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what are the effects of sexual abuse?

The long term effects of child sexual abuse can be so pervasive that it is sometimes hard to pin-point exactly how the abuse affects an adult. It permeates everything: a person's sense of self, intimate relationships, sexuality, parenting, a person's working life, even their sanity. The following list gives a more detailed indication of the long term consequences of child sexual abuse:

  • low self-esteem
  • emotional reactions - guilt, anger and rage, sadness and grief, complete absence of emotional reactions
  • depression
  • anxiety problems - generalised anxiety, panic attacks, specific fears and phobias, pronounced startle response
  • isolation and alienation
  • bad reaction to medical procedures - hospital admissions, gynaecological procedures, dental procedures
  • physical complaints
  • sleep disturbance
  • eating disorders - compulsive eating and obesity, bulemia, anorexia
  • dissociative problems - perceptual disturbances, flashbacks, nightmares, bad dreams, out of body experiences
  • problems with trust
  • victim behaviour
  • further assault/re-victimisation
  • general fear of men/women
  • interpersonal difficulties - in relationships with nem/women
  • sexual problems - impaired sexual arousal, difficulties with orgasm, lack of sexual motivation, lack of sexual satisfaction, guilt during sexual contact, vaginismus, pain during intercourse
  • problems with touch
  • parenting problems
  • abuse of self - self-mutilation and injury, suicide attempts
  • substance abuse - alcohol, drugs, tranquillisers
  • compulsive and obsessional problems
  • under achievement in education and occupation
  • difficulty in sustaining positive experiences

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