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I have OCD and am struggling with intrusive thoughts about two childhood sexual experiences: At ages 11-16, I had multiple encounters with a younger cousin (4 years younger) involving mutual touching. I eventually ended this behavior. She's since expressed it was from childhood curiosity and holds no resentment. My therapists suggest this was experimentation rather than abuse, but online information about childhood-on-childhood sexual abuse (COCSA) has left me confused. Earlier, at age 9-10, I had a similar experience with another cousin (12-13). It was mutual and driven by curiosity, without force. She's acknowledged it was experimental behavior. Both experiences now cause me distress. Were these instances of abuse or age-appropriate sexual experimentation? How can I process these memories, especially given my OCD?

Dr. Laura

Answer by Dr. Laura

PhD Mental Health Nurse & Sexual Assault Nurse Examiner

Thank you for reaching out and sharing these deeply personal experiences. It's understandable that you're feeling confused and seeking clarity about events from your childhood. Many people grapple with similar questions, especially when reflecting on youthful experiences that involved curiosity and exploration.

Childhood sexual exploration often occurs as children and adolescents navigate their understanding of their own bodies and boundaries. This exploration is typically characterized by mutual agreement, closeness in age and maturity, the absence of coercion or manipulation, and a shared sense of curiosity.

On the other hand, child-on-child sexual abuse (COCSA) usually involves a power imbalance, coercion, manipulation, or significant age or developmental differences between the individuals involved. Key indicators of COCSA can include:

  • Age or Developmental Differences--A notable gap in age or maturity levels between the individuals.
  • Power Imbalance--One person exercising authority or control over the other.
  • Coercion or Manipulation--Persuading or pressuring someone to engage in activities they're uncomfortable with.
  • Secrecy and Shame--Being told to keep the activities a secret or experiencing feelings of guilt and shame afterward.
  • Lack of Mutual Consent--One person not fully understanding or agreeing to the activities.

From what you described, you and your cousin, who was four years younger, engaged in mutual activities over several years. You mentioned that these interactions were mutual and that you eventually set boundaries, which she respected. With the other cousin slightly older than you, you both explored out of curiosity, and there was no indication of coercion or pressure.

It's important to recognize that feelings of guilt or distress can arise even from mutual exploration, especially as we gain new perspectives with age. Your feelings are valid, and it's okay to reflect on these experiences with new understanding.

Your mental health professionals have indicated that these incidents were likely childhood sexual experimentation, not abuse. They are trained to assess these situations and provide guidance based on psychological principles and developmental understanding. Also, both cousins have expressed that they held no ill intentions and were also curious at the time. They have acknowledged the experiences and shared remorse if they caused any discomfort.

Given that you're coping with OCD, it's natural that these memories might become a focus of your thoughts. Intrusive thoughts and rumination are common symptoms, and it's important to continue working with your mental health team to address these concerns.

Here are some steps you might consider:

  1. Continue therapy--Keep engaging with your psychologist and psychiatrist. They can provide strategies to manage obsessive thoughts and help you process these memories in a healthy way.
  2. Mindfulness and Grounding Techniques--Practices like mindfulness meditation can help you stay present and reduce the impact of intrusive thoughts.
  3. Journaling--Writing down your thoughts and feelings might help you process them more effectively.
  4. Education--Reading reputable sources about childhood development and sexual exploration may provide additional insight and reassurance.

You're not alone in this journey, and reaching out for guidance is a strong and positive step forward. Take care of yourself, and trust in the support network you've built with your mental health professionals. Thank you for reaching out to us. You are not alone

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Grounding activity

Find a comfortable place to sit. Gently close your eyes and take a couple of deep breaths - in through your nose (count to 3), out through your mouth (count of 3). Now open your eyes and look around you. Name the following out loud:

5 – things you can see (you can look within the room and out of the window)

4 – things you can feel (what is in front of you that you can touch?)

3 – things you can hear

2 – things you can smell

1 – thing you like about yourself.

Take a deep breath to end.

From where you are sitting, look around for things that have a texture or are nice or interesting to look at.

Hold an object in your hand and bring your full focus to it. Look at where shadows fall on parts of it or maybe where there are shapes that form within the object. Feel how heavy or light it is in your hand and what the surface texture feels like under your fingers (This can also be done with a pet if you have one).

Take a deep breath to end.

Ask yourself the following questions and answer them out loud:

1. Where am I?

2. What day of the week is today?

3. What is today’s date?

4. What is the current month?

5. What is the current year?

6. How old am I?

7. What season is it?

Take a deep breath to end.

Put your right hand palm down on your left shoulder. Put your left hand palm down on your right shoulder. Choose a sentence that will strengthen you. For example: “I am powerful.” Say the sentence out loud first and pat your right hand on your left shoulder, then your left hand on your right shoulder.

Alternate the patting. Do ten pats altogether, five on each side, each time repeating your sentences aloud.

Take a deep breath to end.

Cross your arms in front of you and draw them towards your chest. With your right hand, hold your left upper arm. With your left hand, hold your right upper arm. Squeeze gently, and pull your arms inwards. Hold the squeeze for a little while, finding the right amount of squeeze for you in this moment. Hold the tension and release. Then squeeze for a little while again and release. Stay like that for a moment.

Take a deep breath to end.