The relationship between child sexual abuse and adult sexual functioning is well-established. Given the documented high incidence of childhood sexual abuse (CSA) and negative consequences for adult sexuality, many mental health counselors will encounter and provide therapeutic services to members of this population. Counselors must have a good understanding of how sexual victimization during childhood impacts a woman's sexuality and sex life. We discuss the prevalence of CSA among women in different populations and the significant impact it has on women's sexuality. Generalized practice issues are applied using a case study and phase-oriented approach.

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