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I experienced some troubling situations in my childhood, particularly related to potential sexual abuse by my father. There are unclear memories from when I was very young, and some concerning incidents as I got older, including inappropriate touching. My mother's response was often unhelpful, sometimes even blaming. My sister may have had similar experiences. Now that I am a bit older, I struggle with intrusive thoughts and hyperfixation on related topics. I'm having difficulty processing these experiences and memories, especially the vague ones from when I was very young. How can I begin to address this without access to professional help, given my family situation?

Dr. Laura

Answer by Dr. Laura

PhD Mental Health Nurse & Sexual Assault Nurse Examiner

Thank you for sharing your experience. It takes immense courage to talk about such difficult and personal matters. I'm deeply sorry for what you've been through and the challenges you're facing now. Please remember that what happened to you is not your fault. The responsibility lies entirely with the adults who should have protected you.

I understand you're struggling with intrusive thoughts and hyperfixation on related topics. This is a common response to trauma, but I know it can be distressing. To address this, try redirecting your attention when you notice these thoughts arising. This could involve engaging in a physically or mentally absorbing activity like solving puzzles, playing a game, or doing craft projects. Mindfulness exercises can also help; try focusing intently on your immediate surroundings or on a specific task you're doing.

It may help to set aside a specific, limited time each day to think about or process these issues. This can give you a sense of control and prevent the thoughts from dominating your entire day. Outside of this time, gently remind yourself to focus on other aspects of your life.

While professional help would be ideal, I understand it might not be accessible right now. There are still steps you can take to begin addressing your experiences. First, if there's a trusted adult in your life like a teacher, school counselor, or family friend, consider confiding in them. They may be able to provide support or help you access resources.

For immediate support, I highly recommend reaching out to ChildHelp. They operate a National Child Abuse Chatline that's available 24/7. They offer crisis intervention, information, and referrals to thousands of emergency, social service, and support resources. All discussions are confidential, and they can be an excellent resource for guidance and support.

Some additional strategies you can try from home include journaling about your experiences and feelings in a safe, private place. This can help you process your thoughts. You can also practice self-care by engaging in activities that make you feel safe and calm, such as reading, drawing, or exercising. When intrusive thoughts occur, try grounding exercises like the 5-4-3-2-1 technique: identify 5 things you can see, 4 things you can touch, 3 things you can hear, 2 things you can smell, and 1 thing you can taste.

Learning about the effects of childhood trauma can also help you understand your reactions better. Websites like the National Child Traumatic Stress Network offer reliable, age-appropriate information. However, be cautious not to overwhelm yourself.

Remember, healing is a process, and it's okay to take it one day at a time. Your feelings are valid, and you deserve support and safety. When you're able to access professional help in the future, working with a therapist specialized in childhood trauma will be beneficial. Until then, be patient and kind to yourself as you navigate this difficult journey. 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.