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I'm a survivor of childhood sexual abuse that started around age 10 and intensified at 15. I've never had consensual sex, and I struggle with intrusive thoughts and fantasies about my trauma - it's the only thing that triggers arousal for me, which fills me with intense shame and makes me question whether I was somehow responsible. I find myself obsessing over masturbation while simultaneously being terrified of real-world intimacy. I both crave and fear sexual relationships. Are these conflicting feelings normal for survivors? Why does the same trauma that makes me afraid of sex also make me want it? I feel so disgusting.

Dr. Laura

Answer by Dr. Laura

PhD Mental Health Nurse & Sexual Assault Nurse Examiner

I want to start by saying: you are not disgusting, you are not at fault, and your responses are actually very common among survivors. What you're experiencing - the mix of fear and desire, the intrusive thoughts, the shame, and even the trauma-related arousal - are all well-documented responses to sexual abuse. Many survivors struggle with these exact same feelings. This isn't happening because there's something wrong with you or because you wanted the abuse - it's happening because your brain and body were forced to process complex trauma during critical developmental periods.

The connection between trauma and arousal occurs because our bodies can respond physically to sexual stimuli even in traumatic situations - this is a purely physiological response and does NOT mean you wanted the abuse or were responsible for it. Just as someone might laugh when tickled even if they hate being tickled, bodies can respond to sexual touch even in traumatic circumstances. Your brain may have also formed connections between these experiences and arousal simply because these were your first exposures to sexual feelings, during formative years.

The simultaneous fear and craving of intimacy is also very common. Part of you naturally desires healthy connection and intimacy (a normal human need), while another part is trying to protect you from further harm. These aren't contradictory - they're both valid responses to trauma.

If this is causing you distress, you might consider working with a trauma-informed therapist who specializes in sexual abuse recovery. They can provide a safe environment where you can process these feelings at your own pace. There's no rush - healing takes time, and you deserve the space to move forward gradually, without any pressure to jump into sexual relationships before you're ready. Many survivors also find it profoundly helpful to connect with support groups, where they can share experiences with others who truly understand. Hearing that you're not alone in these experiences can help ease the feelings shame and isolation you are sharingg.

You've already shown incredible strength by reaching out and asking these questions. That takes courage. With support and time, many survivors are able to develop healthy, fulfilling intimate relationships and a more peaceful relationship with their sexuality. You deserve that too, and it is possible. Thank you for reaching out to us. Be patient with yourself. You are not alone.

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