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Because of the relationship between trauma histories and alcohol and drug abuse, therapists should be skilled in working with individuals who have dual diagnoses Negative Messages about Personal and Interpersonal Worth Children, like adults, internalize emotional experiences from their lives. If you aren't sure who you can talk to, check out the resources in the next section of this. Physical Effects Chronic and diffuse pain, especially abdominal or pelvic pain 1 , lower pain threshold 7 , anxiety and depression, self-neglect, and eating disorders have been attributed to childhood sexual abuse. This adjustment stage months or years may include: Pelvic examinations may be associated with terror and pain for survivors. Survivors come from all cultural, racial, and economic groups 4.

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