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. Readers reviews3 of Your Sexually Addicted Spouse2 indicate that the book offers the spouse an understanding of her trauma, supports her needs, validates her long-term suspicions, and serves as an important pillar of her healing journey. Darrin Ford explains in his Isomorphic Path to Intimacy that to gain intimacy as a couple it needs to begin with self-intimacy, and furthermore, partners need to practice distress tolerance and be present with the uncomfortable emotionality that is an inevitable outcome of a partner s natural state manifesting from the betrayal. This is especially true when pornography is included as part of a masturbation ritual. From this perspective masturbation may need to be considered off-limits for many sex addicts. For other people, however, non-compulsive masturbation can actually aid the biological urge for sexual release, provide a venue for self-nurturance and contribute to an overall sense of sexual health. For couples who seek to heal these hurts, we know that there needs to be a new foundation built from telling the truth the whole truth. We call this process full disclosure. I (Debbie) work with wives and partners of men who struggle with being relationally faithful. Behaviors include masturbation, fantasizing, pornography, flirting, prostitution, massage parlors, sexual affairs, emotional affairs & other acts of infidelity. It is during this stage that the study found sex addicts truly began to enjoy life again and felt confident in having strong, healthy sexual relationships. The Need for Lasting Change It s only natural to feel a sense of despair when you see how long it can take to heal from sex addiction. You should also feel hope, though. But these feelings are all normal because in all likelihood, this is the most shocking and confounding crisis they have ever experienced. After all, they thought they knew their partner and never thought their partner would cheat. The reality of the situation rocks the foundational values they have believed in and based their lives on.