Many people engaging in and suffering from out-of-control sexual behavior have found twelve-step programs helpful, and fortunately, there are a number of “S-fellowships,” fellowships addressing sex, sexuality, and sexual behavior.

Every fellowship is different, and every meeting within each fellowship is different. This guide is intended to be objective, but there is no substitute for your own experience. If you believe that a twelve-step program may help you, we hope this guide helps you find your way, both to the various fellowships’ web sites and literature, and to their meetings.

Twelve-step programs typically aim to help members achieve “sobriety,” borrowing the term used by alcoholics.


Fellowships with a “hard bottom line”

Sexaholics Anonymous and Sexual Recovery Anonymous define “sobriety” for you. The other fellowships define sobriety more individually.

Sexaholics Anonymous (SA) click here for information about attending meetings

SA’s “White Book” (after the “Green Book” of SAA, the most substantial book of any of the fellowships) states “the only requirement for membership is a desire to stop lusting and become sexually sober.” What is “sobriety”? The White Book (an outdated copy of which can be found in its entirety here, and an updated copy of which can be ordered here), says:

Thus, for the sexaholic, any form of sex with one’s self or with partners other than the spouse is progressively addictive and destructive. We also see that lust is the driving force behind our sexual acting out, and true sobriety includes progressive victory over lust. These conclusions were forced upon us in the crucible of our experiences and recovery; we have no other options. But we have found that acceptance of these facts is the key to a happy and joyous freedom we could otherwise never know.

This will and should discourage many inquirers who admit to sexual obsession or compulsion but who simply want to control and enjoy it, much as the alcoholic would like to control and enjoy drinking. Until we had been driven to the point of despair, until we really wanted to stop but could not, we did not give ourselves to this program of recovery. Sexaholics Anonymous is for those who know they have no other option but to stop, and their own enlightened self-interest must tell them this.

In addition, SA has defined “spouse” as “one’s partner in a marriage between a man and a woman.” For this reason, some members of SA are people who describe themselves as “suffering from same-sex attraction.” In addition, SA groups tend to have higher participation among religiously observant people.

Sexual Recovery Anonymous (SRA) click here for information about attending meetings

According to SRA’s pamphlet, “The only requirement for membership is a desire to stop compulsive sexual behavior,” and defines “sobriety” as “the release from all compulsive and destructive sexual behaviors.” The pamphlet adds, “We have found through our experience that sobriety includes freedom from masturbation and sex outside a mutually-committed relationship.”


Fellowships with an individualized “bottom line”

The fellowships listed below leave the definition of “sobriety” up to the individual member, in consultation with her or his sponsor – another member of the fellowship who has more experience as a participant.

Sex Addicts Anonymous (SAA) click here for information about attending meetings

SAA’s “Green Book” (the largest, and most comprehensive, of the books used by the various fellowships) reads, “Membership is open to all who have a desire to stop addictive sexual behavior. There is no other requirement.” The book can be ordered here, and is available, in its entirety, free, here. The fellowship uses the metaphor of three circles to regulate and define sobriety – an inner circle, a middle circle, and an outer circle. The inner circle consists of “each one of the compulsive sexual behaviors from which we feel it necessary to abstain.” The outer circle consists of behaviors that “bring recovery and are to be encouraged, praised and practiced.” The middle circle holds those behaviors “of which we are uncertain.” Over time, each person may find certain behaviors moving from one circle to another.

Sexual Compulsives Anonymous (SCA) click here for information about attending meetings

SCA’s web site says, “The only requirement for membership is a desire to stop having compulsive sex,” and, with respect to “sobriety,” it says, “Members are encouraged to develop their own sexual recovery plan, and to define sexual sobriety for themselves. We are not here to repress our God-given sexuality, but to learn how to express it in ways that will not make unreasonable demands on our time and energy, place us in legal jeopardy — or endanger our mental, physical or spiritual health.” SCA’s guidebook is called the “Little Blue Book,” and can be ordered here. The “sexual recovery plan” is similar to SAA’s three circles – consisting, typically, of three columns – “abstinence,” “high-risk,” and “recovery.”

SCA was born when gay men, unhappy with SA, launched their own fellowship. (They tell their history here.) SCA has the highest participation by gay men of the various fellowships, and also has significant female participation.

Sex and Love Addicts Anonymous (SLAA) click here for information about attending meetings

SLAA says, “The only qualification for SLAA membership is a desire to stop living out a pattern of sex and love addiction.”  SLAA defines “sobriety,” in one of its pamphlets – many of which can be found free here – as “Our willingness to stop acting out in our own personal bottom-line addictive behavior on a daily basis.” In addition, SLAA has a Basic Text, which can be bought here.

SLAA, alone among the fellowships, tends to focus on problems resulting from patterns of love, and not simply sex. Members often describe themselves as being addicted to people, individually, and serially. SLAA has the largest participation among women of these groups.

Alcoholics Anonymous (AA)click here for information about attending meetings.

AA membership “is open to anyone who wants to do something about his or her drinking problem.” Some AA meetings, however, are “open” meetings (and are identified as such in the meeting schedules). Open meetings are open to anyone who wishes to participate, and many people suffering from a wide range of compulsions, addictions, and out-of-control behaviors have found AA’s open meetings helpful. While there is not always a meeting of an S-fellowship, one can nearly always find an AA meeting.


For partners

S-Anon click here for information about attending meetings

S-Anon is “a program of recovery for those who have been affected by someone else’s sexual behavior.” It is modeled on Al-Anon, the fellowship for those affected by others’ drinking. S-Anon has a sibling program, S-Ateen, for “young people.” For information about S-Ateen and its meetings, click here.

COSA – click here for information about attending meetings

COSA is “a recovery program for men and women whose lives have been affected by someone else’s compulsive sexual behavior.”


SRA-Anon describes itself as “a program for spouses, relatives, friends, and significant others – when the sexual behavior of someone you love troubles you.” Their flier describes them and their meeting schedule.

Al-Anonclick here for information about attending meetings

Al-Anon is a program for “friends and families of problem drinkers,” but, increasingly, people whose friends and/or families engage in addictive, compulsive, or destructive behavior find the support in Al-Anon valuable, and unlike S-Anon and SRA-Anon, there are many meetings to choose among.