Proponents of its inclusion, however, argue that without a formal categorization system people may not receive the help they need. For example, will insurance cover health care treatment for sex addiction if it is not considered a mental health disorder? While both sides make fair arguments, we cannot deny the connections between mental health and sex addiction. For still others the definition of what constitutes sexual sobriety may be defined by whether or not a person is engaging in certain behaviors or activities. So sobriety may look different for different people. A core concept from 12-step recovery programs is that there is a profound difference between true sobriety and mere abstinence. Some counselors would say that spouses are codependent at this point, a term that is defined as: A psychological condition or a relationship in which a person is controlled or manipulated by another who is affected with a pathological condition (as an addiction to alcohol or heroin). Or, more broadly speaking, this can be defined as: Dependence on the needs of or control by another.1 However, while in most addictions the assumption can be made that the partners are co-dependent, or at least the addict s partner had co-dependent behaviors, this is not necessarily so in the case of sex addiction. More information would have helped me feel normal and I would have been able to be kinder to myself when my emotions and behavior felt out of control. At the time I did not understand the science and theory behind the way that we pair-bond and what happens when that attachment is damaged. I only knew that discovering sexual betrayal in my relationship changed me overnight. In fiveyear increments, he builds the story of how his sexuality developed. In the early years, many husbands have rather normal experiences of sexual experimenting which contribute to the shaping of sexual identity and development. He may also have experienced various forms of abuse or abandonment. These also effect his identity and development. AVR-The Empathy Formula Practicing the A in AVR requires that you acknowledge the situation and accompanying pain. At first it can seem counterintuitive to bring up the damage your addiction has caused her. She wants to know that you remember her pain is a result of your actions. It assures her that you have not forgotten, nor are you in denial.