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Sex Addicts Anonymous (SAA) is a twelve-step program for people who want to stop their addictive sexual behavior. There also exists an auxiliary group known as COSA, for friends and family members of SAA members.

SAA was founded in 1977 by several men who wanted a greater sense of anonymity than what they perceived in other twelve step programs for sex addicts. SAA is open to anyone who desires greater control over their behavior, and is intended to be safe for people of all sexual orientations.

In SAA each member creates a unique definition of “sexual sobriety” based on abstaining from a personalized list of compulsive sexual behaviors. Members are encouraged to respect each other’s definitions of sobriety. Many SAA members use a “three circle” concept to model their behaviors. The inner circle represents the compulsive sexual behaviors that must not be practiced. Inner circle behaviors might include having sex with a prostitute, or acting out with a nonconsensual victim. The outer circle includes sexual and nonsexual behaviors that are definitely healthy. Outer circle behaviors might include sex with a partner in a monogamous relationship or getting eight hours of sleep a night. In the middle circle are behaviors that are not considered a relapse (inner circle behaviors), but could quickly lead to one if left unchecked. Middle circle behaviors might include looking for a prostitute or contacting an old acting out partner.

In addition to regular meetings SAA also organizes “boundary meetings.” These are special meetings for professional caregivers such as medical doctors, psychotherapists, and clergy who need to attend meetings separate from clients, patients, and parishioners.

Some SAA members (a minority) may have a history of sexual abuse during their childhood, and more substance abuse problems than control groups. SAA publishes the book Sex Addicts Anonymous. It is widely used in SAA and has been officially approved as their basic text by the ISO of SAA, Inc Literature Committee. It has gained the approval of the annual conference of group delegates.