Providing clinical treatment for sex addicts involves first conducting a thorough assessment of the identified circumstances. You must also gather an extensive social history with relevant collateral contacts. Remember, the addict s point of view is not the only one; family members, friends and other treating professionals may have relevant data to offer. Many claim that this behavior is normal or mere entertainment because of the chemical brain s power and capacity to shut out the conscience. They don t look for treatment because they feel there is no addiction. The rationalizations and justifications that can come from the brain s survival part are alluring and convincing. The Role of Masturbation in Sexual Sobriety You may be wondering how masturbation relates to the concept of sexual sobriety, especially for people without sexual partners. For some sex addicts compulsive masturbation can become a heavily reinforced behavior that is central to the addictive cycle. Masturbation almost always includes fantasy and for true sex addicts such fantasy can amplify into a downward spiral of obsession, objectification and eventually full-fledged compulsion. 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. 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. It makes sense to me that looking at our Memorial Day picnic pictures causes you great pain Validation of Her Feelings Using the Five Primary Feelings It can be difficult to ascertain how she is feeling, so it is helpful to focus on her primary feeling (and see if you got it right). If our partner s attempt to meet our need is not able to satisfy that need, we get active in our hoop to get that need met in a way that honors our need and is congruent with our vision for who we want to be. So, if our need was for safety, support, confidence in our work and movement/change, what are ways we can offer that to ourselves?