My name is ____________________ (fill in the blank). I have a disease/disorder/dysfunction/addiction/mental illness (whatever you want to call it) where my brain tells me I should:

(fill in the blanks and check all that apply)
___ fantasize
___ look at lustful TV
___ look at pornography
___ go to “adult” establishments
___ _______________________
___ ________________________

This is my brain regularly telling me it would be a good idea to do something that, if I did, I would be:

(fill in the blanks and check all that apply)
___ hurting my relationship with my spouse
___ risking damage to my reputation
___ risking arrest
___ risking disease
___ risking hurting loved ones
___ setting myself up to feel depressed
___ risking losing my job
___ ___________________________
___ ____________________________

Based on the above facts, my brain is undeniably broken/sick/dysfunctional (whatever you want to call it).

To combat this insane obsession and compulsion, I am willing to go to any lengths. This means I am willing to:

(fill in the blanks and check all that apply)
___ stop thinking for myself as to what I should do to recover
___ get the advice of someone else who has recovered and has the kind of life I want (a sponsor, permanent or temporary)
___ follow the advice of a sponsor
___ go to one to three meetings a day as recommended by sponsor
___ make a phone call to an SA person every waking hour, or as frequently as recommended by a sponsor
___ go to in-patient treatment for sex addiction if recommended by sponsor or counselor
___ take medications as prescribed by a doctor
___ go to bed at a regular time (as recommended by a sponsor)
___ exercise (as recommended by a sponsor)
___ ___________________________
___ ___________________________

(Other ideas: give up movies, access to computers, TV, malls or being at work alone, or traveling, or whatever a sponsor thinks will be helpful.)

Now, many of these actions are unappealing and inconvenient. I don’t want to do them all. I don’t like having this disease. I didn’t ask to have this disease. I wish I didn’t have to do all this stuff to recover. However, (now go back to the top and start again): “My name is _____, and I have a disease/disorder/dysfunction/addiction/mental illness where sometimes, or often, my brain tells me it would be a good idea to…”