Uncovering the Truth About Your Codependence: A Review of Facing Codependence by Pia Mellody

The words “codependency” and “codependent” are becoming more commonly used to describe a person who has an intense drive toward people-pleasing, often to their own detriment.  Increasing numbers of therapists are advertising themselves as experts on codependence, and individuals are self-identifying with the team more readily.  But what does this term mean? 

Pia Mellody, the author of Facing Codependence, defines codependence as a series of symptoms that indicate an intense focus on controlling relationships and a lack of awareness of the self, both of which have likely been perpetuated by abusive situations in the past.  These symptoms include difficulties with, “experiencing appropriate levels of self-esteem, setting functional boundaries, owning and expressing their own reality, taking care of their adult needs and wants, and experiencing and expressing their reality moderately.”

While codependence is a common topic in addiction recovery circles, I believe that many people, including addicts, recovering partners, and those without an addiction history may struggle with some forms of codependency perpetuated by their experiences in family-of-origin or even in our culture as a whole.

In Betrayed Partners

Codependence has been used synonymously with “co-addiction,” proposed to be the illness partners of addicts experienced as an addiction to their addicted partner.  Fortunately, there has been a movement away from this labeling, as it can inadvertently blame the betrayed partner for the addict’s behavior.  Yet for many individuals whose behaviors led them to be labeled as “co-addicts,” more subtle forms of codependence were likely at play.  Codependence symptoms such as low self-esteem, difficulty moderating emotions, and trouble maintaining appropriate boundaries can all show up in traumatized partners.

While not all betrayed partners are also codependents, the symptoms associated with codependence can exacerbate the experience of pain and trauma of being betrayed.  The origins of codependence symptoms originate in family-of-origin trauma and painful experiences in childhood.  It may be helpful for partners to explore the symptoms of codependence and discern whether or not they occur and/or have roots in family-of-origin trauma.

In Addicts

Addicts are likely to have codependence as a factor that led them to addiction in the first place.  Often addicts have a history of abuse or trauma, which leads to maladaptive coping through addiction.  In order to deal with the pain of the past trauma, addicts turn to their drug of choice, masking the intolerable reality of the abuse they experienced.  In sex addiction, for example, sexual connection is used to manage this emotional state, which inhibits true intimacy and creates an unhealthy dependence on sexual experiences to feel “okay.” 

Symptoms of codependence that are relevant to addicts include difficulty setting boundaries, inability to meet needs and wants in healthy ways, and difficulty owning and expressing their own reality.  These can show up in deception and denial.  Boundarylessness leads to justification of their actions.  Sometimes self-esteem issues can show up as arrogance or grandiosity instead of low self-esteem, which fuels addictive behavior through entitlement and minimization.

What about you?

Do you struggle with codependency?  Whether you are an addict or betrayed partner, it may be beneficial to review common symptoms of codependency in a codependency assessment or through reading Pia Mellody’s book Facing Codependence. 

Facing Codependence

Pia Mellody’s extensive research in treating codependency, as well as her own experience recovering from it, has equipped her well to share information about codependence and the first steps toward healing.  Facing Codependence includes practical information about the disease and wraps up with where to start in recovery.  It incorporates awareness of how codependence correlates with addictive behaviors, and how recovery programs can help.  She normalizes the experience of codependency through many examples, both personal and clinical.

Often one of the hardest tasks for codependents is facing up to their past.  One element that they find challenging is labeling parents’ or others’ behaviors as “good” or “bad.”  However, Mellody’s facilitates this exploration through encouraging the label of “functional” and “dysfunctional” behaviors instead.  She also addresses misgivings people have about calling their parents to account for their mistakes because they need to defend or minimize their own mistakes with their children.  Instead, Mellody tells codependents that the best gift they can give their children is working their own personal recovery, and that without acknowledging their own hurt, they will be unable to create lasting change in their families.

“In a functional family the members know that EVERYBODY is imperfect.”

— Pia Mellody

While this book doesn’t get into a full recovery program, it does offer some beginning steps and points toward an additional resource Mellody has put out, a companion workbook called Breaking Free.

Why I Recommend This Book

More comprehensive review of symptoms of codependence

As listed earlier, the symptoms of codependence include difficulty with appropriate levels of self-esteem, setting boundaries, owning your own reality, meeting wants and needs appropriately, and expressing reality moderately.  Mellody gives deeper descriptions of these symptoms with in-depth explorations of their consequences and origins.  She also explores experiences that hint at these symptoms, such as high intensity of emotion or complete lack of emotion, as signs of codependence.

Understanding these symptoms can be incredibly normalizing for you, as you explore how they developed and know that you are not alone in facing them.

Includes less-than-nurturing experiences

To further normalize your experience, Mellody broadens the definition of abuse to include any “less-than-nurturing” behavior your family or others may have displayed.  This helps those who haven’t had any serious or extreme abuse understand the presence of their codependence symptoms.  Mellody includes not only signs of overt abuse, but also neglect or other covert abuse behaviors that may have been at play.

For many people, taking a critical look at their family-of-origin and harm they may have experienced is nearly impossible, as they prefer to believe they had a “normal” or “good” childhood.  This is where the language of functional and dysfunctional behaviors comes in handy, rather than labeling them as “good vs. bad” behaviors. 

“...looking at our histories, identifying the specific incidents about which we had our original overwhelming feelings, and finding a way to own and release those feelings can bring freedom from the sabotaging cycle that makes our lives so unmanageable and painful.”

— Pia Mellody

Prepares you to explore your own history

In advance of outlining various types and examples of abuse, Mellody warns the reader about defense mechanisms that arise to protect against facing up to the reality of what happened to us.  Exploring these defense mechanisms first encourages more openness to understanding where your story fits within these categories. 

She names and defines such defenses as denial, minimization, repression, and dissociation and expresses how they protect you from facing the realities of your past.  This prepares you to delve into your own history with awareness of how you might protect yourself against looking at the truth.

Encourages exploration of your story

Mellody describes five different categories of abuse: physical, sexual, emotional, intellectual, and spiritual abuse.  In these chapters, she gives a variety of examples and invites you to consider your own experience in comparison.  She emphasizes the need to explore this history, not as a way to dump all the blame onto your past, but to allow parents or caregivers to be accountable for their actions, as well as encouraging your own accountability for present-day behaviors.

Mellody identifies how these less-than-nurturing experiences have influenced your feelings of shame, motivated by what she calls the “shame core.”  Shame can be helpful in that it reminds us of our imperfections and fallibility.  But when caregivers act in shameful or abusive ways toward children and don’t take accountability for those actions, they can pass along that shame as “carried shame” into children, leading to repetition of abusive patterns.

An interesting claim Mellody asserts is that all abuse is spiritual abuse because of the impact it has on relationship with God, or a Higher Power.  For those who are Christian, this can be an eye-opening experience of why it has been difficult to trust God or believe certain truths about Him.  Also, for those in recovery, it can explain why surrendering to a Higher Power feels impossible.

First steps to recovery

In the last chapter of the book, Mellody lays out some basic, practical tools to get started in your recovery journey.  These early steps include such actions as getting involved in a 12 Step group, finding a sponsor, working the 12 Steps, and finding a counselor with an understanding of codependence.  While this isn’t a comprehensive recovery plan, she does point to the companion workbook Breaking Free to provide a more in-depth approach.

Getting involved in a supportive recovery community and using resources to work through the 12 Steps can help you put action steps into practice that will actually change your experience.  This will allow you to begin to set healthy boundaries, which are essential to recovery from codependency.  Your work in these groups will also encourage and help you to look for ways to re-parent yourself so that you can change the ingrained patterns of thought and behavior from the trauma.

Pia Mellody’s Facing Codependence is a great starting point that I would recommend to identify and begin to explore your own codependence, as well as point you in the direction of some tools and resources to continue on your journey of healing.

Breaking Through Denial: Task 1 in Carnes' 30 Task Model for Addiction Recovery

What do you do after you realize you have a problem with sex and love addiction?  Maybe you’ve been found out by a spouse or significant other, and you know you need to get help.  Perhaps you’ve had legal or financial consequences that put you in a position to make some serious changes.  You may have even begun therapy with a counselor to address your addictive behaviors.  But what does treatment for sex and love addiction look like?

The 30 Task Model

Dr. Patrick Carnes, the pioneer in research and literature on sex addiction, designed his treatment model centered around 30 essential tasks to recovery.  These 30 tasks are broken into three sections: early recovery tasks, long-term recovery tasks (internal and external), and relational/family recovery.  He explores the first seven of these tasks in his workbook Facing the Shadow, while the next set of tasks is outlined in the follow-up books The Recovery Zone 1 & 2.

While all thirty of these tasks need to be addressed during the 3-5 year period of recovery from addiction, they aren’t necessarily completed in order.  You may find yourself working on spirituality (task #30) while you’re in the early stages of learning more about addiction (task #2) and establishing sobriety (task #5).  Or you may find that, several years into your recovery, you need to break through denial (task #1) about a new area of addiction that has replaced your sexual acting out (task #8).  Or while you’re working on your marriage relationship (task #27), you’re also grieving the losses your addiction has created in your marriage (task #12).

The 30 tasks don’t directly correlate with the 12 Steps, they share much of the same DNA.  For example, task #3 (surrender to the process) is very similar to what you’d find in Step 2 and Step 3.  In fact, task #7 (participate in a culture of support) is implemented through involvement in support groups and 12 Step programs.

The 30 Task Model can give you a roadmap to follow in treatment for sex and love addiction.  They can also be a helpful reference point when you’re in the middle of recovery and looking for what’s next or when you find yourself getting off track.  I’ve used them in sessions with clients as a means to define our goals together and as a self-assessment to identify potential areas for continued growth. 

In this series, we’ll take an in-depth look at each of the 30 tasks in Carnes’ model and explore some of his recommended activities (as well as a few of my own) for addressing this task or returning to it later in recovery.  Kavod Psychotherapy created a reference diagram briefly describing each of these 30 tasks.  More information on the tasks can be found in Facing the Shadow, The Recovery Zone series, or the Recovery Start Kit, all created by Dr. Patrick Carnes. 

Task 1: Break Through Denial

The essential starting point for any addict in recovery is the shift in thinking from “I don’t have a problem” or “this isn’t a big deal” into facing the reality of the presence of addiction and its destructive power in your life.

To put the label of “addiction” on your behaviors can be challenging, as we often associate addiction with moral failure or flaws.  Denial allows you to avoid a sense of shame or guilt about these behaviors.  Labeling behaviors as addiction also compels you to change, while denial can justify or minimize the impact of your behaviors.

Often the first call to break through denial comes when a loved one, like a spouse, finds out about your compulsive sexual behaviors.  This often begins the process of therapy and support.  Sometimes you’ve experienced a sense of guilt or being unable to stop that you’ve been aware of, but there isn’t any motivation to make a change until you hit that crisis point. 

Practical Steps for Task 1

Take an addiction-related assessment.

When you begin working with a Certified Sex Addiction Therapist (CSAT), they’ll typically encourage you to take one of a few different types of assessment to compare your symptoms and behaviors to a norm.

One is a quick inventory that you can take on your own: The Sexual Addiction Screening Test, or SAST.  This compares responses from a non-addicted population to a population of self-reported sex addicts.  This way, you can see whether or not you fall within range of normal behavior or addictive behavior. 

If your scores from the SAST put you in range of addictive behavior, you may be asked by your therapist to take a Sexual Dependency Inventory (SDI).  This is a much more extensive assessment that helps you clarify the form your addiction takes, as well as various additional measures that identify potential roots for the addiction.  Some of the questions for this particular assessment are found in the Facing the Shadow book in Chapter 3, so you can review those on your own if you choose.

Another alternative is to compare your experience of compulsive sexual behaviors with the criteria for addiction listed in the DSM-5.  While there isn’t yet a diagnostic category for sexual addiction in the DSM, you can use the same criteria as alcohol or drug use disorder and simply replace the substance listed in the criteria with compulsive sexual behaviors.

Write out any problems or consequences you’re experiencing.

Make a list of any problems you’re facing in your life, whether they are obviously addiction-related or not.  Often problems seem unrelated to the addiction, but their solutions can be influenced by the time and energy the addiction takes.

Examine your list to identify which of these are either directly caused by or intensified by your compulsive sexual behaviors.  Include not only physical consequences you may have had as a result of the addiction but also emotional and spiritual consequences.

Make a list of the secrets you are keeping and from whom you are keeping them.

Addiction thrives in secrecy.  One major way to break through denial is to identify where that secrecy is taking place.  This deception can be about major things, like hiding your compulsive sexual behaviors for fear of rejection or pain.  But they can also be about minor things, like finding yourself compulsively lying or hiding aspects of who you are as a person.

Take note of these, as well as from whom you’ve been hiding them.  Notice if there is anyone in your life who knows everything.  If not, be curious about why that is.  If you run into a pattern of presenting a different person in different contexts, explore what might be influencing that behavior. 

Recognize the “stinkin’ thinkin’” of addiction.

Denial exists primarily in our minds as a way of interpreting our behaviors and our thoughts.  It can show up as making excuses, minimizing, justifying, feelings of entitlement, blame-shifting, taking on the victim role, and many others.

Begin to recognize the beliefs you have that allow you to continue on in your addiction.  Utilize resources such as this article to identify different types of beliefs that might show up in your denial.

Sometimes these beliefs are so strong that they’re hard to label as denial.  Understanding delusion and self-deception can help make sense of these thoughts and place them into the correct category.

Tell the whole story to someone.

Once you’ve sorted through how denial functions to protect you from facing the reality of your addiction, now you can work against that denial by sharing your story of addiction with a safe and trusted person.  This person could be your therapist, sponsor, pastor or spiritual mentor, or a close friend who has offered understanding and empathy when you’ve talked about difficult things in the past.  It may be helpful to write a letter or narrative to help you express your thoughts and ensure that you are as honest as possible.

Many 12 Step programs encourage you to share this information in your First Step.  You might share parts of your story with a group during a regular meeting or present your First Step as a whole to the group.  Telling another sex and love addict in recovery can be helpful, particularly in a group setting. They will know how and when to challenge you, as they can relate to the experience in a unique way.

Obviously, it can be challenging to work up the courage to share your First Step with the group in a way that feels supportive and kind to yourself. Get connected to a sponsor or other support individual and share with them first before you do so in a more public form.  In the meantime, listen to others’ First Steps to consider what pieces of your story relate to theirs.

Check your story with others.

The way we perceive the world, especially when it comes to our own actions, isn’t always the way others see it.  If you’re wondering about the impact of your behaviors and you feel able or comfortable to do so, ask others.  Similarly, you can observe when others in your group talk about the impact of their addiction on their loved ones and draw connections to how your loved ones may be feeling.

If you are married or in a significant relationship with another person, you may go through a formal disclosure process at some point.  As part of the disclosure, your loved one will read you an impact letter they’ve written that describes how they have felt as a result of your addiction.  This can be a helpful experience to come back to as a reminder of the reality of the pain caused by your behaviors. 

Repeat.

Keep coming back to these components of breaking through denial at each stage of your recovery.  You might find the stinkin’ thinkin’ re-emerges when you’re about to face a new challenge to your sobriety.  At around 6-8 months of sobriety, you may become overconfident and observe some of these denial patterns coming back in again.

Create and add to a list of beliefs that push you into addiction, denial statements, entitlement, and excuse-making statements so you can continue to recognize those thought patterns when they come up.  The more you are able to recognize and be on guard for this denial, the more likely you will be to catch it and redirect into your recovery.

How to Rebuild Trust in the Aftermath of Betrayal

If you’ve faced betrayal in your marriage or long-term relationship, you know the devastation that broken trust creates.  Trust can be broken through affairs or infidelity, either sexual or emotional.  Sex and love addiction is a major factor that comes up in destroying trust in relationships.  Other addictions, secrecy around financial decisions, or secrecy around work can create similar experiences of broken trust.  But a common factor in all these cases is deception.   

Trust requires safety, and if your perception of reality is influenced by the lies or insincerity of another person, it becomes unsafe.  You might ask yourself questions like, “How will I ever know if my spouse is telling the truth?” or “How could I have fallen for their lies?” 

Shame also comes up for the betrayed partner.  You might be wondering if it’s your fault, blaming yourself for not being able to see the warning signs of the deception.  You might feel embarrassed and like a fool.  You might also be struggling with loneliness, as issues such as sex and love addiction can be difficult to share about with friends, or you can be protecting your spouse’s privacy.  Regardless, this shame is based on a distorted view of reality put forward by the partner who deceived. 

What should I expect in rebuilding trust?

Rebuilding trust is an incredibly slow process, and it requires patience and time to heal.  Usually, I notice impatience in couples who come into my office feeling stuck.  The partner who committed the betrayal is recovering more quickly than the betrayed partner.  They might be feeling relief due to the fact that they are no longer carrying the burden of the secret addiction, and they can finally get the help they need.

Meanwhile, the betrayed spouse is wrestling with the new information he or she has received.  They are trying to integrate this new truth into the months or years of deception that have taken place, rewriting the narrative of their lives.  They are trying to re-evaluate and re-integrate their whole world with this information.  At the same time, they are faced with making decisions about the future of the relationship.

How do we rebuild trust?

Have you ever built a sandcastle?  Some professional sandcastles can be beautiful, with turrets and sculpted carvings.

Think of your marriage like a sandcastle.  When the betrayal was discovered, it’s as if a giant tidal wave came and destroyed it.  Rebuilding trust involves moving sand back to rebuild that castle.  Some days it involves moving just one grain at a time, and other days you’ll move shovelfuls.  Sometimes, if the foundation is shaky or the wind from outside blows in a certain way, parts of the castle may crumble or topple and need to be built up again.

You likely won’t be building the same exact castle over again.  You’ll change parts of it to make it new and better.  Having learned from your previous experience, you’ll likely make a stronger foundation and more beautiful or intricate carvings.  You’ll consider how you will approach the marriage after the betrayal, which involves moving into a new phase that will be decidedly different from the pain that now colors the first part of your marriage.  

Rebuilding trust requires that both spouses have an active role in this process.  It is impossible for just one of you to be doing all the work.

THE DECEIVER’S ROLE

For the individual who has betrayed their spouse, the simplest way to rebuild trust is to continually match your words up with your actions.  The first step involves honesty.  You will need to be more truthful about your thoughts, emotions, and behaviors than you ever have before.  Allow your spouse access to private accounts and information.  Some spouses need this level of transparency and others don’t, but your willingness to offer it regardless of whether it’s needed or not rebuilds trust. 

Particularly in the case of sex and love addiction, formal disclosure of acting out behaviors is a major step in rebuilding trust.  In order to establish a foundation of trust before you move forward in the relationship, you will need to have a formal disclosure of all your behaviors with your spouse.  This is a major step of honesty that will lay the foundation for the other rebuilding actions to stick.

Each time you are honest about your behaviors in the future, you will move some sand back into that sand castle.  Every time you carry out an action you said you would, you build more trust.  When you are honest about difficult, negative emotions and responses, that builds trust even stronger, as it allows your spouse to see you take ownership of your feelings and actions. 

THE BETRAYED PARTNER’S ROLE

While it may seem that the action of change rests in the hands of the deceiver, the betrayed partner actually has a significant role in the trust-rebuilding process.  In order for trust to be built, the partner be willing to take the risk to trust.  You will (understandably) be self-protective and you won’t be ready to fully trust for quite some time.  In fact, if you were ready to trust immediately after discovering the betrayal, I would caution you against it!  But the long-term goal is to help you find ways of offering trust as the two of you heal.

When you first find out about the deception and broken trust, you ought to spend some time building up your network of support individuals and self-care so you can practice kindness toward yourself as you heal. Establish safety for yourself that isn’t dependent on your spouse’s behaviors, as they will certainly not be able to meet all your expectations at first.  Create boundaries as a way of seeing if your spouse is willing to change and adapt.

Once you’ve decided to move forward, take small risks to trust.  Acknowledge or praise your spouse when you see their actions and words lining up.  Choose to focus on the progress more frequently than the past betrayal, as it can be easy to lose sight of positive changes.  However, if the deception is still going on or if you haven’t seen actions on the spouse’s part to substantiate their commitment to rebuild trust, tread cautiously.

As mentioned earlier, rebuilding trust requires that both spouses take an active role.  But even if you do, you might feel like you keep hitting roadblocks that set you back.  When you are stuck and need a way to move forward, seek out couples counseling.  In counseling, you’re able to further discuss those areas of conflict in a way that creates change.  You’ll set goals together and consider how you’ll approach this new season of your marriage. 

This article was originally posted under the title of “How Do We Come Back From This? Rebuilding Trust in a Broken Relationship” on November 29, 2018.

Rediscover Your Self-Worth After Betrayal Trauma: Empower Your Future

When you’ve recognized the impact of your partner’s sex and love addiction on your sense of self-worth, it can be a challenge to identify how to break out of that trap.  You may feel stuck or powerless to change.  Your emotional landscape or confusing thoughts may make it difficult for the truth about your inherent worth and value to sink in.

We built the foundation of understanding the impact of betrayal trauma on self-worth by evaluating symptoms in Part 1 and reviewing reminders of what is true in Part 2.  Understanding the truth about addiction and trauma may be reassuring intellectually. But understanding might not change the way you feel, which is a major component of insecurity around your self-worth.  Today, we’ll explore how these insights can influence your behaviors such that your feelings of confidence begin to grow.

Acting “as if” as a pathway out of low self-worth

If you believed that your worth was inherent and not based on what others think of you, how might that change the way you interact with others?  If you believed that it was impossible to be “enough” for the addiction, how might that influence the way you relate to your spouse?  How might that create space for more self-care and boundaries?  As you answer these questions, begin to experiment with taking different actions that fit those changes in beliefs. 

Here are a few examples of potential applications if you acted “as if” these statements were true:

Attend a 12 Step meeting or support group.

If you believe that you are worth spending time with, it makes sense for you to reach out for social support.  Finding a safe place to talk about your doubts and hear others’ stories helps you know that you are not alone.  Outside help will both validate you and challenge you when needed. 

Begin personal counseling.

When you come to realize that the only person you can control is yourself and that you are worth caring for, you will be more likely to seek out professional help on how to do that.  You have a right to receive support and care in the process of moving through the trauma. Seeking out specialized counseling is a way to honor that right.

Release the burden of perfectionism.

If you’ve coped with feelings of failure or insecurity in the past by trying to keep your life together and be perfect, you might find the same patterns surfacing in your betrayal trauma recovery. Remember that your worth is not defined by how much you accomplish, by your status, or by your achievements.  Know that your worth is inherent and allows yourself to take a rest or ask for help.

Put your own needs first by practicing self-care.

Practice kindness toward yourself by recognizing the impact of the trauma of discovery and honoring your needs as a result.  Treat yourself how you would treat a friend if they were going through something similar.  Recognize your needs that aren’t being met and seek out healthy ways to meet them.

For many, self-care can be challenging because it contradicts beliefs that encourage you to put others before yourself.  However, in this case, re-centering on meeting your personal needs is necessary so that you can come into a place of serving and loving your family, spouse, and others more holistically in the future.  You can’t serve others from an empty shell of yourself.  You have to put on your own oxygen mask before you can help others.

Review your “bill of rights” and set healthy, supportive boundaries that affirm your worth.

In the fog that comes after discovery, you might be unclear about how to achieve a sense of safety and stability.  If you’re doubting your worth, you might not be aware of what you have the right to ask for to create a sense of safety in your marriage.  Resources like the “bill of rights” on Vicki Tidwell Palmer’s website, as well as her book Moving Beyond Betrayal, can help you identify what you have the right to ask for and begin to help you on the process of setting boundaries that honor your personal worth and value. 

Part of this process is recognizing legitimate rights related to your body. Acknowledging your right to say “no” to physical or sexual intimacy at any point and particularly in the early stages of recovery can honor your sexual self.

Explore your options.

Talk to your spouse about couples counseling or treatment, intensive opportunities, or other steps of support.  Seek out resources for legal and financial support if you are considering separating and want to pursue financial independence.  Read books and attend seminars on trauma and addiction to learn more about what you might be experiencing.  Seek out safe people in your life who can provide support and a listening ear.

Recognize your own patterns of denial.

Did you have a sense that something was off long before you discovered your spouse’s addiction?  Were there odd occurrences that you explained away or minimized because the thought that your partner might be an addict was too much to bear?  In a relationship without addiction, it makes sense to give your spouse the benefit of the doubt.  But when you discover addiction, rediscovering your intuition requires you to shift that pattern.

To better prepare yourself for future deception that may or may not occur, it is important to examine how your denial manifested itself: how did you explain away inconsistencies in behavior and words?  How have you taken on more of the blame for yourself rather than allowing the addict to own it? By exploring these thought patterns in yourself, you’ll begin to learn to trust your gut again. 

Connect the dots between past trauma and present-day emotional reactions.

Each betrayed partner has a different emotional response to the pain of the trauma.  These responses typically relate to your history: wounds from your family-of-origin, painful experiences in romantic relationships, or even trauma or abuse. 

Consider how the particular patterns of self-doubt you’re feeling are connected to insecurities that stem from your past.  Take the time to unearth longstanding patterns of self-talk that might be contributing to your lowered self-worth.  In this process, you may also uncover some dysfunctional patterns in relating that stem from your past experiences and begin to shift the way you connect with others.

Grieve the hurts without being consumed by them.

You will likely experience grief in waves that hit you for a time after the discovery of your partner’s addiction.  This grief can feel overwhelming and can lead you to a place of self-pity and hopelessness.  It can trigger shame and guilt and lead you further into doubting your self-worth. 

When you feel waves of grief threatening to overwhelm you, use that as an opportunity to acknowledge the reality of the circumstances that have contributed to the pain and redirect your attention to self-care and empowerment to change.  Accept the reality of what is outside of your control and commit to finding ways you can make changes that fit in alignment with your values. 

Recognize that sometimes doubt about self-worth masks the legitimate grief of finding out about the betrayal and having to make decisions about the future.  Staying in a place of self-doubt or shame can be a self-protective response, keeping you from having to face the hard realities of what comes next.

List your strengths.

Make a list of strengths you have which can uniquely help you to make it through this process of recovery.  If you have trouble writing a list, ask those in your support network, your family, or your friends to name strengths they see in you.  Take a strengths-based personality assessment to uncover which qualities of your personality will help you to get through this season.  Identify resources or strengths that you are growing and fostering to remind yourself that you have power to change what is within your control. 

Rediscover Your Self-Worth After Betrayal Trauma: Remember the Truth

When you’re caught up in self-doubt and questioning due to the recent discovery of your partner’s sex and love addiction, the line between what is real and what isn’t can be fuzzy at best.  Many of the explanations running through your mind affect your sense of self-worth as you attempt to understand what is impossible to understand.

 In Part 1 of this self-worth series, we identified thoughts and behaviors that are associated with low self-worth as a result of betrayal trauma.  In this article, we’ll cover some statements of truth that combat the swirling self-doubt and give you a supportive reality check. 

What is true?

When you’re being pummeled by these insecurities, it can help to remind yourself of some affirmations of truth about yourself and your partner’s addiction to ground you in reality. 

Your emotional response and reactions are normal.

You’ve experienced an intense trauma: survivors of betrayal trauma often demonstrate similar symptoms to those who have experienced sexual trauma or assault.  The feelings that come up in response to the betrayal are a reflection of the seriousness of the offense.  Even though you might feel crazy, what you’re experiencing is to be expected from the pain you’ve sustained.

The addiction isn’t about you. It is not your fault.

Sex and love addiction typically develops long before you and your partner meet. It originates as a form of coping with distressing feelings or discomfort.  Most addicts have a history of past trauma or abuse, which can be sexual in nature but also could be physical, emotional, or verbal. Addiction developed as a maladaptive way to cope with stress or pain caused by that trauma or abuse.

What if your relationship had problems beforehand and you can connect the addict’s desire to escape to the tension in the relationship? In this case, your partner still had a choice of how they would cope with that tension.  They did not have to choose addiction, but they did so because of a preprogrammed propensity that they had fostered through early experiences. 

Addiction is never satisfied, so you can never be “enough” for addiction.

When you begin to question whether you weren’t sexual enough for your spouse, remember that no amount of sex will fully satisfy a sex addict.  Many sex addicts believe that having more sex will solve their problems, but it never does.  Addiction is always in search of more and is never satisfied.  The concept of tolerance in addiction shows that what was once enough to provide a “high” eventually loses its intensity and the addict continually needs more to achieve the same effect.

Addicts are masters of denial and deception.

Addicts have years of practice hiding their behaviors so skillfully that no one could tell they were acting out.  They use techniques such as emotional manipulation and gaslighting to mask their behaviors and self-protect.  They will go to any lengths to protect their addiction, often acting in what seems to be contradictory ways to their proclaimed love for you as their partner.  They create an atmosphere to protect the addiction, whether consciously or subconsciously.  It’s crazy-making for you, but the smokescreen they put up explains why you couldn’t see it.

That being said, prior to discovery, you may have had moments when you felt like something was off or that your gut was telling you something was up.  Typically your concerns were met by your addicted partner with further denial and minimization, which may have led you to dismiss your intuition or question your reality.

You are worth spending time with.

In the aftermath of the discovery of betrayal, betrayed partners often feel isolated and alone.  You might be hesitating to contact friends or loved ones, which only adds to those feelings of isolation.  In addition, your insecurities may cause you to question your value in relationships and fear reaching out for support.  Believing that you are worth spending time with can help empower you to seek out your friends and family who can be supportive and safe during this time.

Beyond relationships with others, spouses of addicts lose a sense of their personal identity, whether that’s due to caring for children or caring for the addict.  Spending time with yourself becomes immensely important to reclaim yourself and your personal identity.  Learn who you are.  Spend time getting to know yourself as if for the first time because you are worth getting to know.

Your worth is not defined by external achievements or accomplishments.

When you’re still reeling from the discovery of your partner’s addiction, you probably weren’t the most productive person.  The impact of trauma can throw you off all parts of your daily routine.  Especially if you’re already someone who deals with perfectionistic tendencies, you might be overwhelmed by a sense of inadequacy as you grapple with the crushing impact trauma has on your life.

Emphasizing external validation as the primary place you find your worth and value will consistently set you up for failure.  The solution is to recognize that your value and worth is inherent and cannot be influenced or taken away by what others think of you. 

The only person you can control is yourself.

Excessive focus on the addict and their behavior can lead to extreme swings in mood and thought patterns because addiction can be so crazy-making.  Instead, focusing on what’s within your control (your own thoughts, behaviors, choices, and emotions) and caring for those parts of you can help you to detach in a healthy way from the chaos of your partner’s addicted world.  This focus on yourself allows you to align your actions with your own value system, and it acknowledges that you are worthwhile enough to receive care and growth. 

Addicts live a double life and compartmentalize their addictive behavior.

Like the classic Dr. Jekyll and Mr. Hyde, addicts often completely separate their addictive acting out behaviors from their normal life.  They dissociate emotionally from their “normal” life while acting out, often dealing with memory fog or fuzziness about specifics of their acting out behaviors afterward.  Your addicted partner could truly love you even while they were active in their addiction, despite their actions communicating something entirely different.

In our third and last installment of this self-worth series, we’ll explore what it means to empower yourself to take actions that affirm your self-worth.

Rediscover Your Self-Worth After Betrayal Trauma: Evaluate the Impact

For many partners of sex and love addicts, betrayal trauma from discovering affairs or addiction can bring up a flood of questions: why did this happen?  Am I not attractive enough for my partner?  Have I not been enough sexually?  Am I stupid for not seeing this sooner?  Did he/she ever really love me, or was it just a lie?

This panicked flurry of questions is an attempt for your mind to make sense of something that is senseless, to explain why the addiction occurred.  It is a natural response to the acute stress of the trauma and the mind’s natural tendency to try to understand what has just happened to you.  Unfortunately, many of these questions damage your sense of self-worth as they create misleading conclusions about the reasons for your partner’s addiction. 

Often, the self-doubt that hits you first is influenced by deeply-rooted insecurities that already exist in your heart.  For example, you may already struggle with self-consciousness about body image and your fluctuating weight because of teasing and body comparison in your teenage years.  If this is the case, discovering your partner’s addiction may lead you to compare your body to images in pornography or affair partners, creating hatred toward your body. Perfectionism, codependency, sexual issues, or aspects of your personality can create sources of self-doubt.

These doubts are made worse when the addict is still in denial over his or her addiction and points out flaws in you that divert attention away from the addiction.  Your spouse may blame physical changes or weight gain for not wanting to be intimate.  He or she may criticize your parenting or spending.  Before your discovery of the addiction, these accusations may have led you to question yourself and set you up for a pattern that continues even after you find out about the addiction.

Discovering a partner’s sex and love addiction or betrayal targets your pain points, adds a few new ones to the mix, and creates the perfect storm that can wreak havoc on your sense of self-worth.

Signs of Impact on Your Self-Worth

Consider the list below of common indicators of insecurity or self-doubt triggered by the discovery of addiction.  Which of these symptoms have you experienced?  How are they playing out in your relationship today? 

Ambivalence about staying or leaving in the relationship.

Ambivalence is not synonymous with indifference: rather, it is the experience of a push-and-pull between two different extremes that you want at the same time.  You may have felt disgusted and wanted to get away from your spouse, but less than an hour later you feel love for him or her and a desire to fix the issues in the marriage.  

When you have this push-and-pull of ambivalence, it is common to become self-critical and angry with yourself for wanting either extreme.  You might fear the judgment of others if you choose either option.  Feeling stuck in not knowing what to do creates a sense of shame and self-contempt that can reinforce your insecurities.

Mood swings between self-contempt and contempt toward the addict.

Similar to the ambivalence between staying or leaving, you might also flip-flop between extremes of hatred for the addict and contempt toward yourself.  You feel angry about what they have done to cause harm to you and your family, but then experience self-hatred for allowing yourself to be in a relationship with an addict.  You blame yourself for their choice to step out on the marriage because you feel inadequate, but then you feel rage at them for gaslighting you into believing that you were the problem.

Shame around sexual desires or negative beliefs about your sexual self.

In some cases, partners find themselves desiring to be sexual with their spouses after the discovery of addiction.  You might be motivated by a desire to secure your partner’s love or to prove that you are satisfying sexually.  Other partners start out wanting nothing to do with sexual intimacy with their spouses but find themselves confused when sexual desire does arise.  Either response can lead to shame, as sexual desire feels contradictory or minimizing to the impact of the betrayal trauma.

A partner’s sex addiction also has a unique impact on beliefs about your sexual self, namely communicating that you are not enough sexually for your spouse.  You can begin to question what you offer sexually and feel unattractive or unappealing.  Your sexual self (your masculinity or femininity) and identity are linked together so closely that betrayal in this sexual realm can deeply impact the core of who you are.

Comparison of your body to affair partners or pornographic images.

Many partners wonder why the addict was drawn to objectify or sexualize other people through pornography or affairs.  You might explain this by coming to the conclusion that you were not attractive enough, or that your partner is sexually interested in people who look different than you.  These insecurities can arise for partners who have a history of body image issues or are feeling dissatisfied with their weight and health, but it can also come up for those who have never felt concerned about their body image.

Feeling stupid or foolish for not knowing the addiction was happening.

How could I have missed this?  For many, the discovery of addiction occurs after the addicted spouse has been acting out for years.  Often, the addiction started long before the two of you met, although it may have escalated into more intensity while the two of you have been together.  You likely were blind to the addict’s sexual behaviors because of their skill at deception and dishonesty throughout the course of your relationship.  The shock of discovering the addiction may lead you to feel like you were stupid for missing it. The fear of being duped or fooled again can lead to difficulty trusting your partner. 

Believing the addiction was somehow your fault.

Despite the fact that the addiction likely existed long before you and the addict got together, you might find yourself struggling with self-blame and looking to your personal flaws and mistakes as justification for the addict’s actions.  You might believe the emotional manipulation and criticism your partner has shared toward you, or you might have insecurities based on abuse or harm from your past that tell you that you are unlovable or worthless.  You might notice a chorus of “if onlys” telling you that if you were different in some way, your partner wouldn’t have chosen their addiction.

Suicidal or homicidal thoughts.

At its most extreme, the hopelessness and depression that comes with the trauma of discovery can lead to thoughts of taking your own life.  Similarly, moments of rage toward your spouse can create thoughts or situations where you could do harm to him or others.  If you are experiencing suicidal or homicidal thoughts, please call 911 or go to your nearest emergency facility.

Self-destructive behaviors.

Even if you haven’t gotten to the extreme of suicidal or homicidal thoughts, you may be engaging in self-destructive behaviors as a way to subtly punish yourself or to retaliate in a way that gives you a sense of control.  You might have your own affair or seek out the attention of others in response to finding out about the addiction.  You might escape into disordered eating for a sense of comfort.  You may relapse into your own addiction or find yourself turning to alcohol, drugs, or habits such as shopping or gambling as a way to get relief from the pain you’re feeling.

In future parts of this self-worth series, we’ll review statements of truth that contradict these sources of low self-worth and move you toward a more accurate view of yourself, as well as create a plan of empowerment and change for the future.

Using the New Year as a Springboard for Recovery

For many of us, a new year represents a new beginning.  The practice of making resolutions reflects this energy surrounding the vision of a fresh start.  One calendar year ending and another beginning creates a natural moment for a reset, a time when we’re encouraged to pause and reflect on the progress of our lives. 

Whether you participate in setting resolutions or not, this fresh start may be just the push you need to commit (or re-commit) to your addiction recovery.  For those who battle sex and love addiction, the holidays leading up to New Year’s can be rife with triggers and reminders of pain. You may have coped by using addictive behaviors to self-medicate and had a relapse.  Use this as an opportunity to learn and start out fresh as you begin your new year. 

How to Make a Fresh Start in Addiction Recovery

Tell someone.

For those of you who are aware that you have a problem and aren’t quite sure what to do about it, the first step is to let someone else in to your struggle.  Typically, you’ve made attempts to stop on your own, but you realize how isolating addiction can be. This feels like the scariest step, as it involves a high level of vulnerability. 

Often it can be challenging to start out by sharing with our friends or family members, so it may be helpful to consider someone like a therapist or 12 Step group member to share with for your first time. Consider safe people in your life who will offer you love and acceptance when you share with them.

Go to your first 12 Step meeting.

Along with telling someone, beginning to attend 12 Step meetings and receive support are essential first steps in recovery.  A meeting may even be the first place you choose to share about your struggle. 

Most people feel fear or anxiety about attending a 12 Step meeting for the first time.  You might be thinking, What if I see someone I know there? or I’m not as bad as these people, I don’t need to go to these meetings.  I’ve noticed in my practice that involvement in 12 Step has been a game-changer for so many people in finding supportive community and a place where they can talk about their struggles with people who get it.

Search in your area for 12 Step meetings on their respective websites.  For sex and love addicts, I’d recommend Sex Addicts Anonymous (SAA), Sex and Love Addicts Anonymous (SLAA), or Sexaholics Anonymous (SA).  In-person meetings are the best, but if there isn’t a local meeting in your area, you can also participate in online or phone meetings.  Take the leap.  It’s worth it. 

Seek out counseling.

Some can recover from addiction without ever setting foot in a counseling office.  But for many, counseling is an essential part of their recovery plan.  The additional support of specialized counseling for sex and love addiction can help you remain focused on your recovery goals.  It also gives you one person you know who will hold you accountable for your behaviors. 

Often addicts have no clue why they do what they do: it feels like they’re on autopilot.  If you resonate with that, counseling can help you explore the motivations and reasons behind your destructive behaviors and explore other options.  Addiction is also associated with past experiences of trauma, and counseling provides a space to explore healing from that trauma.

Get a sponsor.

For the same reason that having a counselor is incredibly impactful to recovery, having a sponsor is essential to success in a 12 Step program.  You need someone who can mentor you through the experience, guide you through the 12 Steps, offer accountability and support when you’re tempted to return to your addiction, or just be there on a consistent basis.

Often, connecting with a sponsor gives you a built-in pathway to community with the larger 12 Step network.  It is recommended that sponsors have at least one year of sobriety and have worked through the 12 Steps.  In order to achieve that, your sponsor likely has built relationships within the community.  He or she can connect you to those others and build a stronger foundation of relationships to support you on your path to recovery.

Do your First Step.

Working your way through the 12 Steps is a proven path to recovery.  12 Step programs wouldn’t be as popular or as recommended as they are if they didn’t actually work.  Commit to your own personal work through the program by starting at the beginning.

In the First Step, you are encouraged to admit your powerlessness over your addiction and your inability to manage it on your own.  This is a constant reminder of the humility every addict needs to keep them on track for recovery.  Even if you’ve worked through your First Step before, starting out a new year returning to the foundation of the 12 Step process can remind you of your need for the program in a new way. 

Begin working toward formal disclosure with your partner.

If you’ve been procrastinating on completing a formal disclosure, that makes sense.  Disclosure is a challenging process of becoming completely honest with your partner about your addictive behaviors.  However, complete honesty and integrity is the only way to build the foundation of your relationship and create trust with your partner.

Talk with your counselor about disclosure.  Begin by putting together a timeline of your addiction, including any changes, escalation, or attempts to stop.  Seek out a CSAT-certified therapist to walk you through the disclosure process, if you aren’t already working with one.

Offer service to others.

Step Twelve involves choosing to share your time or energy with others who are in recovery, which can serve multiple purposes.  First, it can redirect your focus from yourself and your own struggles to helping others.  Second, it can keep you accountable: if you’ve volunteered to help out at a meeting, you’re responsible for carrying out what you said you would do.  Third, helping others creates connection and community, as you interact with others while you’re helping.

Offer to run a meeting, set up chairs, or be a phone contact for a new member of your 12 Step group.  Share your First Step at a meeting so those who are new to your group can feel less alone.  If you’ve been in solid recovery for at least one year and have your own sponsor, consider becoming a sponsor to someone else and passing what you’ve learned along.

Reintegrating Healthy Sexual Intimacy after Betrayal: A Review of The Couple’s Guide to Intimacy

Couples recovery from sex and love addiction can be a complex and lengthy process.  Even for those fully committed to the process of recovery, it can take between three to five years to uncover all that’s needed to heal a marriage.  The chaos and storm of staggered disclosures, broken trust, and faltering attempts at honesty can lead to confusion and overwhelm for both partners in the relationship.

Couples therapy requires participation and change by both members of the couple.  In the early stages of recovery, when the betrayed partner is reeling in pain and has often been manipulated, it doesn’t feel safe to make changes to support the relationship.  Individual healing work needs to be done first. Because of this, couples therapy is not recommended for most couples until each member of the couple is getting their own therapeutic support and a formal disclosure process has been completed.

The addict needs to get their individual pattern of addiction under control, and the partner needs space to process the pain of trauma that they experience.  They both need to establish support systems outside of the relationship in the form of 12 Step groups, sponsorship, support groups, and/or healthy friendships.  Boundaries need to be established and understood. Healing cannot happen in the marriage until there is a foundation of honesty, and formal disclosure is designed to create that foundation.

In some cases, couples therapy can begin earlier in the process of recovery.  Often this is when the couple needs to learn basic communication skills in order to navigate life together while going through this healing process.  Also, this can be helpful if the couple is pursuing a formal therapeutic separation and need guidance from a couples therapist on how to implement this logistically.

Let’s say you and your partner have been consistent in individual therapy, have strong social support, are committed to recovery-oriented behaviors, and have completed a formal disclosure.  Now what?  Many couples aren’t sure what to do once they’ve made significant progress in their individual recovery.  Deeper still, reintegrating or introducing healthy sexual intimacy can feel like a daunting task.  How can a couple recovering from sex and love addiction be intimate again?

Why A Couple’s Guide to Intimacy is Needed

In The Couple’s Guide to Intimacy, Bill and Ginger Bercaw give an answer to these “what next” questions.  They outline the sexual reintegration therapy (SRT) model that they’ve used consistently with recovering couples to help them achieve a level of intimacy in their relationships they hadn’t thought possible. 

The Bercaws’ approach helps to completely overhaul the experience of sexual intimacy in a recovering relationship.  Often, when sexual addiction was present, sexual experiences weren’t truly connecting or meaningful.  Physical and emotional intimacy are explored as integral parts of true sexual connection. 

Their book includes information about the SRT model and explorations of true healthy sexuality and its differences from addicted sex.  They also include a series of practical exercises (planned intimate experiences) that can be put into play by the couple, progressing gradually toward an entirely new vision of sexual intimacy.

Bill and Ginger Bercaw strongly recommend working with a CSAT couples therapist while going through this material, as much of what can arise emotionally and relationally needs space to be processed in a safe environment with trained professionals.  It is also important to maintain your individual therapy and support while walking through SRT, so you can have space to process what comes up for you individually as you begin to experiment with this new approach to intimacy.

Insights from the Book

The foundations upon which Bill and Ginger Bercaw lay their book form a series of important insights into the process of reintegrating healthy sexuality into a recovering marriage.

Healthy sexual intimacy is made possible by integrating physical, emotional, and spiritual dimensions of intimacy.

Broken trust and betrayal destroy all levels of intimacy. In particular, sexual intimacy is affected as often one or both partners are using it as a way to get something from the other, as opposed to truly connecting during the experience.  The book emphasizes the need to integrate all areas of intimacy through direct and open communication and conversations, especially as integrated in the planned intimate experiences (PIEs). 

Reprogramming sexual scripts is Essential.

Our culture’s view on sex influences our approach to intimacy. For example, we emphasize trying new things as a way to keep sexual experience interesting or “spice it up.”  This is intensified by the influence of sex and love addiction on your relationship, where the addict may see sex as a way to pursue novelty or seek the next “high.”  But these approaches are not truly connecting.  They are more focused on performance than they are on intimacy, and intimacy is the greater need.

Reviewing your own sexual history can reveal your expectations about sex.

Bill and Ginger Bercaw lead the reader to reflect on their own sexual experiences and influences on their sexuality as an exercise in self-understanding.  For example, if you have a history of sexual abuse, it likely affects messages about your body or your sexual experience.  Exposure to pornography can create distorted expectations about how sex ought to be.  A lack of sexual information, particularly in more rigid home environments, can lead to a lack of knowledge about sexual response and experience.  Even such influences as the media, peer groups, churches, and others can have an impact on sexuality. 

Early attachment relationships also have an influence on your experience of sexual intimacy in your marriage.  If you have an avoidant attachment style, you’re more likely to want to withdraw from conflict and therefore don’t talk about sexual issues.  If you are more of an anxiously attached person, sex might be a way that you confirm you are loved by someone.  If you grew up in a rigid family system, you might see sexual behavior as rebellious or a way to branch out from restrictions.

These influences need to be acknowledged and addressed before true sexual intimacy can be experienced.  You’re carrying around baggage from your past that has to be unpacked before you can enter into the relationship without expectations or judgment.  This is important as you will be able to come to know your own sexual self and your partner’s sexual self, which then creates a more intimate experience.

The end goal isn’t perfect technique or sexual experience, but expressing love and connection through being present to yourself and your partner.

An overemphasis on technique or an idealized sexual experience has probably already led you to disappointment and pain.  Instead, the Bercaws’ approach to intimacy takes emphasis off the final result, instead focusing on remaining present throughout the entire process of intimacy.  Every PIE exercise focuses on different depths of intimacy.  Many exercises in the progression occur outside the bedroom or with clothes on.  Several focus on creating more emotional and relational intimacy, which paves the way for connected sexual intimacy.

The importance isn’t to find the new sex technique that’s going to boost your pleasure (despite what some magazine covers may say) but instead to learn how to become fully present to yourself, your partner, and your experience during your intimate encounter.  

Safety and communication are necessary in personalizing your path.

For many betrayed partners, there is not a sufficient level of safety in the relationship to rush into intimacy.  The Bercaws’ PIE exercises are designed to help you grow closer, and they also encourage speaking up when you aren’t comfortable or when you need to change something.  They emphasize using talking and listening boundaries throughout their PIEs and reinforce that with an emphasis on healthy, functional boundaries, which they describe at length.

If you’re looking for additional support in understanding how you can grow in the area of sexual intimacy in your recovering marriage, Bill and Ginger Bercaw’s book and their method of sexual reintegration therapy offer useful and practical tools to revolutionize your relationship.