FEAR: In many instances a sexual assault survivor has experienced the fear of losing her/his life. In these cases, fear is the dominate emotion. Talk with your client about measures she/he has taken to feel safe; are the doors and windows locked, are emergency phone numbers easily accessible, etc. As a result of this fear, she/he may be forced to make changes in lifestyle, and this loss of freedom may cause anger. Focus on rewarding personal strengths and on the present rather than on the past. ANGER: There is often as much anger at the events following the assault, as toward the assault itself; changing lifestyle, loss of freedom, being told to "get over it" by friends and family. Validate the feelings of anger and create a safe place for expression. How can the anger be expressed in a constructive way? Does the expression of anger help to diffuse it? GUILT AND SHAME: Even though a survivor may know that she/he is not responsible for the assault, the reactions of those around her/him, the media, etc., may create feelings of guilt, shame and responsi- bility. It is often easier to take the responsibility for blame than to admit that the rape has happened. Be supportive, tell the survivor that it was not her/his fault. Help to separate the problems of others from hers/his. MISTRUST: Often survivors will say that they have lost all faith in others. Validate feelings, but remind of support systems, people she can trust and count on, etc. FEELING LIKE THEY Many survivors tell us this. Extreme anxiety ARE GOING CRAZY: and stress, loss of sleep, and feelings of lack of control, can cause a person to feel like they're going crazy. Reassure the survivor that these feelings are normal reactions to a crazy situation. Focus on the things that she/he does have control over, and help to narrow problems to those that can be dealt with right now. Compiled by Ithaca Rape Crisis, Revised January 1990