Poppy,
I understood that I was in a literal fight for my life, so I went to therapy with a notebook and a pen and I wrote down every little thing I could, every detail of the abuses I had suffered, and I read them over and over aloud to my "t"....even though I didn't think it would help. I practiced positive self talk, affirmations etc and visualized who I wanted to become instead of who I was taught that I was. I took my medications and I went to therapy sessions faithfully, twice a week for many years, even when I could not see any light at the end of the tunnel.
I read every bit of information about sexual abuse, addiction, PTSD etc. etc. that I could get my hands on and I explored alternative spiritual paths during the process. I had several hospitalizations for suicidal ideation and while I was there I talked to a trauma expert who helped me sort out the sexual orientation, preference, and identity issues.
These things helped me to stop 'feeding the disease of abuse', so that I could stop reliving the original abuses. The flashbacks got to be less and less and the depression lifted.
I was on a high dose of antidepressants (1000 mg) for several years as well as the drug abilify to help with the irritability and aggression, and a drug called Prazosin to stop the nightmares and allow me to sleep. I overcame an addiction to sexual acting out and an addiction to alcohol. My life slowly, day-by-day had begun to change and the little changes added up until there were finally some major changes take place.
I don't know where the courage came from because I was very afraid of my pain and my anger, but in the end the emotions did not kill me, I relived the abuses on an emotional and psychological level and they just got better over time. But make no mistake, I have had 14 years of therapy now and it has taken all of it to get to where I am at today. I had a lot of abuse issues, my case was considered severe and it was expected that it would take 10 years for me to get through the worst of it.
I wish I could say it was quick and easy and that I was never afraid, but the truth was it was scary, intense, and difficult work that took lots of time. I think the courage came from knowing that the disease of sexual abuse was going to kill me if I didn't get a handle on it.
I'm rambling so I'm gonna stop now, but if you have anymore questions, please don't hesitate to ask.