Signs of Childhood Sexual Abuse

There are Emotional Signs of Abuse

  • Anxiety or panic attacks
  • Apathy
  • Confused sexual identity
  • Depression
  • Excessive need for love and attention
  • Emotional withdrawal, introversion
  • False guilt
  • Fear of authority figures
  • Fear of going to bed, nightmares or other sleep disturbances
  • Fear of intimacy
  • Inability to concentrate in school
  • Low self-worth
  • Mistrust
  • Psychoneurosis (hysteria, phobias, obsessions, compulsions)
  • Regression to an earlier phase of development (baby-like) or pseudo-mature (adult-like) behavior
  • Self-consciousness and insecurity
  • Self-destructive behavior
  • Splitting off into different personalities (DID—Dissociative Identity Disorder)
  • Shame
  • Unexplained mood changes
  • Unpredictable anger, aggression, rage

There are Physical Signs of Abuse

  • Abdominal pain
  • Bed-wetting, change in toilet habits
  • Complaints of sickness or frequent headaches
  • Failure to accomplish simple tasks
  • Genital itching, yeast or bladder infections
  • Habit disorders (severe biting, thumb-sucking, rocking)
  • Memory loss
  • Masturbation, excessive or in public
  • Obsessive washing and cleaning
  • Pain when urinating
  • Premarital pregnancy
  • Sad facial expressions or frequent crying
  • Self-mutilation (self-injury—a cutter)
  • Sitting or walking difficulties
  • Suicidal gestures
  • Torn, stained or blood-spotted underpants
  • Undernourished appearance
  • Vaginal or rectal pain, swelling, bruises or bleeding
  • Vaginal/penile discharge
  • Venereal disease

There are Social Signs Abuse

Victims usually have difficulty developing healthy habits and relationships, struggling in several of the following areas:

  • Abnormal expression of sexuality in writing, drawing or playing
  • Alcohol and drug abuse
  • Antisocial behavior, defiance, problems with authority and rules
  • Arriving early, staying late at school or another safe place
  • Avoidance of specific people or situations
  • Deep fear of saying no to adults
  • Defensive reaction to touch
  • Dependent, clinging behavior
  • Eating disorders
  • Excessive compliance (inability to set personal boundaries)
  • Exclusive relationship with an older person
  • Extreme modesty, reluctance to change clothes in front of others
  • Fear of sleepovers
  • Poor peer relationships
  • Premature sexual knowledge or behavior
  • Promiscuity or seductive behavior with older males
  • Running away
  • Secretive
  • Sexually abusing another child
  • Sudden drop in school performance or activities
  • Taking on a parental role

There are Spiritual Signs of Abuse

Children who are victimized generally struggle with some of the following obstacles to their spiritual growth:

  • Warped negative perceptions of God
  • Anger at God because He did not stop the abuse
  • Distrusting God for allowing the abuse
  • Feeling rejected by God and unworthy
  • Fearing God’s anger and displeasure
  • Projecting the attributes of the abuser onto God
  • Possessing a knowledge of God but have little personal experience of God’s love and grace
  • Difficulty forming an intimate relationship with God
  • Rejecting God or seeking to gain God’s approval through achieving high levels of performance in church related activities

Hunt, J. (2008). Biblical Counseling Keys on Childhood Sexual Abuse: The Secret Storm. Dallas, TX: Hope For The Heart.

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