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Answer by Dr. Laura
PhD Mental Health Nurse & Sexual Assault Nurse Examiner
I'm so sorry this happened to you. What you're describing sounds like it was deeply uncomfortable and violating, and I can understand why you've carried stress about this experience for so long. Child-on-child sexual abuse (COCSA) generally refers to sexual interactions between children where there is a lack of consent, an imbalance of power, or where one child is coerced or manipulated into sexual activity. It can also include situations where one child's boundaries are violated, even when both children are the same age. Only you can determine what language feels right for your own experience and whether this term resonates with what happened to you.
What you're sharing tells me that you felt uncomfortable from the very beginning and that those feelings intensified into horror. Those responses matter deeply. Even at six years old, our bodies and minds can recognize when something doesn't feel right or safe, and your discomfort was a valid signal that your boundaries were being crossed. At the same time, it's important to understand that six-year-olds are still in the very early stages of learning about boundaries, consent, and social cues. Young children are developing their ability to recognize and respond to other people's body language and verbal signals, and they may not yet have the skills to understand when someone is uncomfortable or to stop behavior that's harmful. This developmental reality doesn't change the impact this experience had on you or make what happened appropriate, but it does provide context for understanding that young children are still learning these essential social and emotional skills.
Regardless of how you choose to name this experience, what matters most is that it affected you. The fact that you felt uncomfortable, that you remember feeling horrified, and that you've carried stress about this for years tells us that this experience was significant and harmful to you. You don't need to fit your experience into any particular category for it to matter or for your feelings to be valid. Trauma isn't determined by labels or definitions—it's determined by how an experience impacts you. Your body remembers feeling unsafe, and the emotional weight you've carried is real and deserving of acknowledgment.
Many people who had similar childhood experiences struggle with questions about whether what happened "counts" or whether they have a right to be affected by it. The truth is that if this experience has stayed with you and caused you distress, then it was significant, and you deserve support in processing it. You have every right to seek help and to honor your own feelings about what happened. Healing often begins when we stop questioning whether our pain is valid and start giving ourselves permission to acknowledge the impact something had on us. You deserve care, validation, and support as you work through this. Thank you for trusting us with this.
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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.