The 12 Steps To Recovery From Sex Addiction

Recovering from a sex addiction requires adhering to a 12 step program. Such programs have become synonymous with people’s efforts to change their lives and behaviors, and have been applied to everything including over-eating, sex, compulsive gambling, and drug addiction.

The original 12 step program was published by Alcoholics Anonymous in the late 1930s to treat addiction to alcohol. Since then, it has been adapted and directed towards other forms of addiction and compulsive behaviors and has been recognized by the American Psychological Foundation. Small details within each 12 step program change depending on what’s being treated, but all follow the same template. While there is debate on what defines addiction, many agree that the brain becomes dependent on chemicals either imbibed (alcohol) or produced naturally through a behavior, such as sex or gambling.

The 12 Steps:

Step one is the sex addict admitting they have no power over their sex addiction and that their lives have gotten out of control. This step essentially defines a sex addiction, a situation where a person no longer can control their sexual behavior despite it causing them problems. This may sound facetious, but if a sex addict could control their behavior, they would not be an addict. Admitting powerlessness also opens the door to getting outside help. A person with a broken leg does not try to mend it on their own, they call a doctor because they do not have the skills to heal themselves. It is no different with a sex addiction.

Step two is acknowledging there is a “higher power” that can help the addict with their addiction. This and the next step may be two of the least understood, as “higher power” generally refers to God. While many going through the 12 step program turn to the Christian faith, anything can serve as the higher power. A person can look to the sun, a favorite object, anything they can mentally equate with a power above themselves. Some neurologists have said the human brain is hardwired towards religion, and because of this it can be used as a powerful tool in influencing behavior.

A higher power plays the role of a neutral yet supportive third part in the sex addict’s life. It is not the addicts themselves, nor is it their therapist, nor is it a loved one the addict may have wronged or someone who will judge them.

The third step is giving themselves over to that higher power, as they understand it. Many sex addicts begin reading the Bible and attending religious services of their faith. Others will take up a different spiritual text as their understand of their higher power. The book or the faith or belief is not important here, what is important is that the reliance on self get turned over to a reliance on a higher power. Most religions have set guidelines on sexual conduct, as well as other aspects of life, and make for a ready made code of conduct a person can adhere to, at least until their lives are under their control once more.

Step four is where the sex addict gets to the “nitty gritty” of their problem and comes to see what it looks like from the outside by completing a “moral inventory” of themselves. This inventory documents their life and how and when their sexual habits, failings, and other common behaviors began in an effort to see the big picture and have an accurate understanding of what it is. Typically, a deadline is put on this step, as many addicts tend to get hung up on it, either because they find it difficult to examine themselves this way, or feel the need to be too thorough.

The fifth step involves taking that inventory and showing it to someone else, either a spouse, sponsor, clergy or trusted confidant, or even another sex addict further along in their treatment. This is done for a number of reasons. If a sex addict can share this, it means they are comfortable with it to a degree and will be able to open up further because seeing the behavior inventory may not be enough to let the sex addict truly see their problem or recognize patterns in their behavior. When it comes to the familiar, an addict sees what they intend rather than what really is. It’s the same as when an athlete needs a coach to check their stance or swing or attitude for their sport. So the sex addict needs another pair of eyes on their moral inventory to catch things and gain feedback from a different perspective.

Steps six and seven of the original Alcoholics Anonymous version are asking the higher power or God to remove the addict’s defects and to forgive them. Other, more secular minded versions describe these steps as similar transition periods. The sex addict goes from identifying the problem to recognizing that they, themselves, are now past that stage and can now expend energy enacting change. The addict is taught to see that the mistakes have been made cannot be unmade, and wishing to change the past is a waste of energy. While it’s not a “clear slate,” it is a shift of focus onto the present, which can be affected by the sex addict.

Step eight, while at first may seem like a look back, is actually for the addict to compile a list of people their sex addiction has harmed. This may be family they’ve neglected, spouses cheated on, and in extreme cases, victims of their sexual abuse. This step is sometimes broken down into smaller segments, identifying the types of relationships harmed by the sex addiction. In the case of deceased loved ones or people the addict cannot have contact with, this step serves as an emotional release by further letting the addict see the extent of the damage their behavior has caused.

The ninth step is an extension of the eighth, and involves making amends with the people identified in that step, when possible. It could be something as simple as a verbal apology, and may not be something that can be accomplished in a moment, a day, or even months. This step is distinctive to the individuals involved, and not completely possible in all cases.

Step 10 is continuing the list from step five, and admitting when a mistake has been made. This can expand beyond sexual behavior and include any kind of non-desirable actions or emotions. Negative feelings are what led the sex addict to compulsively seek the numbing behavior to start with. And being able to identify those trouble spots and handle them in a way that doesn’t feed a new addiction cycle is key. Sex addiction often comes with other forms of addiction, or can spin off into those other forms if the root cause is not being monitored.

Prayer and meditation are Step 11 in the program. Many call prayer and meditation one and the same, but whichever route the sex addict chooses, they should set aside time each day for quiet reflection. A daily pause is used as an anchor to keep the complexities of the addict’s outside world from becoming overwhelming. This step lets the sex addict remind themselves of their progress and the tools they have to fight their compulsions.

The final step is working with other sex addicts, or passing on some of the knowledge the addict has gained. The selfless side of this is ensures a pool of experienced teachers well versed in the subject matter who can perpetuate the program. The benefit to the addict doing the teaching is the same as to teacher; the one imparting the wisdom in turn learns more about what they’ve come to know. Having to articulate to another person what one has learned makes a person think about benefits in ways they hadn’t before, and leads to greater understanding.

Those are the basic 12 steps found in addiction recovery programs. Many are closely related, but together they show a progression. It should be noted this programs not a “do these 12 things and you’re cured” prescription, but at the higher levels are a lifelong set of behaviors. They may play a less active role in the recovering sex addict’s life as time goes on, but the inventory, meditation, and teaching tend to be in the background for a long time.

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Some Common Misconceptions About Addicts

Addicts are Lazy People.

Addicts may seem lazy but they aren’t always lazy people. In fact, they are usually very motivated to satisfy their cravings. It actually takes quit an amount of energy to plan and make sure there is enough of the drug through the rest of the day and for tomorrow and the day after that.

Whether it is making sure you have computer access for pornography or that you have enough alcohol rationed out for the next day. Planning to obtain and ration your drug to make sure you have enough of it, while hiding it from those around you, takes a great deal of effort.

When an addict becomes sober, they are quite surprised to find a lot of free time and do not know how to use it because it has always been consumed by addictive behaviors. This is why it is important to fill a sober addict’s time with other wholesome behaviors.

Addicts Are Stupid.

An addict’s brain undergoes changes that lead to irrational behavior. Addicts do stupid things, but they are not stupid. The irrational (pre-rational to be more accurate) part of the brain hijacks the rational side of the brain (pre-frontal cortex). This is why they make emotional decisions that seem irrational, and some addicts make poor decisions from fear of withdrawal.

Addicts Live a Carefree Life.

Many non-addicts I knew seem to get a bit envious of those who use drugs or alcohol throughout the day to escape responsibilities or live in their own carefree world. In reality, an addict that has to self-medicate to feel normal – whether it be from drugs, alcohol or pornography- often do not have a good time because they are just trying to feel normal. Remember a new “set point” of feeling normal has been made within the brain of an addict.

Pornography addicts can feel very irritable or experience fuzzy thinking without porn. Alcoholics and drug addicts feel depression, hopelessness or physically sick without their drug. This is a life that has increasing physical, mental and emotional hardship in which engaging in the addiction no longer makes the addict feel euphoric, but normal.

Addicts are slaves. They have to continue to use even though many of them know that it is wrong. They often have to lie to those they love and maintain a dishonest life in order to feel normal.

Addicts are often paranoid and deal with greater fear than non-addicts. They know that their games cannot keep up. They usually know that sooner or later they will get caught and they know that their addiction will either cause serious problems in their relationships and in some cases may kill them.

Addicts Lack Willpower.

It is true that addicts usually lack the willpower to beat addiction, but remember that is because of the change in the brain caused by addiction. Due to the worsening nature of addiction on the individual’s brain, they are increasingly becoming more compulsive despite sever negative consequences.

In the brain this results in an imbalance or “homeostatic deregulation” within the reward pathways, which further explain how addiction develops and relapse is all too common.[1]

When an addict tries to stop by willpower, only then does he feel the full strength of the addiction. They often don’t know the full strength of their addiction because they are always giving in. Once they make the decision to try to quit they are often defeated and may seem lazy because they lay in bed without a fix. But that is because they have a depleted dopamine level caused by long-term overstimulation.

During abstinence the user experiences reduced reward neurotransmitters that cause feelings of anxiety, irritability or stress. Extremely high doses of opioids from opium based drugs show a profound alteration of the opioid receptors within the brain.[2]

A failure to quit a destructive habit is not because one lacks willpower, but because of the changes in the function of the brain.

Motivation and fear of withdrawal will outweigh any or all rational reasons to stop engaging in the behavior. Since the brain has a new set point of normal so they continue to use without experiencing the terrible lows of being without the drug.[3]

An Addict Won’t Recover If He Is Forced.

Addicts do not have to seek help in order for it to work for them. Remember, the majority of addicts are already in denial. They think they don’t need help, they think it won’t work, and they think that someday they will be able to figure out a way they can still use without having negative consequences.

Addicts often do not go to support groups or treatment centers because they want to. In fact, most of the time addicts are forced to seek treatment. Whether addicts overdose and sent to a hospital or impatient treatment, court ordered or pressured from family the result seems to be the same. Addicts may go to rehab for the wrong reasons, but after a while of sobriety, they may start believing in the right reasons to continue treatment.

In rehab, the addict has their drug forcefully taken away from them, and this is where the addict may realize how addicted they really are. Since addicts are always giving in, sometimes they need to feel the full power of their addictions before they realize they have a problem. Sometimes a glimpse of a “real life” situation will enable an addict to have a moment of clarity.

Some addicts are able to quit for days or weeks at a time. This doesn’t mean that they don’t have a problem. In fact, if addicts didn’t have an addiction they wouldn’t be “quitting” in the first place. Addicts always think that they can quit, until they try their very hardest to stay sober forever. Sure an addict may go a few days or a week. This is how the addict rationalizes their addiction. They are constantly in denial because they feel they have control of their addiction if they do it less.

References:

1. Sinha R (2001) How does stress increase risk of drug abuse and relapse? Psychopharmacology (Berl) 158:343 -359

2. O’Brien, C. P., A. R. Childress, R. Ehrman, and S. J. Robbins. 1998. “Conditioning Factors in Drug Abuse: Can They Explain Compulsion?” Journal of Psychopharmacology 12:15-22. Neurobiology of craving, conditioned reward and relapse Weiss 15 http://www.sciencedirect.com Current Opinion in Pharmacology 2005, 5:9-19.

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