It is equally difficult to focus on such aftereffects of betrayals as flashbacks, depression, anxiety, sexual dysfunction, addiction and compulsion, and painful interpersonal relationships.

FORBES: Caring For Survivors of Boyhood Sexual Abuse Is The Next Step In The Penn State Case

And with all that increased stress comes the increased likelihood of irritability, anxiety and sexual dysfunction, all of which can take their toll on interpersonal relationships.

FORBES: Eight Threats To Marriage In A Downturn

Most compulsive shoppers have other problems as well, including depression, anxiety or other addictions, including compulsive sexual behavior, Internet addiction or compulsive gambling.

CNN: The dark side of shopping

Teens: "Older kids are sometimes amused when they guess that their parents have been sexual, but if it's in their faces too much of the time, it can create discomfort and anxiety, " says Klein.

CNN: When your child walks in during sex