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Clients with sexual abuse histories often come to therapy with questions about their sexual expression and the obstacles they encounter in intimate relationships. They may find themselves engaging in trauma reenactment rather than safe, consensual sex and need a nonjudgmental space to explore what sexual recovery means for them. 

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Clients with sexual abuse histories often come to therapy with questions about their sexual expression and the obstacles they encounter in intimate relationships. They may find themselves engaging in trauma reenactment rather than safe, consensual sex and need a nonjudgmental space to explore what sexual recovery means for them. Even well-trained trauma therapists often lack the language, comfort, and skillset necessary to assist their clients through this process. This recording will provide concrete strategies to help trauma survivors live more sexually fulfilling lives.


  1. Evaluate how different types of sexual abuse and trauma manifest in clients’ behaviors and relationships and how these manifestations inform treatment interventions. 
  2. Articulate methods that help clients differentiate between trauma reenactment and trauma play. 
  3. List five important ways to help clients manage their sexual behaviors. 
  4. Describe what constitutes healthy sexual expression in order to foster acceptance and understanding in clients.

Evaluate how different types of sexual abuse and trauma manifest in clients’ behaviors and relationships and how these manifestations inform treatment interventions. 

  • Review sexual abuse literature. 
  • Review trauma literature. 

Identify the differences between trauma reenactment and trauma play. 

  • Provide case examples of trauma reenactment and trauma play. 
  • Differentiate between abuse and trauma. 

Describe methods to help clients manage their sexual behaviors. 

  • Assess the out-of-control sexual behavior model. 
  • Explore the flaws of the sex addiction model. 

Describe what constitutes healthy sexual expression to foster understanding and acceptance in clients

  • Provide a review of sexual and erotic health information. 
  • Evaluate healthy and destructive relationships to sexual behaviors. 

Explore countertransference and client sexual expression. 

  • Review sexual attitude reassessment. 
  • Examine therapists’ beliefs and judgments about erotic and sexual behavior. 

Summarize different types of trauma and how they manifest in out-of-control sexual behaviors. 

  • Differentiate between simple, complex and post-traumatic stress disorder. 
  • Examine how different traumas contribute to compulsive sexual behaviors.

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