In Episode 243, Mark & Steve address a very important issue submitted to PBSE by a listener who is the betrayed partner of a porn/sex addict. This question especially resonated with Mark as he himself, along with a number of his children and many of his extended family, have suffered with the challenges of mental illness and related diagnosed issues like ADHD. Here's the submission by a PBSE listener—

My husband and I have been friends for close to 20 years, in a relationship for 7 years, and married for 3. He has been addicted to pornography for most of his life, close to 40 years. I started to suspect something a couple weeks before we got married, and he finally confessed his addiction about 6 months later. We now both have CSATs that work together as a team and we have been seeing them for about 18 months. My husband has been doing fairly well, or so I thought, but I have just found out he has been in a relapse for a couple of months. I am of course hurt and angry that he would go back down this road after all the work, time, and money that has been invested in his recovery. He very much wants to get back on track, but feels that I need to take a much larger role in his recovery. I should mention that my husband is diagnosed with ADHD. For this reason alone, he feels he needs me to essentially manage his recovery. If he has homework, sit down and do it with him. Set up our weekly check ins and give him reminders about them. Follow up that he has made therapy appointments, continually check in with him that he is not using porn etc. I do not want to have to manage all this for him. He feels that If I truly care and support him, I will understand that because of his ADHD, this is what he needs in order to be successful. I do know that it is not the wife’s place to do this typically. Is there ever a time, for instance when ADHD is present, that this could be a healthy, successful approach to both partners' recovery. Thank you so much.

• First of all, we have tremendous empathy for those challenged by ADHD. 
• This is NOT an episode about the intricacies of ADHD and how it relates to addiction and recovery. We covered this topic in a very basic sense in Episode 210. This episode is about what it means to be truly PROACTIVE and LEAD OUT in one’s own recovery. 
• Mental Illness and Addiction:  One of the great challenges in our field is an issue of “What came first, the chicken or the egg?” Did mental illness, trauma, abuse and the like come first and lead to addiction or vice-versa? Mark can speak to this from personal experience . . . 
• What was HORRENDOUSLY HARD for Mark was honestly and vulnerably facing what it means to “own MY side of the street/MY recovery.” What does it mean to “LEAD OUT” and be PROACTIVE? How do you balance this with realities, limited capacities, self-compassion, etc.?
• With mental illness, trauma, abuse and the like in the mix, there are more “moving parts” to recovery.
• What IS a reasonable expectation for an individual with both challenges—addiction and mental illness/trauma/abuse? What are the EDUCATION, RESOURCES & TOOLS in today’s world?
• Moving from “me” to “WE” and how to find the balance in the “addict’s side of the street” vs. the “partner’s side.” 
• What does true “collaboration” look like as a coupleship?
• How does the betrayed partner of an addict balance her own self-care, betrayal trauma healing and boundaries in this whole process? How does she walk the delicate line of healthy support vs. enablement?  

For a full transcript of this podcast in article format, go to:  https://www.pbsepodcast.com/post/my-porn-addicted-partner-has-adhd-he-insists-i-must-manage-his-recovery-for-him-to-succeed-is-this