HANNA DEL TORO, LCSW

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5/11/2021

Preventing, Addressing, & Healing Child Sexual Abuse

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Why This Resource Was Created

Child sexual abuse is a difficult but critical topic. Despite its prevalence, accessible and practical guidance for families and professionals remains limited. This guide was created to support those seeking to prevent abuse, recognize warning signs, respond with care, and promote healing for the children and families affected.

Where Abuse Occurs — And Who Perpetrates ItAbuse is most often committed by someone the child knows and trusts. Common contexts include:
  • Slumber parties and sleepovers
  • Family members (including extended family)
  • Religious institutions and youth programs (e.g., church groups, yoga, scouting, sports)
  • Childcare settings
  • Online platforms and games, through grooming behavior
  • Any setting where adults or older youth have unsupervised access to children
📊 Statistics show that 1 in 10 children will experience sexual abuse before age 18. Abuse affects both boys and girls, and occurs across all communities.

Prevention StrategiesPrevention begins with education, openness, and proactive communication. Here are key tools:
  • Use books like I Said No! and others to help children learn body safety rules.
  • Teach the family motto: “No secrets, only surprises.” Let children know if anyone asks them to keep a secret, they should tell a trusted adult right away.
  • Talk about digital safety. Children and teens are increasingly exposed to inappropriate images and messages. Let them know it’s okay to talk about anything upsetting they see online.
  • Watch for grooming behavior. Learn more through organizations like the Center for Child Protection or other educational resources.
  • Break the silence. Abuse that is hidden often repeats across generations. Talk about safety with calm, curiosity, and compassion.

Warning Signs That Something May Have HappenedChildren rarely disclose abuse directly. Instead, they show us through changes in behavior. Warning signs may include:
  • Reluctance to visit specific people or places
  • Difficulty sleeping, nightmares, or bedwetting
  • Regression in potty training
  • Loss of appetite or sudden changes in eating habits
  • Sudden clinginess or social withdrawal
  • Sexualized play with dolls or other children
  • Unusual knowledge or language about sexual topics
  • Playing out scenarios that suggest coercion, fear, or secrecy
🚨 If a child seems distressed about someone or something, listen and ask questions gently, without leading.

Responding to a Disclosure ("The Outcry")When a child shares that something happened:
  • Stay calm and listen. Let them talk at their pace.
  • Avoid asking leading questions. Stick to open-ended prompts like, “Tell me more.”
  • Reassure them repeatedly:
    • “You did nothing wrong.”
    • “This was not your fault.”
    • “You are brave for telling.”
    • “You are safe now.”
  • Understand ambivalence. Children may feel conflicted if the abuser is someone they care about. That’s okay—this can be addressed in therapy.
  • Report immediately to local law enforcement or CPS. The child will likely be scheduled for a forensic interview at a child protection center. Ask how to prepare and what to expect.
💡 Remember: the caregiver’s job in this moment is not to solve everything—it is to listen, love, and protect.

Navigating the InvestigationYou may experience denial or disbelief from those close to the alleged perpetrator. That is unfortunately common.
  • Let go of the need for outside validation. Many cases do not lead to arrest or conviction due to lack of evidence. That does not mean the abuse didn’t happen.
  • Focus on safety and healing. That is the most important and actionable outcome.
  • Know you’re not alone. Victim compensation, legal advocacy, and family support are available. Social workers at child advocacy centers can guide you.

The Healing ProcessRecovery takes time—and it is absolutely possible. Recommendations include:
  • Certified play therapists for younger children
  • Family and individual therapy for caregivers and siblings
  • Books such as A Terrible Thing Happened and Healing Days
  • Ongoing conversations that reinforce:
    • “You’re safe.”
    • “You’re loved.”
    • “You did nothing wrong.”
    • “You can always talk to me.”
✨ Healing also includes learning: to reach for help, to listen to your instincts, and to reject secrecy in favor of truth and care.

For Caregivers: Healing Your Own GuiltParents often carry immense guilt for not recognizing signs sooner. Please know:
  • You are not alone in this.
  • You are not responsible for someone else’s choice to harm.
  • Forgiving yourself is essential to family healing.
  • You, too, deserve support.
Healing happens in layers, and each family member may process at their own pace. Don’t hesitate to seek therapy for yourself alongside your child.

Closing ThoughtsYou are not broken. Your child is not broken. Your family is not broken.
You are doing something brave and vital by facing this pain, naming it, and seeking healing. You are protecting your child, and teaching them that when something scary happens, they are not alone.
There are helpers. There is hope. Healing is real.

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10/24/2019

Communi-cation 101

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Why This Matters

​As a counselor, one of the questions I hear most often is:
“How do I talk about hard things without making it worse?”

This post offers guidance for approaching tough conversations in a way that builds understanding, rather than conflict. It’s not about who’s right or wrong—it’s about sharing feelings, listening to the other person’s experience, and negotiating needs with empathy.

One of my favorite resources on this topic is Nonviolent Communication by Marshall Rosenberg. I often tell clients: If I could live fully by that book, I’d never have a conflict again—but I’m far too human for that. Still, when I need to get communication back on track, I come back to the tools I outline here.

A Simple, Powerful Communication Formula
Many people have heard of using “I” statements (e.g., “When you did ___, I felt ___”) to reduce blame and promote ownership. That’s a great starting point, but here’s a refined version I teach to clients that deepens the dialogue and creates space for mutual understanding:

🧩 Communication Formula:
I observe: (describe what happened without judgment)
I feel: (use a specific feeling word—e.g., sad, angry, hurt, overwhelmed)
The story I tell myself is: (acknowledge your interpretation or assumption)
What I wish for is: (name your hope, need, or request)

Example: Workplace Conflict
Let’s walk through a scenario involving a frustrated boss and an overwhelmed employee:

Scenario:
A boss becomes upset when a project isn’t completed the way they expected, or in the timeframe they requested.

✏️ Unproductive Reactions:
Boss (internal dialogue):
“My employees don’t respect me. They never follow through. I’m so done with this.”
Employee (internal dialogue):
“No matter what I do, she nitpicks and micromanages. She must hate my work.”
This kind of internal narrative can escalate tension and erode communication.

✅ Reframed with the Communication Formula:
Boss says:
"I observe that when I assign projects with specific deadlines and instructions, they’re often not completed on time or in the way I asked. I feel frustrated. The story I tell myself is that I’m not being respected as a leader. What I wish for is more consistency in following through and clarity around how we can make that happen."
Employee responds:
"I observe that you’ve assigned several high-priority projects at once, and sometimes we’re pulled in multiple directions. I also observe that I try hard, but may be missing the mark. I feel disheartened. The story I tell myself is that you might be unhappy with me or the team. What I wish for is clearer expectations, and more communication so we can work together to meet them."

Can you feel the difference? Instead of growing more distant or defensive, each person is naming their experience, leaving space for the other person’s reality, and inviting collaboration.

A Note on Boundaries: When Needs Clash
Sometimes, we encounter communication breakdowns where the underlying “need” from the other person is actually unhealthy—such as when someone demands total blame, complete agreement, or emotional caretaking.

This dynamic is often seen in scapegoating, where one person is expected to carry the emotional weight for others.

In those moments, it's okay to say:
“I care about you, but I can’t meet that need. It’s not healthy for me.”
Healthy relationships honor boundaries, including the right to say “no.” You might need time, space, or support to reflect and find your center. Trust your feelings—they hold information about your needs.

Final Thoughts
This model works not just at work, but in relationships of all kinds: family, friendships, partnerships, even with ourselves.

You don’t have to do it perfectly. Just the effort to communicate more consciously can shift a conversation toward connection, even when it's hard.

✨ Try using this formula the next time things feel tense—you may be surprised at how it opens the door to understanding.

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