Aftereffects Checklist for Sexual Abuse Survivors In Recovery
When you are a survivor of any form of sexual abuse, whether it is incest, date rape, or prostitution, there are many aftereffects. These may manifest in your life in any combination of ways. Think of these behaviors as a constellation of symptoms that until now you might not have been aware of. Eventually, these symptoms create a full-blown syndrome, or disease. This is most commonly referred to: Post-Traumatic Stress Disorder (PTSD).
We believe that some, if not all of these behaviors served to distract you from your pain regarding the sexual abuse. Together we will work to uncover, discover, and discard the symptoms that no longer serve or empower us.
And remember, your recovery journey is just that—YOURS! Recovery is a path, it is a journey, and not a destination.
After you check off the aftereffectsthat pertain to you, go back and create an inventory of each item. Write about how each symptom has affected your life.
- Problems with setting boundaries around who you are___
- It is difficult for you to know what you are feeling___
- No belief in one’s own basic human rights; as if we have grown so accustomed to abuse that it seems normal to us___
- Difficulty in claiming our own Voice, our God-given right to protect and defend our own best interests___
- Issues with space such as feeling suddenly claustrophobic, or nervous when someone gets too close___
- Easily startled, or flinching when someone attempts to touch or move towards us___
Taking dangerous high-risks without concern for consequences___
- Fear of losing control__
- If you were not abused as badly as others, you may experience “survivor guilt"___
- You at times feel guilty for pleasurable emotions such as happiness, as if you somehow do not deserve it___
- Desire to change one’s name (to disassociate from the perpetrator or to take control through self-labeling)___
- Stealing (adults); stealing and starting fires (children)___
- Fear of being along in the dark, of sleeping alone, nightmares, night terrors, especially of pursuit, threat, entrapment___
- Swallowing and gagging sensitivity___
- Alienation from the body. Not athome in body___
- A feeling that our bodies do not belong to us so we do not listen to body signals___
- A failure to take care of our health and/or personal hygiene (lack of self-care)___
- Poor body image ____
- Wearing a lot of clothing to avoid sexual attention___
- Eating disorders, (excessive over-eating, or dieting, anorexia, bulimia)___
- Drug or alcohol abuse
- Compulsive shopping and debting; inability to spend or save money appropriately___
- Sex and love addictions
- Obsessive/compulsive behaviors that serve to medicate our personal pain ___
- Self-destructiveness; self-mutilation or self-abuse (banging head against wall)____
- Phobias___
- Need to be invisible; perfect, or perfectly bad___
- Multiple personality disorder___
- Suicidal thoughts, attempts, obsession
- Passive suicide (no real will to live)___
- Depression (sometimes paralyzing)___
- Difficulty with recognizing, owning or expressing anger___
- Rageaholism (constant uncontrolled anger)___
- Splitting (depersonalization) going into shock, shutdown in crisis, numbing___
- Feeling watched___
- Trust issues: inability to trust, or trusting indiscriminately___
- High risk taking, or inability to take risks___
- Boundary issues; control, power, fear of losing control___
- Guilt, shame, low self-esteem, feeling worthless___
- Blocking out some period of early years (especially 1-12) or a specific person or place__
- Feeling of carrying an awful secret. Both a desire to tell this secret, and a concurrent fear of the secret being revealed; certainty that no one will listen; being generally secretive___
- Self-labeling that is a result of feeling marked (Everyone knows I’m no-good,” or, “I’m a slut, dirty, worthless” ____
- Feeling crazy; feeling different___
- Believing that everyone’s existence is valid; however, we are a phony___
- Creating a fantasy world, relationships, or identities___
- Denial: no awareness at all; repression of memories, pretending, minimizing, having dreams or memories (maybe it’s my imagination)___
- Strong, deep negative reactions to a person, place, or event, sensory flashes (a light, a place, a physical feeling) without a sense of their meaning___
- Being aware of, or remembering the surroundings where abuse occurred, but not the actual event___
- Flashbacks___
- Panic Attacks___
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