Therapy for Abuse Survivors: Breaking Barriers and Finding Healing
If you or someone you know is in immediate danger, please prioritize safety. Call 911 or your local emergency number. You can also reach out to the National Domestic Violence Hotline at 1-800-799-SAFE (7233) or visit their website at www.thehotline.org. They provide confidential support 24/7 and can help you create a safety plan or find local resources.
Deciding to start therapy or begin a healing journey after surviving abuse or domestic violence is a big step and there are many hurdles along the way. You might wrestle with feelings of shame, guilt, or fear—or wonder even if your experiences “count” as something therapy can help with. It’s easy to feel stuck, especially when these complex emotions cloud your ability to seek help.
Here’s the truth: you’re not alone, and your pain matters. So many survivors feel the same hesitation and doubt about starting therapy, but healing is possible—and therapy can be a powerful tool to help you get there. In this post, we’ll dive into common reasons survivors hesitate to seek therapy and show how therapy can help break down those barriers.
Fear of Not Being Understood in Therapy
Opening up about abuse is deeply personal, and the thought of being judged, doubted, or misunderstood can feel unbearable. You might wonder: Will she really get it? Will she believe me? Perhaps you've shared parts of your story before and been met with skepticism, blame, or outright dismissal (even from loved ones and people who care about us) —responses that subtly communicate that your pain is less valid, less important. Society, culture, and the media, spreading harmful myths and stereotypes, often minimizes or ignores the experiences of survivors, making it harder to trust that your pain is real and worthy of attention.
This fear makes complete sense. Survivors often internalize the dismissiveness they've encountered from people in their lives and from a culture that tends to downplay or make light of the impact of abuse. Over time, that internalized doubt can make it even harder to speak out again.
How Therapy Helps:
A therapist who works specifically with survivors has faced these fears alongside clients before. Unlike everyday conversations where people may not know how to respond or may unintentionally invalidate your experience, therapists are trained to listen with deep empathy and provide a space that’s free of judgment. Opening up about abuse isn’t just about saying what happened—it’s about acknowledging and processing the emotional, psychological, and physical toll it has taken on you.
Facing that fear and slowly beginning to express emotions that may feel too overwhelming or complex to share with others is one of the key tools of healing. Therapy provides you with a space to explore and reframe the internalized beliefs that abuse often leaves behind. A good therapist helps you separate the effects of the abuse from your own sense of self-worth, guiding you through tools and strategies that rebuild your confidence and resilience.
Minimizing Your Abuse: Therapy Can Help You Validate Your Pain
“It wasn’t that bad.”
“Other people have been through worse.”
“Maybe I’m overreacting.”
Sound familiar? Survivors often downplay their experiences as a way to cope or because they’ve been told it’s “not a big deal.” But here’s the thing: abuse is not just about bruises or violence. Emotional manipulation, control, and neglect are all forms of abuse, and they leave lasting scars. The messages from society, family, friends, and even the abuser, often echo in our minds: “It wasn’t that serious.” “You should be stronger.” “Other people have it worse.” These messages can perpetuate the cycle of self-doubt, causing survivors to question the legitimacy of their own pain. But what you experienced—whether it involved physical violence or subtle emotional manipulation—is real, valid, and deserving of care.
Minimization doesn’t just come from the outside world, either. It can come from within, as well. We may convince ourselves that the abuse wasn’t that bad, or that it didn’t really happen, as a way of protecting ourselves from the overwhelming pain. In these moments, we try to create a reality that feels safer, even if it’s distorted. This coping mechanism, though protective in the short term, can ultimately undermine our ability to trust ourselves and our instincts. Over time, minimizing the abuse can make it harder to recognize what we’ve truly endured—and even harder to ask for help.
How Therapy Helps:
Therapy helps you validate your feelings and recognize that your pain is real, no matter the circumstances or the messages you’ve internalized. Acknowledging the hurt and pain other people have caused you is in itself a big step.
In therapy we may gently try to reframe your perspective: “If a friend told you this happened to them, how would you respond?” This simple exercise can be incredibly powerful, allowing you to see your experience from the perspective of compassion and empathy, rather than self-blame. It helps you understand that, if this happened to someone you loved, you would never downplay or invalidate their pain—and the same compassion should be extended to yourself.
Through therapy, you begin to recognize that the story you’ve been telling yourself—about being too sensitive, overreacting, or not deserving of help—was never the truth. By giving yourself permission to feel and acknowledge the full weight of what happened, you can start to heal the emotional scars that have been buried under layers of minimization.
Recognizing your story as valid is the first step toward healing—and therapy provides the tools to get there.
Letting Go of Shame as an Abuse Survivor
Shame is one of the heaviest emotions survivors carry. It can settle deeply in your body and mind, casting a long shadow over your ability to see yourself clearly. Society often perpetuates the harmful idea that victims of abuse are somehow responsible for what happens to them—that they should have known better, acted differently, or “done something” to prevent it. This misconception is rooted in harmful stereotypes and victim-blaming narratives that leave survivors feeling isolated, ashamed, and unworthy of support.
Shame can be paralyzing. It convinces you that seeking help will expose your “flaws” or “failures,” further deepening the belief that you’re unworthy of love, care, or understanding. It keeps you stuck in a cycle of silence and self-judgment, preventing you from asking for the support you need to heal.
How Therapy Helps:
Therapy flips the script on shame. Through compassionate conversations, a therapist can help you untangle the deeply rooted beliefs that keep you locked in a cycle of shame. They will validate your pain and help you recognize that the abuse was the result of the abuser’s choices—not yours.
You are not your abuse. Your worth is not tied to what you have lived through. You are more than your experiences. Therapy also helps you challenge the internalized shame that keeps you feeling “broken” or “weak.” Over time, you’ll begin to see yourself as resilient, not as someone who failed, but as someone who survived—someone who has the strength to heal and rebuild their life on their own terms.
Therapy can help you reclaim your story.
Denial and Repression: How Therapy Helps Uncover Hidden Emotions
When we experience trauma, the brain often steps in to protect us from the overwhelming emotional pain. Sometimes, this protection takes the form of repression, where memories or feelings are pushed deep down, and you may not even realize the extent of what happened because the emotions are buried beneath the surface. Other times, denial plays a more conscious role, convincing yourself that “it wasn’t that bad” or that you're “overreacting” as a way to avoid the emotional weight of the situation.
The tools we use to protect ourselves in the short-term can do lasting damage in the long-term. Over time, these mechanisms can block the healing process, preventing you from fully processing what happened. The more you repress or deny, the more difficult it becomes to acknowledge your pain and start the healing journey.
How Therapy Helps:
Therapy can help you name your experiences. By talking with someone who has experience in the different ways that abuse can show up in a relationship, you can learn to better identify abuse and then work on the ways in which it has impacted you.
Through this process, many survivors discover that facing the truth—though incredibly hard—brings a profound sense of relief and freedom. One of the great psychiatrists and educators of our time, Dan Siegel, uses the phrase “name it to tame it.” Clarity is crucial for healing: recognizing the abuse for what it was helps you to rebuild trust in your instincts and self-worth, rather than questioning or invalidating your experience.
This clarity can be transformative. It allows you to rebuild trust in your instincts and take steps to protect yourself in the future. Therapy isn’t just about looking back—it’s about moving forward with confidence and clarity.
Take Steps Toward Healing
If any of this feels familiar, you’re not alone. Healing from abuse is a journey, and therapy can be a powerful tool to help you navigate it. Whether you’re struggling with shame, guilt, or just figuring out where to start, therapy offers a safe space to explore your feelings.
To support you, schedule a free 15-minute consultation to help you decide if therapy feels right for you. Let’s chat about what you’re looking for and how I can help.
If you’re looking for more resources, you can read more here or these books are a great place to start:
Why Does He Do That? by Lundy Bancroft
Should I Stay or Should I Go? by Ramani Durvasula
Healing starts with one small step. Whether it’s reaching out for help, reading a book, or scheduling that first therapy session, you’re already moving forward.
You’re stronger than you realize—and you don’t have to do this alone.