I don't know what you had her do on paper, but I would suggest doing more if it. You obviously tapped into a way of entry. Perhaps she feels safer writing things down, a bit removed from it. Perhaps it would be best to stay with relatively safe subject matter, to get her more comfortable communicating. I have an article in my office from the Journal of Counseling and Development, that describes and then lists 60-some common symptoms of sexual abuse survivors. I could get you the exact reference if you wish, but from what you describe this client could easily check off 2/3 of those symptoms. The effects of sexual abuse are as varied as are personalities, so there is no one syndrome. I agree with Marty Klein in saying that one should never assume, but there are many strong indicators here. In any event, as you described her resistance in talking, this is not something to try to broach head on, and you might be more effective in giving her space to create an alliance at her own pace, assuming managed care doesn't say you have to meet the goals in eight sessions or less.
The anorexia sounds very serious, and anorexia is a very hard disorder to treat because, as you know, she is very stubborn about her body image.
the anorexia to me feels like it is secondary to some sort of trauma. Again, my feeling is, something happened somewhere.
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