אשה במצב רוח ירוד בעקבות חרדה ודיכאון - סטלה סנטר ישראל

PTSD After Sexual Assault: Coping, Symptoms and Treatment Options

December 3, 2025

Sexual assault: pain no one should have to face alone

Sexual assault is a trauma that can leave a deep psychological mark. For survivors, it brings enormous pain, expressed as helplessness, shame and often guilt as well. The emotional complexity of coping with this kind of sexual trauma also stems from the difficulty of making sense of what one is going through, particularly when social or family support is inadequate or entirely absent.

What Is PTSD?

PTSD (Post-Traumatic Stress Disorder) is a mental health disorder that develops following traumatic events, sexual assault among them, that affect a person’s ability to return to normal life. Signs of PTSD after sexual trauma include recurring memories of the event, anxiety, an inability to relax, and avoidance of places or situations that may be reminders of the traumatic event. PTSD can develop in anyone who has experienced a traumatic event, but in cases of sexual assault and abuse, the struggle can be even more complex.

PTSD as a Result of Sexual Assault

Sexual assault and sexual abuse are among the most common causes of PTSD. Research shows that the impact of this abuse is especially pronounced among girls and young women. In many cases, the abuse takes place in the victim’s immediate surroundings, such as at home or in the community, which deepens the victim’s sense of betrayal and isolation. The psychological consequences of sexual assault do not always appear right away, and sometimes it takes time before they surface as PTSD or other mental health disorders.

בעיות מנטליות לסובלים מחרדה ודיכאון

Ongoing Abuse and Complex PTSD (C-PTSD)

When the abuse is not a one-time event but continues over a long period, symptoms of complex PTSD (C-PTSD) may appear. In this condition, it is not only the traumatic event that affects the psyche, but also the ongoing relationship with the abuser. In these cases, survivors cope not only with the trauma itself, but also with a loss of identity, low self-worth and difficulty forming healthy social relationships.

What Is Complex PTSD?

  • Complex PTSD is a condition in which prolonged trauma affects every aspect of a person’s life. Unlike “standard” PTSD, it is a more complex disorder that affects thought patterns, emotions and behavior. People with C-PTSD may experience deep feelings of hopelessness, difficulty building trust in others and a persistent sense of alienation from society.

    Click here for full information about complex PTSD

What Happens in the Brain During Anxiety?

Anxiety affects the nervous system and brain activity. It brings about a certain change in how we react and in our ability to analyze situations. We know that anxiety develops in the limbic system, an intricate network involved, among other things, in hormone release and involuntary responses.

During anxiety, the feeling of anxiety arises first and cannot be regulated, and the physical symptoms follow from there.
One of the clearest features shared by all anxiety disorders is the “fight or flight” response.

Symptoms of Complex PTSD

  • Recurring intrusive memories of the traumatic events.
  • Difficulty with emotional regulation, such as outbursts of anger or intense feelings of sadness.
  • A sense of detachment or estrangement from one’s body and emotions.
  • Difficulty forming interpersonal relationships and a sense of social alienation.
  • Heightened guilt or shame, especially in relation to the trauma experienced.
  • Hopelessness about the future or a persistent sense of emptiness.

Types of Treatment for PTSD and Complex PTSD

Treatment for complex PTSD and sexual trauma varies from person to person and includes a range of methods:

  • Psychological therapy: Exposure-based therapies (Exposure Therapy) and cognitive behavioral therapy (CBT) are considered particularly effective.
  • EMDR (Eye Movement Desensitization and Reprocessing): A trauma-focused therapy that helps process traumatic memories.
  • Medication: Medication is sometimes added to treat symptoms such as anxiety, depression or sleep disorders.
  • Group therapy: Helps survivors feel less alone and connect with people who have had similar experiences.
stella-logo

SGB Treatment: Stella Israel's Revolutionary Solution

One of the most innovative and effective treatments for PTSD and C-PTSD is SGB (Stellate Ganglion Block). The treatment is given as an injection into a specific area of the neck that affects the sympathetic nervous system (the “fight or flight” system). Stella Israel and Stella worldwide offer this treatment as a fast and effective way to reduce the physiological symptoms of PTSD, including anxiety, tension, sleep problems and intrusive traumatic memories. The treatment generally includes two injections given one to two weeks apart, and results are usually noticeable after the first injection.

SGB offers new hope for survivors of sexual trauma, allowing them to begin a process of recovery and to work through the trauma in an effective, focused way.

PTSD after sexual assault is a difficult and painful experience, but with the right treatment and appropriate support, it is possible to ease the suffering and return to a healthier, fuller life. Stella Israel is committed to offering advanced, innovative solutions for everyone facing this struggle.

Don’t hesitate to reach out to a qualified professional to start your path to recovery.

We at Stella Israel are here for you with anything you need

Leave your details for a callback, or call us

More articles you may find interesting

גבר ער במיטה באמצע הלילה - חרדת לילה ומחשבות שלא נותנות להירדם

Why Does Anxiety Get Worse at Night?

Do your thoughts start racing the moment the lights go out? Here's what explains nighttime anxiety and what helps. Read more
חץ
אישה יושבת במיטה עם יד על החזה - כשהגוף לא מצליח להירגע

When Your Body Can’t Relax… You’re Not Alone!

Is your body on edge, your sleep light, and every noise makes you jump? Here's how to tell if it's anxiety and what really helps.
חץ
גבר יושב בסלון שקוע במחשבות - השפעת המצב הביטחוני על הגוף והנפש

How Does Israel’s Ongoing Security Situation Affect Body and Mind?

The ongoing security situation keeps the body on alert even when there is no siren. What can you do about it? Read on.
חץ
עורררות יתר תסמין נפוץ לסובלים מפוסט טראומה - תמונה להמחשה

Hyperarousal: Why Can’t the Body Calm Down?

Hyperarousal is one of the best-known symptoms in mental health and trauma care. What is hyperarousal? Read on
חץ
Dr. Jason Cohen

Dr. Jason Cohen

Chief Medical Officer, Stella Israel

Dr. Jason Cohen is a specialist in pain medicine and anesthesia, part of the global Stella organization that provides mental health care to tens of thousands of people across the United States, Australia, and Israel. Dr. Cohen is a leading expert in the dedicated SGB protocol for treating post-traumatic stress and anxiety disorders.