The documented long term effects of child sexual assault on an adult may include;
* Depression, anxiety, trouble sleeping;
* Low self esteem;
* "Damaged goods" syndrome. i.e. negative body image due to self-blame. This may be intensified if physical pain was experienced during the abusive incidents;
* Dissociation from feeling;
* Social isolation;
* Relationship problems such as an inability to trust, poor social skills or a reluctance to disclose details about themselves;
* Self destructive behaviour such as substance abuse or suicide attempts;
* Sexual difficulties such as fear of sex or intimacy, indiscriminate multiple sex partners or difficulty in reaching orgasm;
* Parenting problems such as fear of being a bad parent, or fear of abusing the child or being overprotective;
* An underlying sense of guilt, anger or loss;
* "Flashbacks" and/or panic attacks.