Reread your post. Here you have lost me. He needs sex to feel appreciated? As in "appreciated for something" - and if so, for what... exactly? Or as in just "valued for his being himself" - that I can definitely understand, but you cannot make somebody appreciate you - appreciation is done out of free will. It appears though that he might be hinting at needing to be appreciated for something, and if that is the case, I am really curious as to what that "something" is. You did not list any merits on his part, so far, unless you rushed when writing the OP and missed some critically important information...