trauma Recovery for the Unfaithful Partner: How To Help Your Spouse Heal From Your Affair Recognize That Your Partner s Trust Will Not Come Easy After Infidelity To trust right now is an act of bravery. After betrayal, many couples feel so unsafe that they disconnect from loved ones and disappear from the life they knew together. In another six-month period, the sex addict goes through a type of grief. She feels terrible about the damage she has caused to herself and to others. She also grieves the loss of her addiction because she used it like a crutch for a long period of time. Finally, whatever she used her addiction to cover up begins to emerge. These blows smash into your heart and in an instant plunge you into a whole new world. When I experienced this, in seconds, the person who I depended on and was deeply connected to went from being a source of support and companionship to being a source of pain, fear and deep uncertainty. My relationship, which had created a stable base from which I was able to operate in the world, was suddenly a rickety, wobbly mess. While the first few months of sexual recovery does require somewhat rigid boundaries, it is essential to help addicts negotiate the line between healthy sexual recovery and a healthy nurturing of self. Despite the negative consequences caused by their addiction, recovering addicts need to find ways to love and value the addiction.