
37923 W 12 Mile Rd, Suite C · Farmington Hills, MI 48331
Phone: 248.392.3733 · Call, Text & WhatsApp: 248.378.4133 · Fax: 1-888-313-4538
Interactive Safety Contract
Fillable on this device · autosaves as you go
For the partner of someone in recovery for sexual addiction (SA) — couple work and disclosure context
This contract is a shared commitment to your safety during the disclosure arc and the ongoing recovery work. It is a clinical tool — it does not replace emergency care.
Betrayal trauma is a clinical phenomenon, not a character flaw. When you hear the truth of your partner's acting out — whether in a weekly check-in or a formal therapeutic disclosure — your nervous system may respond with flooding, dissociation, rage, numbing, or collapse. These are not signs that something is wrong with you. They are signs that something traumatic has happened to you. This document is here to hold those responses, not to pathologize them.
This is a clinical tool. It does not replace emergency care. If you are in immediate danger of harming yourself, your partner, or anyone else, call 911 or call or text 988.
I acknowledge that in the course of disclosure and the recovery work that follows, I may experience one or more of the following. I am naming them here so they are not minimized or hidden:
| # | Risk I am naming |
|---|---|
| 1 | Suicidal thoughts, or urges to end my life |
| 2 | Urges to harm myself — self-injury, self-punishment, or destructive self-soothing around food, substances, or sleep |
| 3 | Flooding — being unable to regulate my nervous system, panic, intrusive images or thoughts, hyperarousal that will not settle |
| 4 | Dissociation — feeling unreal, numb, cut off from my body, or losing time |
| 5 | Rage activation — urges to harm my partner verbally, emotionally, physically, or through property damage; urges to humiliate or publicly expose |
| 6 | Urges to surveil, hack, search devices, or gather proof compulsively |
| 7 | Urges to leave without communicating, disappear, or make impulsive decisions about the relationship from a flooded nervous system |
| 8 | Urges to self-soothe through destructive means — restricting or binging food, using substances, compulsive spending, impulsive sex, or any behavior that leaves me feeling worse after |
| 9 | Urges to confront third parties — an affair partner, family members, or public audiences — from a dysregulated state |
I commit to the following, naming that these commitments are made alongside the honoring of my trauma response — not in spite of it. I will initial each commitment to make each one intentional.
| # | Commitment | Initial |
|---|---|---|
| 1 | I will not attempt suicide. I will not harm myself in any form. | |
| 2 | I will not act on destructive self-soothing urges (food restriction or bingeing, substances, impulsive behaviors) without first reaching out to a support contact listed below. | |
| 3 | I will not act on rage urges toward my partner or toward any third party. If the urge is strong, I will pause, ground, and call a support. | |
| 4 | I will not surveil, search devices, or investigate compulsively without first taking the urge to my own therapist, partner specialist, or support group. | |
| 5 | I will not make major decisions about the relationship — leaving, divorcing, publicly disclosing, confronting third parties — while I am in acute dysregulation. I will wait until I am regulated and have consulted my own clinician. | |
| 6 | I will not use my partner as my crisis support during an acute betrayal trauma episode. My partner is not my safety net in the very moments when their betrayal is what is hurting me. I will contact my own supports first. | |
| 7 | If I am unable to keep this contract on any given day, I will call my therapist, my partner support, 911, or 988 — in that order, escalating as the acuity demands — rather than act on the urge. |
My healing is held by a team that is mine — not a team I share with the person who caused the harm. I will list the people and resources I can turn to:
Emergency resources are always available, regardless of this contract.
A copy of this signed contract is kept by the client, by the therapist, and (with the client's consent) may be shared with the partner for mutual transparency.