Sexual abuse generally refers to forced physical sexual behavior perpetrated on the victim and may include sexual assault, rape, oral or anal sex, masturbation of either the offender or the victim, or sexual penetration by objects. This type of abuse generally creates psychological trauma in the victims. Victims of sexual abuse may suffer from nightmares, depression, panic attacks, anxiety, insomnia, weight loss, eating disorders, alcoholism, drug abuse, and other forms of emotional distress or health problems.