Doctor insights on:
Signs Of Sexual Abuse In A Four Year Old Child
Should I be concerned about a child who has suffered sexual abuse asking to use the restroom very frequently (4yrs old)?
Yes: Any child with new onset voiding dysfunction or incontinence or any adult with lonstanding voiding dysfunction should be counseled about a history and nature of sexual abuse. Also, a physical exam is indicated. In children especially, problematic voiding habits can predispose to more serious sequelae as they grow into adults. Early diagnosis and treatment is crucial. ...Read more
Ask: A 5 yo has enough verbal skills to tell you if someone has "touched them". If so let them describe the setting & event. Be sure to confirm ahead of time that they are not in trouble and it is not a "secret", no matter who it might be. Do not push the issue. If truly concerned you can ask your doc to refer you to a professional who can pursue the information. ...Read more
If a 7 alomst 8 year old boy touches a 4 almost 5 year old boys penis is it sexual abuse or normal kid stuff? Is the 7 old enough to know better?
I call abusive: Such interaction between age equivalent kids is "exploration" & I can accept as much as 2 years age difference into that idea. Beyond that and specifically for the 7-8 yo who is old enough to know right from wrong on these issues it is abuse & often reveals a past abuse of the older kid. Size & intimidation is also an issue when the 60 lb 7-8 yo is doing this with a 40+lb 4-5 yo. ...Read more
Can a severe panic attack cause fainting and self-urination in a 15 year old female with a history of sexual abuse?
Not usually: The loss of urinary control is worrisome here -- it could be a seizure. This young lady needs a neurology consultation to check on this possibility. They will also want to do additional studies as well. Some people with this history can develop psychogenic seizures, but these don't usually include self-urination. I hope she's also getting treatment for her panic attacks and other issues. ...Read more
Most often=no: Sexual abuse comes in many forms with the more common perpetrator leaving little if any evidence behind. This differs from aggressive sexual assault, where there may be ripping of tissues that require surgical repair/ leave scars. ...Read more
What sort of mental illnesses can come from child neglect physical/emotional/ verbal/ sexual abuse?
PTSD: Any type of childhood abuse can cause symptoms of post-traumatic stress disorder. This can affect different people in several different ways- including attachment disorders, addictions, high-risk behaviors, anxiety, depression, and many others. Find a good therapist who specializes in ptsd to help deal with some of these issues. ...Read more
Reverse pedophile is not always from sexual abuse as a child. This is a personal fact. What is it called if it is just a natural attraction.?
It depends: It depends on how young the person is -- if not yet adult, sexual relations with an adult (especially much older) would be seen legally as statutory rape. If the person is of legal adult age and attracted to older partners, that could be natural variation. However, age spread greater than 10 years may lead to lifestyle challenges as the older person ages sooner than the younger one does. ...Read more
Hard not to, but: The incidence of CC in a child is very, very unusual. It takes 10-20 yrs to develop. Only 1% of cases are seen before age 20. But, it's not impossible. The contact might be prenatal)mother to child) or non-sexual hand contact w/ genital area, but it wouls raise the? Of abuse in most people. It's very rare - ask Dr! ...Read more
Yes!: Early intervention with psychological help is very important. Long-term harm can occur if issues are not address and verbalized by the victim, who in some ways may even feel responsible. ...Read more
Each of these diagnoses and terms could mean a host of things. They might overlap and they might not depending upon what one means when they use the term. In essence, they mean the same thing however - abuse of a child involving inappropriate sexual contact.
Semantics or splitting hairs. ...Read more
Start with national: You don't say if this is for an adult or a child, which makes a big difference. You are correct that male child sexual abuse gets less attention than female, though the damage can be just as great. Most urban settings have some sort of sexual abuse hotlines, which might be a good start. Or, go national, e.g., http://naasca. Org/010111-recovery. Htm, and look for someone in your area. ...Read more
Is there a evidence-based link between child sexual abuse and promiscuity in adolescence or adulthood?
Therapy: Trauma from child sexual abuse frequently affects many parts of daily life unless it is treated. Talking to someone trained in dealing with this type of abuse can stop it from being so powerful and allow it to become part of your past instead of living with its effects daily. Fighting the effects is probably a large part of your depression. It is exhausting. ...Read more
If you have not had: Therapy that is a good place to start. Recommend working with a therapist who is experienced in working with trauma. Medical evaluation to rule out medical causes for symptoms is prudent. Sometimes psychiatric medications are also indicated. Unresolved past trauma can obstruct you from moving on with your life. Good luck on your road to increased health. Take care. ...Read more
No: Motor tics are, generally speaking, a biological condition, responsive to behavioral techniques, and medication. ...Read more
Does sexual abuse as a child lead to a higher likelihood of failed relationships and promiscuity later in life?
Maybe: It all depends on the individual. "sexual abuse" takes many forms, and has many consequences. There is no single, or definitive, answer. ...Read more
Is it normal for a woman who suffered sexual abuse + sexual assault as a child to not have any sexual desires and fear most men? Is it normal for a woman who suffered sexual abuse and a sexual assault as a child to not have any sexual desires and to be ex
I have severe tokophobia and anxiety due to prior sexual abuse. Cbt didn't help. I only intend to have one child. Can I request a c-section?
Discuss: You can discuss this with your ob/gyn; there shouldn't be a reason why you can't elect to have a c-section. ...Read more
How easy is it to find a doctor to perform cesarean on request in this situation- sexual abuse survivor, severe tokophobia and anxiety, plan one child?
Shouldn't be hard: Elective c-section is a controversial topic but most ethical experts agree that the risks and benefits can be argued in either direction and it's reasonable to agree to do a c-section for a woman who requests one in this situation. ...Read more
Often when someone: Is repressing traumatic memories they have dreams which don't make sense to them or flashbacks out of context with what is happening in their life. Sometimes they have no memories at all from childhood (not just forgetting things below age 5 or so, but of their entire childhood.) problems in intimate relations also are a signconsider talking to a therapist and seeing if there might be some trauma. ...Read more
What are the causes of sexual aversion disorder? Is it possible to have this due to sexual abuse as a baby or toddler?
Doubtful: There is a "pop" notion that the inability to enjoy normal adult lovemaking is the result of "forgotten" sexual abuse and perhaps that someone should be blamed. From my own reading, this is not an evidence-based claim, and even if it were true, there's no future in turning one's mind to hate. What's happening, whether the diagnosis is real / helpful etc, best rx must be far more complicated. ...Read more
Is it possible for one to not remember all of their sexual abuse experiences? After 4-8 years they start remembering more and more?
Repressed memories: Related to abuse can surface as our psyche is able to integrate them into our consciousness. The main caveat is that the memories can be quite distorted so do not trust them as necessarily accurate. A mental health professional who specializes in abuse would be a good person to seek out. Peace and good health. ...Read more
Does the duration of childhood sexual abuse affect they recovery time? It was almost everyday for 8 years, will it take that long to get over it?
Not had sex in 10+ years due to sexual abuse, (flashbacks)have a caring man in my life want to have sex, how do I get past the flashbacks, to do it?
Difficult: That is a very difficult situation to be in. Sexual abuse can leave lifetime scars, and of course cause PTSD. However, with counseling and possibly medication it is something that can be dealt with and overcome. My suggestion would be to search for specialists in your area who deal with sexual abuse issues and PTSD and start a relationship with them. ...Read more
I've been experiencing memory loss from the past few years that I think is due to rape as well as sexual abuse. I just can't remember things. Ptsd?
Possibly: In ptsd, it's possible to focus so much on potential danger that you don't register other information -- & then can't recall it later. I'm sorry you've had these traumatic experiences, yet recovery is also possible. Please get an evaluation from a skilled psychiatrist first. S/he will review all your symptoms with you, check for other causes of memory disturbance, & recommend next steps. ...Read more
Please suggest a positive (work?)book to help: born w/adhd, years of physical/emotion/sexual abuse by parent, now has c ptsd, bipolar 2, & borderline.
Possibility: This sounds like an extremely complex situation that would benefit more from working individually with an experienced psychologist or psychiatrist. However, the mind-body workbook for ptsd by block (s) may be a nice accompaniment to your own more individualized therapy. Good luck to you. ...Read more
Many neg effects: Childhood sexual abuse (often occurs with other maltreatment) is associated with many negative outcomes e.g., substance abuse, depression, anxiety, relationship problems, low academic achievement & poor economic traction, criminal behavior, difficulties with parenting and risk of abusing own kids/ selecting abusivd partners low stress tolerance, sexual problems, trust issues, low self esteem, etc. ...Read more
Sexual abuse takes: A toll in many different ways. It varies from person 2 person. The most common basic impact is on the person's ability 2 trust anyone. This leads 2 various types of social/emotional issues. It can also lead 2 depression, anxiety and other emotional issues. For some people the impact is seen in physical ailments, ulcers, stomach problems, headaches or more. Psychotherapy and support groups help ...Read more
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