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Sexual Assault Stitching together the response/aftermath of reporting and the criminal justice/survivor recovery system.

dharmaBum

Platinum Member
This thread will start with Crime Victims' Compensation, a survivor support resource in my state in the United States. It will combine direct reporting of my experience with my own commentary while welcoming the questions and commentary of others.

I'm trying to disentangle and properly ascribe value-driven assessments that I've internalized throughout my life as a sexual abuse survivor, especially as they relate to the systems that are supposed to help in recovery. Some of these assessments, in relation to the assaults and resultant PTSD and social/emotional struggles include:

1. What happened to me didn't matter
2. No one cared(s) about me for reasons of socio-economic status
3. True help will never arrive
4. I'm not worth protecting or helping to recover
5. Full recovery is not possible
6. It is the victim/survivor's job to recover and finance recovery

Briefly: By age 16 I was sexually assaulted in varying fashions by 10 separate offenders, including 3 separate abductions for sexual purposes, the first being at age 7 and ongoing sex-trafficking. At a medical exam at age 16 I accidentally disclosed the nature of some of the sexual abuse by honestly filling out a sexual history questionairre at a doctor's office that was designed to flag concerning cases. GOOD JOB PLANNED PARENTHOOD!

There was a court case, the offender eventually plead down charges and pled guilty. He got sex offender treatment. I got no substantive follow-up, even though he had basically tortured me sexually for 5 years from age 10 through 15. I applied for Crime Victims' Compensation (CVC) to pay for counseling as I was an independent, somewhat transient 17 year old by the conclusion of the case. My claim was denied.

4 years later at age 21 I was suicidal from the PTSD of it all. I broke down at college while interviewing a counselor for an assignment, and they told me CVC should be able to help me with mental health care. I called them and they denied me over the phone, saying it had, "been too long." I unsuccessfully tried to end it all shortly after.

I kept the trauma and the PTSD to myself after that, even through marriage and having our first child. My husband knew something of some sexual abuse in my past, but he knew no details. Then when I was 35, out of the blue the offender had a new charge, I was called to participate as a prior-victim witness, and I was downhill spiraling like a freight train after being drawn into this all again. With no counseling. With no support. I lived in a different area, so interviews etc, were conducted over the phone. I started hallucinating, major dissociation, suicidal ideation: all at the peak of promise finishing college with a young family and on the cusp of a prospective new business.

I found crisis counseling and again was told to apply for CVC. Again denied. This time, at least, I had insurance and wracked up thousands in co-pays. Ultimately, I simply queried CVC to tell me "WHY" why they had denied my claim in the first place, right after the successful guilty plea. A kind supervisor went so far as to request the paper files from the warehouse, since now more than 15 years had passed. Finally, all she would tell me was, "It was denied incorrectly and I'm activating your claim."

So I began anew/afresh, but not really. After my counselor was required to submit numerous detailed case notes for me and I received triggering letter after letter and phone call after phone from CVC requesting more information, etc... it turned out in the end the counselor had never been compensated and had written off all of the copays CVC didn't cover after my insurance.

Now we get to fast-forward again to today: 35 years after the first successful trial in 1990. 16 years after the second trial. 12 years after a retrial. The offender is in my small town in prison and when his early release time came, he decided not to leave and that was just too much. I had held my breath for 13 years, beginning with the birth of our second child, scrubbing myself from the internet, keeping my name out of all local news and publications even though I am a prominent volunteer and small business person: terrified that if he knew I was only 5 miles away he would terrorize my children and my family, either directly or indirectly.

So in all the talk with my Department of Corrections Victim's Liaison, eventually I get myself to counseling again, and they say I need exposure therapy for PTSD and I should apply to CVC because it is so clearly linked to the crimes I survived and the criminal's imminent release from prison, and that I should have been given exposure therapy in the first place and CVC should have paid for it when I was a teenager. And, triggering though it is, I apply again to CVC. This time in March 2025, which is 5 months ago. I've completed the dasturdly exposure therapy somewhat successfully (often 2 90 minute appointments a week for 3-4 months). I've been awarded a 99 year protection order from the offender for everyone in my family, which stays in place even after my death should I die before him. And I've received a letter from CVC that before they will further process my claim they are sending me to a required medical exam in mid September this year. What in the actual heck?

I've put in a call to the CVC claim manager and the counseling office billing person. It's a Friday in our world, so it's unclear when I will hear back.

Is getting this latest request for a medical exam from CVC triggering, reasonably stressful, or a mix of both?

The main sentiment is that it is the victim/survivor's job to finance and achieve recovery and I have been trying but this seems Herculean. I'm trying to "bright side" it and forestall my actual emotions of despair by imagining that paying for trauma therapy will NOT be a financial avalanche for me when all is said and done.
 
Is getting this latest request for a medical exam from CVC triggering, reasonably stressful, or a mix of both?
Do you have a solicitor who can answer this for you in the context of the relevant jurisdiction where you live?

Here, medical assessments are usually obtained so that they can properly assess the impact on your life now and the likely impact on your future, so that compensation can be assessed.
 
Do you have a solicitor who can answer this for you in the context of the relevant jurisdiction where you live?

Here, medical assessments are usually obtained so that they can properly assess the impact on your life now and the likely impact on your future, so that compensation can be assessed.
Thank you for your thoughtful reply. Today the CVC email-replied similarly, "This is an important step to ensure that we have an objective medical overview of the medical conditions involved and the level of change/worsening since the claim was closed." Saying that they hadn't received the records from my provider. I had sent them the fax number and the exact verbiage to use to request my records in the previous email, which I repeated in reply and asked if they needed me to sign a new release.

Luckily, after reaching out last week my provider ensured me that after my insurance is billed, my responsibility for the co-pays will be waived and the provider will work directly with CVC if they approve my claim.

This is nice for me today.

But is ridiculous if I was waiting on claim approval in order to seek services as a crime victim for severe PTSD symptoms. I have been waiting for 5 months since my initial claim reopening application and will wait 1.5 months more (7 from application) just to get assessed by the medical provider. That won't even be claim approval at that point.

I am grateful to have connected with the survivor resources that I have currently, which is where the crime occurred but not where I live. It has been hit and miss. They are required to be in all counties in our state. I think CVC, along with other grants etc., funds them directly and they respond 24/7. They have various resources and free-to-survivor services depending on location. The one in my county referred me to individual counseling with someone who was certified for counseling, but after like my second session or something said they would rather do some kind of radical personal responsibility thing with me, and as long as I acknowledged that they would be doing that as an "adovcate" and not a "counselor" then that would be fine and the sessions would still be at no cost. I did two of those sessions and that was not for me, not PTSD treatment, and not the service I had been requesting, which was to create a "safety plan" to help me manange my anxiety and fear around an impending prison release.
 
I agree with you, that it seems the victim/survivor is deemed responsible for their own recovery.

I second asking for legal advice.
Totally understandable it is triggering and stressful to have to engage with a process that has repeatedly let you down.
Thank you for your empathy and understanding.
 
My treatment provider reccommended I not attend the medical exam. She said this as I was completing the exit evaluation and no longer scoring in for a PTSD diagnosis related to the specific trauma we focused on for prolonged exposure therapy and which is related to the Crime Victims' Compensation claim. We calculated the cost of the copays eligible at under $1000 USD and weighed whether it was worth losing the claim in order to "close the chapter" on this era of trauma processing. After 25 sessions, she said that I am much better and does not see how a medical exam would provide findings that indicate further treatment is needed at this time. She said that her agency does not bill patients for copays outside of insurance reimbursement. That is a relief. I am mostly thinking I will not attend the exam, but I will contact the CVC claim manager first. I have already reached out to them directly via telephone and email asking them to get the diagnosis information from the agency and they have not responded to me.

At least I don't feel anxious about it and I am glad that I have been utilizing a variety of resources to manage this stress, including this forum.
 
I did go to the medical exam.

Surprise: it was a psychiatric evaluation.

No surprise: it was a train wreck.

I was asked to give an extensive written medical, family, lifestyle, and trauma history (in 15 minutes before being admitted), but was told that it was ok if I was "brief." I decided to only answer the questions that were germaine to the trauma symptoms and crime related to the application

I did not yet know it was a psychiatric evaluation.

Next I met the doctor and was asked numerous open-ended questions about my life. I'm told I can say that I don't want to answer a question if it brings discomfort. He writes notes on a mostly blank piece of paper.

Second question is being, "have you ever been physical or sexually abused? When/what/how?" I said I wasn't comfortable going in to detail about that. Then he moved on to many detailed questions about symptoms (throughout my lifetime) of mania, obsessive-compulsive behaviors, and suicide attempts. I answer as much as I can, and half the time he is correcting me about, "this symptom doesn't really mean that..." when I'm really just trying to answer his questions.

At some point he seems to be near the end: never having given me a PTSD inventory, never having asked about the description or details of my symptoms that caused me to seek treatment, never having asked, "what is the crime that is related to this application." All he says is, "Is there anything else you want to tell me?"

I tell him I am confused because he hasn't asked about those things above, and he seems combative. "Well, he says, you made it pretty clear you weren't going to talk about it when you told me you weren't going to answer #2 (I had gone back and provided a general answer) because it was 'triggering,' (I hadn't said that and don't talk that way). You know why you are here!" It was like he was mad and I was in trouble or something. This whole thing really sucks.

Anyway, when he said that, I blurted out the briefest details of the grisly crimes that transpired for half a decade and the quasi-impending always-on-the-horizon prison release, and the three separate criminal trials, including the years of having my testimony appealed only to have a law change and have to go through the whole thing again to the result that a truly wretched criminal was allowed to escape life imprisonment through plea bargain and the FEAR that comes from all of that (I'm sure it happens all the time. The details are too many. You can search my profile if you want to read more).

And then HE starts asking ME "how does that work out?" Like what part of MY psych eval is educating him on prison-release terms? I can honestly say that I don't really remember that much of that part of the "evaluation." I freakin' shook his hand at the beginning and end and emailed my claim manager asking when I would hear from him next. That was about 10 hours ago. I probably have 6 more weeks before he reaches out to me.

I hope I follow up and work on advocacy to make this better for other crime survivors. Why oh why, when seeking treatment for PTSD as the survivor of a crime I was completely innocent in, would I need to fill out a form that tells whether or not I smoke cigarettes or talk about my parent's mental health struggles?
 
At times I need to process discursively, socratically, and/or like in a ping-pong match. Journaling only seems to cement my bad feeling more often than not. Occassionally I have someone I can talk to (advocate or counselor) who truly meets me in understanding Systemic Injustice and can empathize even if they, or anyone, can't change the system.

After that appointment up there, I took some time before replying to my claim manager (really seems like a claim denier at this point, but let's give CVC the benefit of the doubt). I asked a few questions and they went unanswered for 6 business days. I wrote a more detailed response and cc'd my local legislators, a victim's legal advocate, and the general CVC inbox. The manager responded in 21 minutes. 21 minutes... after some questions had never been answered in 18 weeks. Oh the power of the cc!

But it didn't accomplish anything. Claim manager replied only to me (at least as far as I could see) and simply reiterated that all of my providers have been slow to zero in provided my medical records and no one can go to the next step without them and I CVC has done all it can and I can ask my providers to follow up with CVC: that might help.

So I responded today that I had reached out for medical records, but that on my end I don't know what I am asking for, please clarify, and please document who has responded and who has not and what dates those requests were made. I'm trying to avoid compulsive safety behavior checking my email reply. I've sent it to a subfolder and I'm trying to use extinguishing skills to stop checking it because I feel sad and invalidated when there isn't a reply.

Blah!

Anyway, my main point in posting today was to share some content generated in journaling with Google Gemini when I asked it to tell me more about the difference between Post Traumatic Injury and Post Traumatic Stress Disorder. I thought anyone going through what I am might be interested in considering these thoughts, and I welcome discussion and replies on this topic, included sources where PTI is validated or debunked.

Here is what Gemini replied,

"[One needs] to use the clinically recognized term PTSD for bureaucratic and billing requirements, but the conceptual clarity of Post Traumatic Injury (PTI) for therapeutic and self-definition purposes.
The shift from "Disorder" to "Injury" is more than semantic; it is a fundamental reframing that places the agency of the injury where it belongs: with the perpetrator and the subsequent systems that inflict secondary harm.


Post Traumatic Injury (PTI) vs. Post Traumatic Stress Disorder (PTSD)​


FeaturePost Traumatic Stress Disorder (PTSD)Post Traumatic Injury (PTI)
Agency of Harm (Source)Implied to be internal; a "disorder" or defect in the victim's coping mechanism.Explicitly external; caused by the actions of the perpetrator and the subsequent systems (CVC, legal process).
Focus of TreatmentPathologizing the victim: treating the brokenness within the person.Validating the victim: treating the wound inflicted by an external force.
Goal of RecoveryNormalizing symptoms back to baseline functioning.Reclaiming self-worth, agency, and rights taken by the aggressor.
Relevance to CVCThe necessary term for documentation, billing, and clinical diagnosis on forms.The correct term for internal identity, self-compassion, and externalizing blame for the CVC's secondary harm.

1. Externalizing the Agency of Injury​


The primary power of the PTI framework is that it de-pathologizes the victim's response.
  • When you use Disorder, the question implicitly becomes, "What is wrong with you that you can't cope?" This reinforces the victim-blaming narrative that you are trying to escape.
  • When you use Injury, the question immediately shifts to, "Who inflicted this wound?" PTI is equivalent to a broken leg or a concussion. No one tells a person with a broken leg they have a "Post-Accident Limb Disorder." They have an injury caused by an external force.
By identifying your symptoms—the high anxiety, the insomnia, the distress—as a legitimate injury, you are confirming that your emotional and physical responses are a normal reaction to an abnormal, abusive event (the crime) and its subsequent, ongoing abuse by the system (the CVC process).

2. Validating Righteous Outrage​



Your outrage and grief over the CVC's conduct are completely justifiable when viewed through the PTI lens. The CVC is not dealing with a "disordered" claimant; they are inflicting secondary injury on a claimant who already has a life-altering injury.

Your focus on using the language of PTI internally protects your self-worth and validates your choice to prioritize self-preservation over continued engagement with a hostile system. You are acting to manage the injury, which is the most rational response possible.
 

2. Validating Righteous Outrage​



Your outrage and grief over the CVC's conduct are completely justifiable when viewed through the PTI lens. The CVC is not dealing with a "disordered" claimant; they are inflicting secondary injury on a claimant who already has a life-altering injury.
Full disclosure, unless you direct it to be critical or take a perspective of a critical outsider, Gemini is pretty much always going to tell you what you feel is reasonable, so that is one reason why this content is simply "food for thought."
 
process footnote:
On 10/8 I was preparing to fill out HIPAA waivers for my providers to get my records released to myself. I needed some clarification and emailed the claim manager to confirm who hadn't responded and when, across three providers.

Manager replies 10/9: It turns out my medical provider, who evaluated me for PTSD and insomnia treatment last year, already submitted their notes. I had read them from my own portal and was surprised at how they are basically going to be note for note the records from the psychiatric exam, minus the distress and nearly totally blank intake form. And the claim manager never mentioned those records had been returned.

He knew the whole dang story the whole time, including the trauma details, but has never responded with an ounce of compassion. For whatever reason, that shocked me. I was stunned. I couldn't think. I misplaced my keys, my wallet (twice), and woke-up several times during the night.

Geez Louise!

I sent a letter to my legislators summarizing the experience and asking if I could join in their advocacy efforts to improve outcomes for survivors of violent crime.
 
It's awful, isn't it.
Sorry you're going through this.
Thank you! An aide for one of the legislators reached out with an invitation to be included in advocacy efforts for crime survivors, should they come up. He stated that the docket for 2026 is already full for new legislation, with nothing specific related to violent crime, and he deferred to my expertise and knowledge in this area. That is promising. I attend a legislative advocacy training session soon and let him know I would reply after that event.
 

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