EFFECTS OF SEXUAL ASSAULT ON TEENAGERS Emotional guilt/self-blame fear of recurrence crying spells mood swings feelings of humiliation/shame/embarrassment denial phobias anger at the assailant Social fears of impact on peer relations acting out wish to change environment, e.g. schools concerns re: body image withdrawl from family and friends school performance suffers Physical sleep and appetite disturbances tension headaches fatigue gynecological symptoms general body soreness Familial over-protection victim blaming parents fear sexual problems will follow sadness re: "sexualized child," loss of innocence self-blame spiritual crisis