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Answer by Dr. Laura
PhD Mental Health Nurse & Sexual Assault Nurse Examiner
What you are carrying right now is an enormous amount for one person to hold alone and reaching out here took real courage. Thank you for being here.
What you are describing is something a significant number of survivors have lived through. Some people use the term child-on-child sexual abuse, sometimes shortened to COCSA, to describe experiences like these. You do not have to use that label if it does not feel right to you, but knowing it exists, and knowing you are far from alone in this, matters. Research consistently shows that sibling sexual abuse is one of the most underreported forms of sexual harm, often for exactly the reasons you named...fear of breaking the family, fear of not being believed.
Keeping things "normal" on the surface makes complete sense. When someone who hurt you is also someone you live with, someone your family loves, someone at the dinner table every night, your mind finds ways to manage what feels unmanageable. Psychologists call this compartmentalization, which is essentially building a sealed room inside yourself to hold what is too painful to look at directly. It is not the same as pretending nothing happened. It is survival, and it has carried you this far.
The physical feeling you described, the sickness, the days when you cannot speak, the weight of it, those are signs that your body is holding something that has had nowhere to go. Trauma lives in the nervous system long after the event has passed. Sometimes something small brings everything rushing back and your throat closes, your stomach drops, your words disappear. Nothing about that means something is wrong with you. It means your body is responding to something genuinely overwhelming that it has been carrying without support.
You said you do not want this to ruin your family. That fear makes sense, and here is something worth sitting with...what created this situation was not your potential disclosure. It was what he did. You have been protecting everyone, including him, for years. You are allowed to protect yourself now. You do not have to tell your family right now, or ever, if you are not ready. But you do deserve someone safe to talk to, and that can start somewhere completely private.
RAINN has a free, confidential hotline at 1-800-656-4673, and an online chat if speaking out loud feels too hard. Confidential means what you share stays private. If you are younger, ChildHelp is specifically designed for young people and you can reach them by calling or texting 1-800-422-4453. You do not have to tell the whole story in the first conversation. You can simply say you are going through something hard and you need help figuring out what to do next. That is enough to start.
You have held this alone for a long time. You do not have to keep doing that. Thank you for reaching out to us.
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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.