It is apparent that you endured several types of abuse as a child but it may be impossible to fully determine what exactly occurred. Sexual abuse is a realistic possibility. According to the American Academy of Experts in Traumatic Stress and the American College of Obstetricians and Gynecologists, some of the most common problems experienced by adult survivors of sexual abuse include (among others):
- sexual dysfunction
- compulsive sexual behaviors
- difficulty trusting others
- depression and anxiety
- excessive guilt
Having some of the aforementioned symptoms may suggest that you were sexually abused but again, it may be difficult to determine that with certainty.
Not being fully honest with your psychologist is a problem. You are deliberately withholding very important information that stops him or her from helping you. Your psychologist is there to help you but cannot effectively do this if you are withholding important information. It is not unusual to have difficulty initially trusting one’s psychologist or therapist but over time this should improve. The more honest and open you can be the better it is. It speeds up the treatment process and it makes therapy more efficient.
Psychologists and therapists receive extensive training and have been exposed to virtually every type of possible psychological problem and behavior. In addition, they are motivated to go into their respective profession because they sincerely want to help people. Some psychologists and other mental health professionals work with individuals who engage in extreme abuse of children or others. Physicians do not pass judgment on their patients with medical problems; nor would psychologists and therapists pass judgment about their client’s behaviors or psychological problems. They are there to help, not to be judgmental. They expect their clients and patients to have problems and they truly are there to help them overcome those problems. That’s the career they have chosen for themselves.
I hope that you can be fully honest with your psychologist. The information you presented in your letter is very important and ultimately for your psychologist to effectively help you, he or she needs to be fully informed about what you are thinking and how you are behaving. No detail is unimportant.
I wish you well. Please take care.