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    1. Sexual abuse
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    Learn more about sexual abuse

    Therapy for sexual abuse supports adults recovering from the psychological impact of sexual abuse, assault, or violence, whether it happened recently or many years ago. Sexual abuse is any sexual act or contact that takes place without consent, and its effects can last long after the events themselves. The harm is real regardless of when it happened, whether there was physical injury, or whether you have told anyone before. Therapy offers a safe, paced way to process what happened and its ongoing effects, with a trained professional who understands trauma. Recovery is possible, and you do not have to have all the words for what happened before you begin.

    There is no threshold of severity you need to meet before seeking support, and no time limit after which it is "too late". Sexual abuse can affect people in many ways, sometimes immediately and sometimes surfacing years later. You might find therapy helpful if you experience:
    • Flashbacks, intrusive memories, or nightmares connected to what happened
    • Feeling constantly on edge, watchful, or unable to relax
    • Shame, guilt, or self-blame, even though the abuse was not your fault
    • Difficulty with trust, intimacy, or feeling safe in relationships
    • Numbness, dissociation, or feeling disconnected from yourself or your body
    • Anxiety, low mood, or panic that does not ease over time
    • Turning to alcohol or other coping strategies that no longer feel manageable
    These are understandable responses to trauma, not signs of weakness or of something being wrong with you. If the abuse was recent, or you are in immediate danger, contact your local emergency service or a specialist support line. Only a qualified professional can assess or diagnose a trauma-related condition, and reaching out is a step you can take whenever you feel ready. If you are having thoughts of harming yourself, please contact a crisis line or your nearest emergency service.

    Recovery from sexual abuse works best with an approach designed for trauma, at a pace you control. Several are well suited to this.
    • Trauma-informed care is an approach that shapes all good trauma therapy: prioritising safety, choice, and control, so you are never pushed faster than you want to go.
    • EMDR: Eye Movement Desensitisation and Reprocessing helps the brain reprocess traumatic memories so they lose some of their intensity, and is well evidenced for trauma and post-traumatic stress.
    • Somatic experiencing works with how trauma is held in the body, which can help when the effects show up physically or as dissociation.
    • CFT: Compassion-Focused Therapy addresses the shame and self-blame that so often follow abuse, building a kinder and safer relationship with yourself.
    • IFS: Internal Family Systems helps you understand and work with the different parts of yourself that carry the impact of what happened, without being overwhelmed by them.
    Finding the right therapist matters especially here, because trust and safety are central to this work. IC's matching can pair you with a therapist experienced in trauma and abuse. Get matched.

    It's Complicated is a therapist-founded mental health platform connecting clients with verified practitioners across Europe and globally, in over 60 languages. We work with over 2,500 vetted therapists, with in-person availability in Berlin, Amsterdam, Barcelona, Lisbon, Vienna, and other major cities, alongside online sessions worldwide. It's Complicated is free to use, and you pay your chosen therapist directly at rates they set. Choosing a therapist after abuse can feel especially hard, because being asked to trust a stranger with something this personal is a lot. Our matching service is built to make that easier and safer. You complete a short survey, our psychologists combine data-driven insights with human judgement to identify therapists experienced in trauma and abuse, and you choose from a shortlist, at no point are you obliged to continue with anyone who doesn't feel right. You can also browse our directory directly if you'd prefer to choose yourself. Get matched with a therapist who specialises in trauma and sexual abuse, or browse the directory to choose yourself.
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    It's Complicated is not suitable for acute psychological or medical crises or emergency situations.If you are in a serious crisis and need urgent help, please contact a local emergency service or use one of these resources instead.

    Our therapist network for sexual abuse

    Finding the right therapist can make all the difference. Explore 2,500+ carefully selected professionals to find yours.

    Our therapist network for sexual abuse

    Finding the right therapist can make all the difference. Explore 2,500+ carefully selected professionals to find yours.
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    I've now had 10 sessions with my therapist, and she is amazing. I've worked with several therapists over the last few years, but this is the first time I feel like somebody actually understands me.Anonymous client
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    What really sets It's Complicated apart is the care they put into matching you with the right therapist. There are no rushed or random pairings, it's about long-term support and genuine connection.Anonymous client
    I had a really good experience with It's Complicated! As an expat, finding a therapist can feel pretty overwhelming, especially when you don't know where to start. This made it a lot easier.Anonymous client

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    Related topics

    Mental health is rarely just one thing, and different topics often go hand in hand. If you're exploring help with sexual abuse, these areas might be worth a look too.
    Trauma
    Trauma
    Complex PTSD
    Complex PTSD
    PTSD
    PTSD
    Physical abuse
    Physical abuse
    Domestic violence
    Domestic violence

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    Get help with sexual abuse

    Getting help with sexual abuse can be tough, but you don't have to do it alone. Our therapists are here to support you. Online or in-person, with no waiting times.Get matched
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    FAQs about sexual abuse

    Therapy gives survivors a safe, paced space to process the impact of sexual abuse and its lasting effects, such as anxiety, low mood, shame, and post-traumatic stress. A trauma-trained therapist helps you work through difficult memories and beliefs at your own pace, without being pushed. The aim is recovery and a sense of safety, not reliving the trauma.

    Yes. Many adults seek therapy years or decades after childhood or earlier abuse, often when it begins affecting relationships, self-esteem, or wellbeing. It is never too late. Trauma from long ago can still be processed, and therapy can ease its ongoing effects regardless of how much time has passed.

    Trauma-focused approaches tend to work best. These include trauma-focused Cognitive Behavioural Therapy (CBT), EMDR, which helps the brain reprocess traumatic memories, and body-based approaches like somatic experiencing. The right fit depends on you, but a strong, trusting relationship with your therapist matters as much as the specific method.

    Look for someone experienced specifically in trauma and abuse, since trust and safety are central to this work. It's Complicated matches you with vetted trauma-informed therapists: you complete a short survey, and our psychologists suggest suitable practitioners for online or in-person sessions. It's Complicated is also free to use.

    Whenever it feels right for you. Signs that support could help include flashbacks, nightmares, persistent anxiety or low mood, feeling constantly on edge, difficulty with trust or intimacy, or relying on alcohol or other means to cope. You do not need to wait until things feel unbearable.

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    Browse the blog
    Timothee Nay
    RESPONSE TIME UNKNOWN

    Timothee Nay

    Timothee Nay

    Couples Counsellor & Family Counsellor
    LGBTQ+ • Men's work • Sexual abuse • Trauma • Eating disorders • Racism & racial trauma • ADHD
    RESPONSE TIME UNKNOWN
    LGBTQ+ • Men's work • Sexual abuse • Trauma • Eating disorders • Racism & racial trauma • ADHD
    €65 / session65
    Paris
    In-person, Online and Text
    Helen  Sproat
    USUALLY RESPONDS WITHIN 24 HOURS

    Helen Sproat

    Helen Sproat

    Counsellor
    Trauma • Addictions • Depression • Grief & loss • Sexual abuse • PTSD • Anxiety
    USUALLY RESPONDS WITHIN 24 HOURS
    Trauma • Addictions • Depression • Grief & loss • Sexual abuse • PTSD • Anxiety
    €100 / session100
    Lisbon
    In-person and Online
    André Moreira
    USUALLY RESPONDS WITHIN 8 HOURS

    André Moreira

    André Moreira

    Clinical and Health Psychologist
    PTSD • Trauma • Sexual abuse • Anxiety • Sexuality • Grief & loss • Psychological abuse
    USUALLY RESPONDS WITHIN 8 HOURS
    PTSD • Trauma • Sexual abuse • Anxiety • Sexuality • Grief & loss • Psychological abuse
    €50 / session50
    Vila Nova de Gaia
    In-person and Online
    Annette Schindler
    USUALLY RESPONDS WITHIN 24 HOURS

    Annette Schindler

    Annette Schindler

    Sex Therapist & Relational Therapist
    LGBTQ+ • Polyamory • Relationships • Trauma • ADHD • Sexual abuse • Kink & BDSM
    USUALLY RESPONDS WITHIN 24 HOURS
    LGBTQ+ • Polyamory • Relationships • Trauma • ADHD • Sexual abuse • Kink & BDSM
    €90 / session90
    Berlin
    In-person and Online
    Pia Gräfen
    USUALLY RESPONDS WITHIN 8 HOURS

    Pia Gräfen

    Pia Gräfen

    Clinical Psychologist & Systemic Counsellor
    Domestic violence • Physical abuse • Trauma • Stress • Sexual abuse • Relationships • Addictions
    USUALLY RESPONDS WITHIN 8 HOURS
    Domestic violence • Physical abuse • Trauma • Stress • Sexual abuse • Relationships • Addictions
    €85 / session85
    Hamburg
    In-person, Online and Text
    Bibiana Jordan
    Video Profile
    USUALLY RESPONDS WITHIN 4 HOURS

    Bibiana Jordan

    Bibiana Jordan

    Psychologist & EMDR Counsellor
    Anxiety • Expat life • Personality disorders • Sexual dysfunctions • Sexual abuse • Trauma • Relationships
    USUALLY RESPONDS WITHIN 4 HOURS
    Anxiety • Expat life • Personality disorders • Sexual dysfunctions • Sexual abuse • Trauma • Relationships
    €90 / session90
    Amsterdam
    In-person and Online

    Still looking for the right match?

    Take a short survey and let our dedicated team of matching specialists help you find the right therapist. Built by clinical experts, our matching service combines data-driven insights with human care to find the best match for your needs.Start matching
    Limor Ruteanu
    USUALLY RESPONDS WITHIN 12 HOURS

    Limor Ruteanu

    Limor Ruteanu

    Psychologist
    Relationships • Eating disorders • Sexuality • Sexual abuse • Depression • LGBTQ+ • Couples therapy
    USUALLY RESPONDS WITHIN 12 HOURS
    Relationships • Eating disorders • Sexuality • Sexual abuse • Depression • LGBTQ+ • Couples therapy
    €80 / session80
    Berlin
    In-person and Online
    Pedro Correia
    USUALLY RESPONDS WITHIN 2 HOURS

    Pedro Correia

    Pedro Correia

    Clinical Psychologist
    Relationships • Depression • Grief & loss • LGBTQ+ • Sexual abuse • Sexuality • Trauma
    USUALLY RESPONDS WITHIN 2 HOURS
    Relationships • Depression • Grief & loss • LGBTQ+ • Sexual abuse • Sexuality • Trauma
    €50 / session50
    Coimbra
    Online only
    Michele Lamonaca
    USUALLY RESPONDS WITHIN 24 HOURS

    Michele Lamonaca

    Michele Lamonaca

    Psychodynamic Psychotherapist & Couples Psychotherapist
    Disorders of sexual preference • Narcissistic personality disorder • Paedophilia • PTSD • Sexual abuse • Supervision • Couples therapy
    USUALLY RESPONDS WITHIN 24 HOURS
    Disorders of sexual preference • Narcissistic personality disorder • Paedophilia • PTSD • Sexual abuse • Supervision • Couples therapy
    £80 / session80
    London
    In-person and Online
    Sarah Adelaide
    USUALLY RESPONDS WITHIN 2 HOURS

    Sarah Adelaide

    Sarah Adelaide

    Psychological Counsellor
    LGBTQ+ • Sexual abuse • Sexual dysfunctions • Sexuality • Polyamory • Gender identity • Couples therapy
    USUALLY RESPONDS WITHIN 2 HOURS
    LGBTQ+ • Sexual abuse • Sexual dysfunctions • Sexuality • Polyamory • Gender identity • Couples therapy
    €80 / session80
    Berlin
    In-person and Online
    Hattie Appleby
    USUALLY RESPONDS WITHIN 4 HOURS

    Hattie Appleby

    Hattie Appleby

    Counsellor & Supervisor
    Supervision • Sexual abuse • Complex PTSD • Anxiety • Life transitions • Self-harm • Stress
    USUALLY RESPONDS WITHIN 4 HOURS
    Supervision • Sexual abuse • Complex PTSD • Anxiety • Life transitions • Self-harm • Stress
    €90 / session90
    Oviedo
    Online only
    Alicia Barrena
    USUALLY RESPONDS WITHIN 8 HOURS

    Alicia Barrena

    Alicia Barrena

    Psychoanalyst & Lacanian Psychoanalyst
    Trauma • Sexual abuse • PTSD • Anxiety • Borderline personality disorder • Dissociative disorders • Depression
    USUALLY RESPONDS WITHIN 8 HOURS
    Trauma • Sexual abuse • PTSD • Anxiety • Borderline personality disorder • Dissociative disorders • Depression
    €80 / session80
    Paris
    Online and Text
    Pepa Pasatu (MSc.)
    Video Profile
    USUALLY RESPONDS WITHIN 4 HOURS

    Pepa Pasatu (MSc.)

    Pepa Pasatu (MSc.)

    Sexologist & Couples Counsellor
    Sexual dysfunctions • Relationships • Sexual abuse • Fertility issues • Disorders of sexual preference • Expat life • Body therapy
    USUALLY RESPONDS WITHIN 4 HOURS
    Sexual dysfunctions • Relationships • Sexual abuse • Fertility issues • Disorders of sexual preference • Expat life • Body therapy
    €110 / session110
    Berlin
    In-person and Online
    Joana Salgueiro
    USUALLY RESPONDS WITHIN 12 HOURS

    Joana Salgueiro

    Joana Salgueiro

    Counsellor
    Depression • Divorce & break up • Grief & loss • Anxiety • Trauma • Relationships • Sexual abuse
    USUALLY RESPONDS WITHIN 12 HOURS
    Depression • Divorce & break up • Grief & loss • Anxiety • Trauma • Relationships • Sexual abuse
    €55 / session55
    Lisbon
    In-person and Online
    Justin Morris
    USUALLY RESPONDS WITHIN 8 HOURS

    Justin Morris

    Justin Morris

    Psychotherapist
    Addictions • Trauma • PTSD • Men's work • Sexuality • Sexual abuse • Spirituality
    USUALLY RESPONDS WITHIN 8 HOURS
    Addictions • Trauma • PTSD • Men's work • Sexuality • Sexual abuse • Spirituality
    Milan
    In-person and Online
    Niels Kurvin
    Video Profile
    USUALLY RESPONDS WITHIN 2 HOURS

    Niels Kurvin

    Niels Kurvin

    Non-medical Practitioner for Psychotherapy & Hypnotherapist
    Physical abuse • Attachment • Sexual abuse • Gender identity • Trauma • Anxiety • Depression
    USUALLY RESPONDS WITHIN 2 HOURS
    Physical abuse • Attachment • Sexual abuse • Gender identity • Trauma • Anxiety • Depression
    €92 / session92
    Berlin
    In-person and Online
    Yuri Disaró Amado
    Video Profile
    USUALLY RESPONDS WITHIN 4 HOURS

    Yuri Disaró Amado

    Yuri Disaró Amado

    Psychoanalyst & Psychologist
    Depression • Panic attacks • Personal development • Sexual abuse • Trauma • Anger • OCD
    USUALLY RESPONDS WITHIN 4 HOURS
    Depression • Panic attacks • Personal development • Sexual abuse • Trauma • Anger • OCD
    €70 / session70
    Florianópolis
    In-person and Online
    Melany Barrera Frederick
    USUALLY RESPONDS WITHIN 4 HOURS

    Melany Barrera Frederick

    Melany Barrera Frederick

    Clinical and Health Psychologist
    Crisis intervention • Depression • LGBTQ+ • Sexual abuse • Trauma • Anxiety • CBT: Cognitive behavioural therapy
    USUALLY RESPONDS WITHIN 4 HOURS
    Crisis intervention • Depression • LGBTQ+ • Sexual abuse • Trauma • Anxiety • CBT: Cognitive behavioural therapy
    €60 / session60
    Vilnius
    Online only
    Dina Koštan
    RESPONSE TIME UNKNOWN

    Dina Koštan

    Dina Koštan

    Psychologist
    Anxiety • Depression • Grief & loss • Sexual abuse • Stress • Trauma • Anger
    RESPONSE TIME UNKNOWN
    Anxiety • Depression • Grief & loss • Sexual abuse • Stress • Trauma • Anger
    €100 / session100
    Delft
    Online only
    Kafeïa  Gayet
    USUALLY RESPONDS WITHIN 8 HOURS

    Kafeïa Gayet

    Kafeïa Gayet

    Dance and Movement Therapist
    Nature therapy • Grief & loss • LGBTQ+ • Sexual abuse • Spirituality • Trauma • Transgenerational trauma
    USUALLY RESPONDS WITHIN 8 HOURS
    Nature therapy • Grief & loss • LGBTQ+ • Sexual abuse • Spirituality • Trauma • Transgenerational trauma
    €60 / session60
    Sarzeau
    Online only
    Frauke Pohl
    RESPONSE TIME UNKNOWN

    Frauke Pohl

    Frauke Pohl

    Counsellor & Psychological Counsellor
    Grief & loss • Supervision • Sexual abuse • Perimenopause & menopause • Life transitions • Domestic violence • Divorce & break up
    RESPONSE TIME UNKNOWN
    Grief & loss • Supervision • Sexual abuse • Perimenopause & menopause • Life transitions • Domestic violence • Divorce & break up
    €90 / session90
    Stadland
    Online only
    Nina Grechnikova
    USUALLY RESPONDS WITHIN 2 HOURS

    Nina Grechnikova

    Nina Grechnikova

    Clinical Psychologist & Psychological Counsellor
    Grief & loss • Psychological abuse • Relationships • Sexual abuse • Trauma • Personal development • Complex PTSD
    USUALLY RESPONDS WITHIN 2 HOURS
    Grief & loss • Psychological abuse • Relationships • Sexual abuse • Trauma • Personal development • Complex PTSD
    €50 / session50
    Moscow
    Online only
    Rebekka Leitlein
    USUALLY RESPONDS AFTER 24 HOURS

    Rebekka Leitlein

    Rebekka Leitlein

    Systemic Therapist
    Anger • Anxiety • LGBTQ+ • PTSD • Sexual abuse • Trauma • Addictions
    USUALLY RESPONDS AFTER 24 HOURS
    Anger • Anxiety • LGBTQ+ • PTSD • Sexual abuse • Trauma • Addictions
    €120 / session120
    Berlin
    Online only
    Hermi Viljoen
    USUALLY RESPONDS WITHIN 8 HOURS

    Hermi Viljoen

    Hermi Viljoen

    Music Therapist
    Burnout • Grief & loss • Intellectual disabilities • Self-confidence • Sexual abuse • Autism • Music therapy
    USUALLY RESPONDS WITHIN 8 HOURS
    Burnout • Grief & loss • Intellectual disabilities • Self-confidence • Sexual abuse • Autism • Music therapy
    €85 / session85
    Hilversum
    Online only
    Agustina Pinon
    USUALLY RESPONDS WITHIN 2 HOURS

    Agustina Pinon

    Agustina Pinon

    Health Psychologist
    LGBTQ+ • Depression • Anxiety • Trauma • Sexual abuse • Relationships • Expat life
    USUALLY RESPONDS WITHIN 2 HOURS
    LGBTQ+ • Depression • Anxiety • Trauma • Sexual abuse • Relationships • Expat life
    €80 / session80
    Málaga
    Online only
      12