Utilization of the substance or behavior has gotten uncontrollable. This means that the addict needs - and repeatedly attempts - to quit but can‟t. There's a history of bombed attempts. The word powerlessness - a central word in Step One of the 12 Steps - aptly distinguishes the feeling the addict has about his or her sexual conduct. Even as an addict goes through destructive results for his or her sexual conduct, it‟s not adequate to get them to quit. Addiction isn't weakness, but its helplessness. Addiction isn't a deficiency of selfcontrol; it's a powerlessness over the substance or conduct in question.

The addiction becomes tougher over time. This occurs because more and more of the substance or conduct is required over time to accomplish the same outcome. The chemistry of the brain adapts to whatever an addict orders into it. Over time the brain calls for more to accomplish the same outcome.