They should not be pressured into disclosing information in group settings. Dealing with Shame Shame is the strongest emotion that a sexually abused adolescent experiences. Feelings of shame are intensified by disclosure of the abuse and by the subsequent problems encountered. Pregnancy resulting from sexual abuse and incest is very damaging and requires more extensive therapeutic efforts to resolve problems and issues further complicated by the pregnancy. Chemical dependency counselors can help the adolescent develop a sense of worth and the ability to interact appropriately with others.
Counselors can help adolescents develop a means of coping with the abuse and redefining reality.
Within the context of the family, counselors should work on building problem-solving skills to help family members communicate effectively and establish appropriate boundaries and roles. Involving the abuser in family therapy is not recommended unless the abuser has admitted the problem and is not a threat to the child or other family members. Parents or other adult caretakers should be encouraged to attend counseling to resolve problems in their relationships. Conclusion Most chemically dependent adolescents affected by sexual abuse or incest can be effectively treated within the chemical dependency treatment setting. It is important that counselors have a sufficient understanding of the signs and symptoms of sexual abuse and the implications for intervention and treatment.