They feel alone and afraid and believe they are unworthy of love; they believe that no one can truly love them because they are unlovable. Therefore, they learn from a very young age that intimacy is dangerous in real life and that they can trust themselves only to meet their needs. In an article titled Can serial cheaters change? Finally, whatever she used her addiction to cover up begins to emerge. This is often some kind of early trauma. The repair stage. This serious period of healing from sex addiction and its underlying causes can last from one to three years. During this period, the addict gets intensive therapy, learns to take responsibility for her actions, deepens her relationships with her loved ones and learns to have a healthy relationship with sex. We may have learned to be needless and wantless (self-sufficient), or that your needs don t matter, or we may have learned to be somewhat needy (a passive requiring of others to do for me what perhaps I could sometimes take care of myself learned helplessness). These ways of being limit the capacity for intimate and safe connection within relationship. We explore how mental health problems can become both a cause or a symptom of sex addiction and how it can be similar to other behavioral health issues. Mental Health and Sex Addiction Understanding how mental health and sex addiction are connected is crucial for developing empathy for those affected by it. Sexual abstinence should not be seen as a punishment but as an opportunity to refocus on the emotional aspects of your relationship. Rebuilding intimacy can also be facilitated through daily check-ins using the FANOS model, which covers feelings, affirmation, needs, owning actions, sobriety, and spiritual growth. I have developed a formula that helps them to remember to do a read on the partners feelings and see things from her perspective. The formula is easy to follow because it only has 3 steps to follow. AVR-The Empathy Formula Practicing the A in AVR requires that you acknowledge the situation and accompanying pain.