i have an 18 year old patient who suffers from anxiety, depression and anorexia. She was hospitalized at age 5, after which she was diagnosed with PTSD at age 7. She told me she grew up seeing her parents have sex at night through their open bedroom door. Whether they were aware she saw them is still unclear. She has not told anyone about this matter previously. She gets extremely anxious when I approach the subject of sexuality or of past abuse. She says she cannot "say the words, or hear the words." She has started to self-mutilate quite seriously and seems to be falling into a deeper depression. She fears abandonment yet both her parents are married and seem supportive. She interacts with them well. She gives very short, monotone answers, never makes eye contact and is reluctant to trust...therefore information on her past is limited. Any ideas or insights would be appreciated.
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