Sexual avoidance and disconnectedness are real issues for intimacy anorexia recovery. If a person does not initiate when it’s their turn or says no when the spouse initiates, there needs to be a real consequence.

You can say no, but you need to take a consequence, so you are in no way doing this to be anorexic. This consequence needs to be severe.

Write down your consequence for not initiating sex or saying no to my spouse, sexually.