Decision-Making After Sexual Assault: Trauma, Recovery, and Support

How sexual assault affects Decision-Making and what evidence-based recovery support looks like.

Sexual assault is a major trauma that significantly and durably affects decision-making. Recovery is possible with appropriate support.

How Sexual Assault Affects Decision-Making

  • PTSD is extremely common after sexual assault, with direct effects on decision-making
  • Shame and self-blame — which are not deserved — are powerful decision-making drivers
  • Trust and intimacy disruption affects relationships central to decision-making recovery
  • The legal process and disclosure decisions create additional psychological burden

Trauma-Informed Decision-Making Treatment After Assault

Evidence-based therapies for sexual assault-related decision-making include:

  • Cognitive Processing Therapy (CPT) — specifically developed for assault survivors
  • Prolonged Exposure therapy
  • EMDR

Immediate Support Resources

  • RAINN National Sexual Assault Hotline: 1-800-656-HOPE
  • Crisis Text Line: Text HOME to 741741
  • Local rape crisis centers provide trauma-informed decision-making support

Related Resources

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