Medically Reviewed by Annamarie Coy, BA, ICPR, MATS
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The 13th step is an informal term for those in addiction treatment programs who seek sex or pursue romantic relationships with other members.
The “13th stepper” is often a senior group member who has been sober for a significant period. New members look up to them as role models because they have more time under their belts working the program.
People in recovery seek relationships for various reasons:
13th stepping is discouraged within groups like NA and AA due to the ethical questions and dangers.
Medical professionals generally advise new 12-steppers to wait at least a year before starting romantic relationships. Members of the same sex usually pair together to reduce the likelihood of a sexual encounter.
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Here are some other dangers of 13th stepping:
New members of NA and AA groups are highly emotionally vulnerable. Because of their vulnerability, 13th steppers can easily abuse the trust they place in more senior members. Substance use recovery groups can sometimes draw predators for this reason.
The 13th stepper is usually, but not always, an addict. Sexual predators are known to falsely pose as addicts and join groups to instigate sexual relationships.
Reports have stated the involvement of sexual assaults in 13th-step relationships.1 Results can sometimes be tragic.5
A person at risk of 13th stepping tends to have an addictive personality.
Here are some traits of an addictive personality:
Studies also show that those with heritable disorders like depression are susceptible to addiction.2
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An easy way to avoid 13th stepping is to avoid sponsors of the sex you are attracted to. Heterosexual members should stay with the same sex; gay members, the opposite sex.
While a little flirting is natural, avoid anyone who makes sexual advances on you or other new members. If you suspect someone is a 13th stepper, you may need to avoid going to future meetings and find another group.
Wait at least a year before starting a sexual relationship, especially if you and another member are interested in each other. Sometimes, more than a year may be necessary, depending on the stage of your recovery.
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Substance use is a chronic disease and can also be a medical emergency. Those who are addicted should seek immediate professional care.
The first step in seeking addiction treatment is usually a consultation with an addiction treatment center. After an initial series of tests, the patient will undergo detoxification (or “detox,” for short).
After detox, you can receive treatment for the addiction. Various treatment options are available, such as:
13th stepping is a dangerous practice that can have dire consequences. It happens when people in recovery become involved in sexual or romantic relationships with new members of the same recovery group.
If you suspect someone is 13th stepping, avoid them immediately. Other professional treatments are also available to help m substance use disorder.
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