These may take the form of neglect, abuse, abandonment or the absence of an appropriately nurturing caregiver. Addictive behaviors show up, sometimes early in life, according to Hatch, as a coping strategy in the form of self-medication to emotional pain. Sex addiction, in particular, creates a sense of excitement and pleasure, while simultaneously ensuring emotional distance and avoidance of true connection the kind of intimacy that can leave one open to being hurt. When Jesus instructs him to stop sinning or something worse may happen, Jesus is telling him that, while the outer circumstances of his condition have been healed, the inner condition is still to be addressed. As with the paralytic, the conditions we deal with actually consist of two problems. With a pornography/sexual addiction, the outer problem is our acting out behaviors. Changes include giving up sexual fantasizing and flirting, changes in the way one dresses, getting Internet filters, joining support groups and entering therapy. Honesty is the foundation to recovery for any addict, and it's no different for the sexual addict. Healing does not occur if secrets are kept. Each relapse into pornography was a cut deep into my personal self-esteem. It took years for me to truly understand that this addiction is very much a physical pathway problem in the brain. The biggest struggle for my husband through this heartbreaking addiction was the concept of integrity and honesty. From this perspective, sobriety is much more than staying away from unwanted behavior. It includes a deep sense of serenity and a consistent ability to "live life on life's terms", often with deep connections with other people and a sense of meaning in daily life. The Role of An Initial Period of Abstinence In Sex Addiction Recovery Even though refraining from all sex is usually not a sex addict's ultimate goal, an initial period of sexual abstinence (such as 90 days) can be a good idea. At Faithful & True, we encourage truth-telling. We encourage being authentic. We work with many couples for whom there has been lying and covering up of sexual and emotional betrayal. 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.