April 25, 2009
Long-term Costs Severe Child Abuse
Long-term, chronic, and severe child abuse causes a variety of medical and emotional issues for the survivors of such extensive abuse. Dissociative identity disorder (DID/MPD) is one long-term issue, but medical complications are extremely common as well.
In addition to addiction issues and mental health issues, most survivors find that they have numerous medical issues as either a direct or indirect result of their severe childhood sexual abuse.
INCREASED MEDICAL COMPLICATIONS
- Numerous medical complications or physical ailments from the years of internalized stress, anger, bodily harm, etc.
- Increased risk of stress related diseases, including depression, bipolar, PTSD, anxiety, etc
- Colitis, high blood pressure, heart disease, gastrointestinal problems, fibromyalgia, etc.
- Frequent headaches and migraines
- Numerous dental issues, including harm to the teeth, especially if the survivor experienced a lot of drugging
- A history of shaken baby syndrome, whiplash, broken bones, head injuries, etc.
- Bizarre illnesses or medical conditions that are difficult to explain or diagnose
- Inability to thrive – failure to grow
- Physical or mental impairment due to early childhood injuries
- Brain development affected – people who are severely sexually abused in childhood have permanent changes in their brains, specifically in the left hemisphere. These changes cause increased difficulties in the way they think, react, feel, and behave.
Long-term, severe, chronic child abuse causes long-term, severe, chronic medical issues, with both physical health and mental health.
Who pays for that?
One of the most frustrating negative effects of childhood sexual abuse is that the survivors as adults, on their own and struggling through each day, are left to manage the costs of their medical and mental health treatment by themselves, with minimal financial assistance from the people that actually caused the harm.
Going the legal route in terms of suing for damages is typically unrealistic. Besides, dissociative survivors often need long-term therapy and treatment prior to being ‘emotionally together enough’ to even consider a lawsuit. Either the survivors have not yet sorted out their trauma history / information in order to be able to present an organized, sequential legal suit, or they have too much internal conflict going on about what to tell, who to tell, etc. And, of course, being angry at the perpetrators is such a frightening thought that taking their perpetrators to court can be completely impossible.
So by the time dissociative survivors are able to deal with the legal world, they have already had to find a way to get years of therapy in the first place.
It’s so very frustrating to see the perpetrators walk away, comfortably well off after demolishing and destroying the lives of the survivors. Just like the pimps on the streets are comfortably rich in comparison to the beaten up, drug-addicted, stressed-out girls they sold on the corners, organized perpetrator groups are wealthy in comparison to the girls they’ve sold, abused, and used up.
Sometimes, perpetrator fathers will pay for therapy costs / medical bills as a quiet “under the table” compromise to their children. The “I’ll pay for your medical bills in exchange for your ongoing silence and not taking this to the public arena” exchange does happen, but it does not come without its own complications. Perpetrator fathers are very good at guilt-tripping their daughters, and having an ongoing connection to their perpetrator creates a constant tension and conflict in their healing process.
Insurance companies and disability policies are providing less and less coverage.
No one wants to pay for the crimes done by sex offenders, yet these offenders have created horrible life-long wounds for children all over the world.
One of the costs of long-term, severe child abuse for survivors is dealing with the complications of getting proper healing in the first place.
POOR MEDICAL AND THERAPEUTIC ASSISTANCE
- Excessive monies spent on medical bills, treatments, therapies, etc.
- Years of misdiagnosis, poor medical treatment, inappropriate therapies
- Hospitalization after hospitalization after hospitalization – It’s not at all uncommon for survivors with DID to have over psychiatric 30 hospitalizations in their lives.
- Costs to insurance, government medical funds, unpaid medical facilities, etc.
- Finding appropriate therapeutic help is extremely difficult, and too often non-existent, leaving the victims to suffer even longer
- Maintaining appropriate therapeutic help for the years it takes to overcome the depth of the damage is complicated and expensive. The treatment is heart wrenching and grueling work. And yet, intense therapy is required to improve a survivor’s devastated quality of life
- Expensive medications are often needed for years to assist with stability
- Psychiatric medications, though helpful in many ways, have many disturbing side effects that are also difficult to live with
- Psychiatric medications are not prescribed in an exact science type of way. Survivors will go through years of trial and error to find what works for them and when. Different doctors prescribe medications differently.
So who pays for all of this?
Unfortunately, for the most part, survivors have to pay for their own healing by themselves, which means more sacrifices made by people who have lost quite enough in their lives already.
Is that fair? Is that right?
No, that is not fair. No, it is not right. Not at all.
But it is typically the only way for survivors to get the healing they need.
Is your healing worth this for you?
Kathy Broady LCSW