sex addiction recovery

Surrender to the Process: Task 3 in Carnes’ 30 Task Model for Addiction Recovery

A common struggle for addicts entering recovery is the tug-of-war of their desires: wanting to stop acting out while still feeling a pull toward addictive behaviors.  Early in recovery, there’s often an expectation from yourself or from a spouse or loved one to change instantaneously.  And at the beginning, that can feel possible: after discovery or disclosure of addiction, you might have an immediate sense of disgust or distaste for the addiction that fuels sobriety. But with time, that initial emotional response subsides, and the addiction can easily come back when the underlying roots of the problem are still hidden.

One of these underlying roots is a sense of control: a belief that you can force yourself to stop your addictive behaviors, you are in control of your own recovery, and you can pick and choose what you do to get better.  Notice, however, that one of the hallmarks of addiction is repeated attempts to stop without success.  Often early attempts to stop are half-hearted, done in isolation, or not informed by recovery principles. 

The momentary willingness that comes after disclosure or discovery will not turn into long-term sobriety unless there is a recognition that past attempts to control don’t work.  Unless there is a true surrender of control, change will not last.

Surrender to the Process vs. Attempts to Control

What is Surrender?

Surrender is a recognition of the reality that you do not have the power to get better from your addiction on your own or by manipulating or controlling your recovery.  This ties into 12 Step work and breaking through denial as you recognize your own powerlessness and unmanageability.

Surrender acknowledges that the attempts you’ve made to change have been futile.  Often, this is because they are done by yourself without the support or accountability of others.  Or because you approach recovery in a piecemeal fashion, only choosing to do some things and leaving behind necessary tasks for your recovery that stir up discomfort.  Or you may be still on the fence about recovery in general.

What is Control?

Control happens when we believe that we are not powerless and that we can do the work of recovery on our own.  This often leads to white-knuckling, a term that refers to forcing yourself to stop acting out behaviors by sheer willpower.  The term “dry drunk” refers to someone who may not be acting out in their addiction, but hasn’t addressed the underlying root causes of the addiction to create lasting, holistic life change because they are still seeking control. 

Control can be obvious, as in some of the examples above, but it can also show up in subtle ways.  When you are only doing some of the work of recovery and ignoring putting into practice that which makes you feel uncomfortable, you are exercising your own control.  Control shows up in comparing yourself to others in recovery, seeing yourself as better or more capable than them.  Thoughts like “if I just do better, then it will all be fine,” are denial statements that foster this sense of control, but then lead to feelings of lethargy, depression, or self-hatred when you cannot follow through on change.  Another indicator is a lack of willingness to rely on others for support or help through the process, meaning you aren’t attending meetings, don’t have a sponsor, and have no accountability with other group members.

Characteristics of Surrender

Surrender requires you to be uncomfortable.  When you’re surrendering to the process of recovery, you will feel discomfort with some of what you are tasked to do.  You might not like some of the early restrictions or accountability you need to put in place, like an internet blocker, location tracking app, or daily accountability with a sponsor.  But remember that picking and choosing what you feel comfortable with in recovery is a setup for slips and relapse.

Surrender releases anxiety to experience peace.  When you are attempting to stay in control, you put incredible pressure on yourself to change on your own, followed by devastating shame when you inevitably fail.  If you choose to surrender to the process, you can experience the peace of knowing that you aren’t alone and help is available. 

Surrender requires that you say no.  You will need to learn what your limits are in recovery.   We like to think that we can do everything we want and resist temptation to act out in addiction, but this isn’t true. One of the ways denial perpetuates addiction is to tell you that you should “test your strength” or “test your resolve” by putting yourself in risky situations. But this is another form of ritual and preparation for acting out.  You need to identify appropriate boundaries and restrictions early on to set yourself up for success.  Addicts are notoriously bad at boundaries – that’s part of the addiction – so surrendering to boundaries that others help you identify or that have been tenets of the 12 Step recovery process are necessary. 

The Spiritual Nature of Surrender

If we can’t do recovery on our own, then what does that mean? Who can do it for us?

Surrender is a spiritual discipline.  Recognizing the role of God in this process is essential.  In 12 Step, incorporating God or your Higher Power involves recognizing something bigger than yourself that is guiding you toward health, because your self isn’t cutting it.  Step Two and Step Three of the 12 Step program dig into this exploration in more detail. 

Surrender to God or a Higher Power can be a tricky endeavor for those whose views of God are complicated, who have difficulty trusting in God, or who don’t believe God has the power to create change.  These roadblocks are worth working out in the context of your 12 Step group or with your sponsor.  At the bare minimum, believing that there is something outside of yourself that will guide you through recovery, even if it is as simple as the 12 Step process or your work with a sponsor, gives you a good place to start.

Practical Steps for Task 3

Ask for help.

The easiest way to recognize surrender in someone is their willingness to no longer tackle the addiction on their own, but to actively seek out help from others.  This can come in the form of joining a 12 Step group, therapy group, support group, or going to counseling.  Take it a step further by connecting with a sponsor or other group members for contact outside of the group.  Recognize that asking for help requires vulnerability and openness: you need to share the realities of your addiction openly with someone rather than offering partial information.

Identify your Higher Power.

This can be the God of the Bible if you are a Christian believer, or can have a foundation from your religious background.  If you chafe at the idea of religion, you may choose the 12 Step group, people who have gone before you in recovery, recovery itself, or a particular value you hold like love or compassion.  Again, seek to identify something bigger than yourself and have conversations with others in the program to open yourself up to faith and be curious about this process. 

Name denial-based roadblocks.

Denial in your thoughts can be a major factor that keeps you in control and prevents you from offering full surrender.  When you look at the subtle types of control listed above, do you identify with any of them?  Make a list of the denial statements that are most common to you that fuel these attempts to control.  They can include thoughts like, “I don’t need to do that,” “I’m not as bad as so-and-so,” or “other people might need 12 Step, but I don’t.” 

Now consider: what have you tried before in terms of your recovery?  How successful was it?  Is your denial telling you the truth or not?  Look also at what beliefs might be causing you to resist placing trust in your Higher Power or in the support of others.

Grieve the losses associated with surrender.

Surrendering addiction is hard, often because it can feel like you’re giving up the only coping mechanism you have available when stress or other painful emotions arise.  There are aspects of addiction that were appealing or pleasurable to you, and you will need to let go of them.  It also may require you to let go of the belief that you are in control or that you are capable of stopping on your own.  Surrender is a process of letting go.

Remind yourself of your commitment.

When you choose to surrender, it is not a one-and-done moment.  Surrender is a daily practice.  Repeatedly remember your commitment to surrender through a daily reminder, as with a spiritual practice like prayer, journaling, or meditation.  You might choose a mantra or repeated phrase like, “I can’t, but God can,” or “I choose to surrender to the process of recovery.”  Use the Serenity Prayer: “God, grant me the serenity to accept the things I cannot change, the courage to change the things I can, and the wisdom to know the difference.”  Regularly reinforce this commitment through the support of a church or religious community.

Invite others to help with boundary-setting.

As mentioned earlier, a lack of understanding and implementation of healthy boundaries is a characteristic of addiction.  Recovery requires going back to basics with boundaries.  Sit down with your sponsor and talk about your limits and what you should say no to in early recovery, even if you don’t want to.  Get specific and honest here about what you truly need.  Your sponsor will help you explore which triggers are in your control and those you can’t control to help you adapt your boundaries accordingly.  Talk to others in your group with similar acting out behaviors about what boundaries they found effective in early recovery and choose to adopt some of theirs if they strike a chord in you.  Read stories of those who have been successful in recovery, many of which can be found in the foundational text of your 12 Step fellowship, and imitate some of the changes they made if they are relevant to you.

, ,

Coping With Betrayal Trauma Triggers as a Couple

, ,

When I work with couples who are recovering from sex and love addiction, one of the most common concerns is what to do when the betrayed partner gets triggered.  This is especially relevant when the addict has achieved sobriety and is working their program, but the betrayed partner continues to experience triggers. A trigger is a reminder in the present of the addict’s hurtful and addictive behaviors in the past.  Triggers can be accompanied by strong expressions of emotion that seem out of proportion to the present situation, flashbacks to the addict’s past behaviors, intense anxiety or fear, or a level of disgust toward the addict.

Triggers aren’t necessarily indicators that the addict has done anything wrong or broken their sobriety.  In fact, triggers will come up no matter how long the addict has been sober.  I often characterize triggers as having “one foot in the past and one foot in the present”.  Though the addiction may not be happening currently, the feeling aroused by the trigger is the same as if it were happening in the present.  They are a normal part of betrayal trauma recovery and broken trust that needs to be dealt with and healed in the relationship.

Types and Signs of Triggers

A trigger can be directly tied to the recovering addict’s behavior, but triggers can also be environmental.  Triggers tied directly to the addict might be observing their interactions with the opposite sex, seeing your partner hide something on their phone or computer, or your spouse arriving home later than expected.  An example of an environmental trigger might be a billboard for an adult bookstore, an explicit scene in a TV show or movie, or the mention of an affair in a book or magazine.

Sometimes these triggers lead to suspicion and distrust of the spouse, especially when patterns of behavior that were used to hide addiction are noted.  For example, if the addict would often engage in sexual acting out behaviors while traveling for work, traveling will likely carry a trigger in the future.  Or if the spouse used pornography late at night, staying up late alone may be another trigger.

Other times triggers are tied to relational dynamics that were present during the addiction.  If defensiveness was used to hide addictive behavior or emotional disengagement occurred as a result of the addiction, these will likely stir up a trigger response.  Emotional manipulation and gaslighting, withdrawing after an argument, and rage/intense anger are all types of relational dynamics that may have been used to hide or distract from the addictive behavior in the past. If they recur, they can remind the betrayed spouse of that experience and arouse suspicion.

As mentioned earlier, triggers often bring strong emotional reactions, to extremes of rage or the silent treatment.  They can spiral the betrayed partner into destructive thought patterns and anxiety, which may lead to a return to safety-seeking behaviors. Examples of these include searching through emails or phones or numbing out with the betrayed partner’s own addiction to food, shopping, alcohol, or other compulsive or impulsive behaviors. 

Some triggers are easier to prepare for, such as the travel trigger mentioned above.  However, many times triggers come on unexpectedly.  Having a plan in place for how you will respond to triggers as a couple can help you be prepared even for those that are unpredictable and arise without warning.

A Plan for the Addict

Slow down and breathe.

When your partner is triggered, often the impulse is to defend yourself against what can feel like an attack or accusation of wrongdoing.  Unfortunately, this can intensify the triggering experience, adding even more distrust to the relationship as you repeat patterns of defensiveness or dismissal that were used to hide the addiction.

Instead, use the tool of your breath to slow yourself down before you jump on the defense.  Take five to ten slow, deep abdominal breaths to help you stay present in your body and prepare to listen to their experience.

Remember what is happening.

Reframe these trigger moments as opportunities to grow in trust. Consider the concept that a trigger is about having one foot in the present and one foot in the past.  Typically, the trigger is not about what is happening now and is more about what your actions were then.  The trigger doesn’t necessarily carry an accusation with it, as much as it is a flashback to what happened in the past.  If there is some truth to the accusation, it does need to be addressed, and we’ll explore that later.

Listen.

Turn your attention toward your spouse and actively hear what they are saying.  It may help you to repeat their words back to them to ensure you understand, as well as clear up any misinterpretations or confusing communication.  This also helps your partner feel heard and have the opportunity to clarify their perspective. 

Contain the shame.

This is the most crucial component of this process for the addict.  Triggers stir up shame because shame comes with facing the reality of the harm caused by your addictive behaviors.  In fact, shame often contributed to addiction in the first place, as the addiction was a way to self-medicate against the pain of shame.

Addicts defend against shame in a multitude of ways.  You might deny your addiction altogether, avoid reminders of the harm done by your addiction, focus more on the future than the past, or even repress or forget moments from the addiction.  All of these options deny your personal responsibility, which can lead your betrayed partner to feel minimized. 

In order to respond to your betrayed partner with empathy, you need to contain your experience of shame by separating your identity from what you have done.  You need to remind yourself that you are not your addiction.  This is work that can be done in therapy or with your sponsor in 12 Step. The ultimate goal is to take responsibility and remember that a trigger is not a threat to who you are. 

Validate the pain of the past.

Connect with your spouse by acknowledging the reality of betrayal they faced at your hands and the hands of your addiction.  Key phrases for this step include words like, “Of course you would feel that way” and, “It makes sense why you would feel _____ based on my past behaviors.” 

Incorporate empathy here if you can.  Words like, “That really stinks” or, “I’m so sorry you have to go through that, it sounds really hard” can be helpful here as well.  A combination of validation and empathy will go far in defusing the tension of the trigger.

Examine your own behavior and apologize if needed.

Self-reflect to see if the trigger your betrayed partner is experiencing is based in anything for which you can take responsibility.  A trigger like passing a billboard or going on work travel aren’t necessarily your responsibiilty, so this may be a situation to simply validate and share empathy.

On the other hand, triggers related to emotional manipulation in arguments, not following through on promised actions, or inappropriate behavior with a member of the opposite sex likely require an apology.

In a more subtle direction, it is important to apologize for safeguards that could have been in place to protect against this trigger.  For example, perhaps the two of you agreed to make a plan before travel to connect during the trip and you failed to do so.  Or you’ve committed to taking responsibility initiating date nights or weekly recovery check-ins, but you haven’t been consistent in following through on those commitments.  Own your actions that set up an environment for a trigger.

Answer their questions.

See if your spouse has any follow-up questions to the trigger, particularly if it involved direct action or inaction on your part.  Answer these questions as openly and honestly as you can.  Remember that any deception here will come back to hurt you when the truth eventually gets revealed, as it inevitably will.

Rebuild trust in the moment.

Ask your partner if there is anything you can do to rebuild trust in the moment.  Physical touch may be a good way to increase connection, if the partner desires it.  They may also have a request for a date night or other shared activity as a way to connect emotionally and relationally.  They may have a request to create a new agreement around the trigger for the future.

A Plan For the Partner

Breathe.

Just as the addict in this situation needs to slow down and connect to their body, the same is true for you. Intense emotions that accompany triggers can either take you completely out of your body or overwhelm your body with emotion.  This is true for anyone facing trauma flashbacks.  Practicing a centering or grounding breathing exercise can help you slow down enough to observe what is happening in your mind and body. 

Reach out for support.

Get in contact with some of the support individuals in your life who know about your betrayal trauma recovery and ask for encouragement or a listening ear.  A source for this support might come from a women’s support group, your therapist, or a close friend who is empathetic and supportive in your recovery.  If you don’t have this support in place, now might be a good time to look for resources in your area or online that you can rely on the next time you face a trigger like this one.

Avoid the impulse to safety-seek.

Triggers that remind you of the addict’s past behaviors can throw you into repetition of the panic, fear, and hypervigilance of the early days after discovery.  Safety-seeking behaviors include actions such as compulsively searching through your spouse’s internet search history, phone contacts, or emails.  It could be manipulating your conversations with them to try to get them to slip up and say something incriminating.

Hallmarks of safety-seeking behaviors are that they are secretive, often carry shame with them, are attempts to feel like you have all the information and are in control, and usually make you feel worse instead of better.  Instead of choosing these destructive patterns, lean into supportive self-care until you are able to have a conversation with a support person or with your spouse.

Approach your spouse with the talking formula.

When you feel affected by a trigger and it feels appropriate to do so, talk about it with the addict using this format: “When I heard/saw [the trigger], what went through my mind was [thoughts] and I felt [emotion word].”

Feel free to ask questions or confirmation about their behavior.  For example, if it would help you to have more information, you might ask, “Would you be willing to share more about what was going on that day?”  Or if you need reassurance of their recovery, you might say, “It would be helpful to be reminded of your recovery plan. Can we go through that together again?”

Make a request for a change in behavior, if needed.

Identify if you would like to approach future trigger moments differently as a result of what you learned from this one.  Adapting your plan can involve both a joint discussion and an individual reflection.  You might ask your partner, “Could we make a plan together for situations like this in the future?”

You can also identify relationship patterns that you’d like to change if they were involved in the trigger.  For example, instead of emotional withdrawal and detachment, you could request that your partner remain present or plan a time to come back together to discuss an issue. 

Practice self-care.

Riding on the roller-coaster of a trigger is not an easy process.  It can be emotionally and physically exhausting to both experience a trigger and to process it in the aftermath.  Practice activities that are self-soothing and bring a sense of peace and calm to your physical body.  Utilize your resources of support to help you process through the conversation you had with your partner.  Regardless of what happens in the conversation with your spouse, you can still care for and validate yourself.

Understanding the Nature of Addiction: Task 2 in Carnes' 30 Task Model of Addiction Recovery

At this point, you’ve been propelled into recovery through a crisis of decision.  You may have faced a rock bottom moment, like an STD or a spouse’s discovery of your behaviors, that led you to begin to break through denial and admit that you have a problem outside of your control.

But when you begin your journey of recovery from addiction, chances are you are unfamiliar with the specifics of the illness with which you are dealing.  Even though you have plenty of experience living out addiction, you probably don’t know much about the underlying causes of what you’re going through. 

Task 2: Understand the Nature of the Illness

In this task, you will learn more about sex and love addiction, including common symptoms, information about how addiction forms, and patterns it follows.  If you are facing sex and love addiction, there are several different manifestations of addiction that you will come to understand through Patrick Carnes’ ten types of behavior, a categorization system created to describe the significance of varied areas of sexual acting out behavior.

Learning about the mechanics of addiction can answer many of your “why” questions, like “why is it so hard to stop?” or “why do I keep coming back to this?”  As you explore addiction, you’ll learn about neurochemistry and how process addictions (those that involve a behavior rather than a substance like drugs or alcohol) work in the brain.

You may also find connections between your personal history and your present-day addiction.  Abuse and neglect are common factors in many addicts’ histories.  Sexual development is often disrupted, leading to a faulty understanding of healthy sexuality.  Even without an obvious history of abuse or neglect, you may uncover messages communicated to you about yourself, your body, or sex. Critical life events that had an impact, like an unexpected death or illness in the family, or your family’s culture and structure may have inadvertently contributed to your addiction.

Feelings of isolation and loneliness are common in addiction, as you don’t know many others who have felt the ways you have in addiction. Getting connected to other addicts, hearing their stories, and recognizing the patterns of your own addiction that match up with theirs can help you feel less alone.

Practical Steps for Task 2

Read!

Gather information about your addiction by reading and researching more about it.  While the Diagnostic and Statistical Manual of Mental Disorders 5th Edition (DSM-5) does not utilize sex and love addiction as a diagnosis, you can compare your experience with the DSM-5 criteria for substance use disorders, as in alcohol use disorder.  Learning from books, listening to podcasts, or reading articles from trusted sources can all help you see stories of addiction that mesh with your experience.  It can also explain some of the symptoms you’ve experienced but not fully understood.

Here are a few books I would offer as a starting place for reading and learning more:

Similarly, here are a few informational articles I’ve put together about sex and love addiction:

Review and personalize the cycle of addiction.

In several of the materials listed above, you can find information about the cycle of addiction.  Review the steps involved with a particular focus on preoccupation/fantasy, ritual, acting out behaviors, and despair.  See if you can identify how each of these steps manifests for you.

What were the first triggers that got you thinking of your compulsive sexual behaviors?  What was on your mind while you were fantasizing or preparing to act out?  What behaviors prepare you to act out?  What form did the acting out take?  How did you feel afterward?

If you have multiple different forms of compulsive sexual behavior from which you are seeking healing (eg. pornography use and engaging in affairs), create a separate cycle for each of those forms of acting out.

Identify the function of your fantasies.

As you focus on the fantasy component of the cycle, ask yourself: how does your fantasy work to propel your addiction forward?  What types of situations or scenarios do you fantasize about?  What need are they meeting?  Don’t limit this exploration to sexual fantasies, but include non-sexual fantasies, such as a career you’ve dreamed about, for similar themes.

Often fantasies reveal an underlying need that has gone unmet in the past or is currently unmet by your lifestyle.  If your initial thought about your need is for “more sex,” identify what sex represents to you and why you feel you need more of it, as that might get you closer to a core need. 

If you’re still having trouble getting to the deeper need, connect with a therapist or trusted mentor, like a sponsor, to help you uncover any underlying desires that might be at play. 

Learn about sexual anorexia and the binge-purge cycle.

Often addiction can go unnoticed because it is coupled with sexual anorexia, forming a cycle of bouts of sexual behaviors followed by avoidance and fear of sex.  Sexual anorexia is, simply put, “an aversion to being sexual” (Carnes, Facing the Shadow).  Sexual anorexia involves intentionally depriving yourself of sexuality in order to avoid the discomfort or pain that it brings up, often due to past abuse or negative messaging about sex.

Addicts can be both addicted and anorexic at the same time.  For example, an addict who uses pornography daily but avoids sex with his spouse is exercising both sexual addiction and anorexia.  It can also appear in a binge-purge pattern of use, where an addict binges by acting out frequently over a short period of time, followed by a long stretch in which they avoid sexual behaviors or thoughts.

If you relate to this description of sexual anorexia, Patrick Carnes has written an in-depth book on this issue entitled Sexual Anorexia: Overcoming Sexual Self-Hatred which may be worth a read to help you understand. 

Review and list the consequences of addiction you’ve experienced.

As you read, you’re likely to learn about impacts of sexual behaviors of which you weren’t aware previously.  Perhaps you had some problems in your life that you didn’t realize were connected to addiction, but you’re noticing their connections after learning about the symptoms.  Facing the Shadow has some helpful exercises related to exploring these consequences more deeply.

Identify common factors with others in recovery.

While one of the most important first steps in breaking through denial is joining a group and finding accountability with other recovering addicts, you can also understand the illness of your addiction more fully as you listen to the stories of others and identify stories that line up with your own.  Though you may have vastly different manifestations of acting out or consequences to your behavior, look for the common factors you share.  These factors might have nothing to do with addiction on the surface but might include such historical information as a rigid family upbringing or a lack of adequate education on healthy sexuality.

Create a timeline of your sexual history.

Consider your own sexual development.  What were some of the key sexual experiences you had throughout your life?  Break this timeline down into time periods, such as childhood, early adolescence, late adolescence, young adulthood, middle adulthood, etc.  Your timeline may include abuse or harmful experiences, but it can also include more positive or neutral moments as well.  You can use defining events (eg. going to college, getting married, losing a job) as timeline markers, particularly if they had a significant influence on the progression of the addiction.

Reflect back on the messages you received about sex growing up.  Were you given adequate sexual information?  Was anything left out?  How were sex or sexual matters discussed in your household?  Some of the messages about sex you received may be indirect.  Perhaps your parents never had a conversation with you about the birds and the bees, but you picked up your knowledge of sex from peers or porn.  Maybe TV shows, cultural norms, or images depicted in pornography had an influence on your view of sex. 

Include how you came to understand your masculinity or femininity.  Often we receive messages from similar sources (parents, media, peers) about what it means to be a man or a woman, which can teach faulty messages that contribute to addiction.  Addiction itself can also teach distorted messages about men and women.  Abuse is another factor that can impact this messaging, so be aware of any influences from that arena. 

Share this timeline with someone else.

In the same vein as sharing with a sponsor or trusted friend about your addiction, as mentioned in task 1, once you’ve compiled this timeline of sexual behaviors, go over it together with a sponsor, mentor, therapist, or trusted friend.  Opening up to someone who you trust to be able to receive and listen to your story without judgment is a necessary part of recovery.  Ask for feedback or themes that they notice of which you might not be aware.

This is great preparation for sharing your First Step with a sponsor or in the context of a 12 Step meeting.  Understanding your personal history and how it applies to your story of addiction can lead to significant insight into how your addiction functions.