Mosaic Tree Counseling

Childhood Sexual Abuse (CSA)

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Maria specializes in childhood sexual abuse. This is what Maria is writing in her dissertation:

Childhood Sexual Abuse (CSA) Definition

The definition of childhood sexual abuse (CSA) from Estimating a Child Sexual Abuse Prevalence Rate for Practitioners: A Review of Child Sexual Abuse Prevalence Studies is described as follows:

Any sexual act between an adult and a minor or between two minors when one exerts power over the other. Child sexual abuse includes forcing, coercing or persuading a child to engage in any type of sexual act. This includes sexual contact as well as non-contact acts such as exhibitionism, exposure to pornography, voyeurism and communicating in a sexual manner by phone or internet with a child is inappropriately exposing or subjecting the child to sexual contact, activity, or behavior. Sexual abuse includes oral, anal, genital, buttock, and breast contact. It also includes the use of objects for vaginal or anal penetration, fondling, or sexual stimulation. This sexual activity may be with a boy or a girl and is done for the benefit of the offender. In addition, exploitation of a child for pornographic purposes, making a child available to others as a child prostitute, and stimulating a child with inappropriate solicitation, exhibitionism, and erotic material are also forms of sexual abuse. All sexual activity between an adult and a child is sexual abuse. Sexual touching between children can also be sexual abuse. Sexual abuse between children is often defined as when there is a significant age difference (usually 3 or more years) between the children, or if the children are very different developmentally or size-wise. Sexual abuse does not have to involve penetration, force, pain, or even touching. If an adult engages in any sexual behavior (looking, showing, or touching) with a child to meet the adult’s interest or sexual needs, it is sexual abuse (Townsend & Rheingold, 2013, p. 26).

CSA Statistics

In 2013, there were 60,956 CSA cases reported (US Department of Health & Human Services, 2015). In the article Estimating a Child Sexual Abuse Prevalence Rate for Practitioners: A Review of Child Sexual Abuse Prevalence Studies, six studies were examined to suggest an overall full-childhood sexual abuse prevalence rate of 7.5% – 11.7%. These studies suggest the child sexual abuse prevalence rate for girls is 10.7% to 17.4% and the rate for boys is 3.8% to 4.6% (Townsend & Rheingold, 2013). The study’s subjects were adolescents between the ages of 14 and 17 (Townsend & Rheingold, 2013). However, adolescents providing data for a study have not yet experienced a full childhood in which they might have been abused, which may be a limitation or an under-reporting. This could mean that child self-report studies that collect and report data from a wide array of ages understate prevalence rates (Planty, Berzofsky, Krebs, Langton & Smiley‐McDonald, 2013).

Most recent estimates indicate that in the United States, as high as 33% of women and as high as 16% of men experience some form of CSA (Barth, Bermetz, Heim, Trelle & Tonia, 2013). In the same article with the above-mentioned definition of CSA, it provides the following statistics:

Statistically, 1 in every 4 girls and 1 in every 6 boys are sexually abused. While 1 in 5 children are sexually solicited while on the Internet. Almost 70% of all reported sexual assaults occur to children aged 17 and under, this includes adults reporting past sexual abuse. The average age of these reported sexual assaults is 9 years old. This does not include the 85% of child sexual abuse victims that never report their abuse. Nearly 50% of all victims of forcible sodomy, sexual assault with an object, and forcible fondling are children under 12. Greater than 90% of abusers are people whom the victim knows, loves and trusts. 30-40% of these victims are sexually abused by a family member, and 50% are abused by someone outside of their family by someone they know and trust. About 70% of child sex offenders have between 1 and 9 victims with at least 20% of offenders having 10 to 40 victims. An average serial child molester may have up to 400 victims in his/her lifetime. Girls who report childhood rape are 3 times more likely to become pregnant before the age of 18. An estimated 60% of teens’ first pregnancies are preceded by experiences of molestation, rape, or attempted rape. Childhood sexual abuse victims are also more likely to be more promiscuous, more than 75% of teenage prostitutes have been sexually abused during their childhood. There are an estimated 42 million survivors of childhood sexual abuse in America today (Townsend & Rheingold, 2013, p. 13).

CSA Diagnosis

The Diagnostic and Statistical Manual of Mental Disorders, 5th edition, also known as the DSM–V (American Psychiatric Association, 2013) is the most widely accepted diagnosis and criteria manual used by clinicians and researchers for the classification of mental disorders. In the DSM-V (2013, p. 715), there is a section entitled Other Conditions that May be a Focus of Clinical Attention.  The CSA diagnosis is: V61.21: Sexual Abuse of Child (American Psychiatric Association, 2013, p. 718). The criteria includes that it is not due to a mental disorder and that the abused child is a victim of non-parental sexual abuse (American Psychiatric Association, 2013, p. 718). The 10th revision of the International Statistical Classification of Diseases and Related Health Problems is also known as the ICD-10 (2016). It contains the codes for mental and behavioral health, as well as other medical codes for billing purposes. The ICD-10 code for V61.21 Sexual Abuse of Child is Z69.020 (World Health Organization, 2016).

In the October 2013 issue of the American Journal of Psychiatry, Teicher and Samson (2013) reviewed the psychiatric literature on sexual abuse, neglect, and other forms of psychological abuse on the diagnoses of anxiety disorders, depression, and other disorders in children and adults. Those children who had been abused or neglected had the most severe forms of the disorders studied, according to Teicher and Samson (2013).  Those who had psychiatric disorders and had been abused had measurable changes in their brains, while those with disorders but no history of abuse had no brain changes (Teicher & Samson, 2013).  Those with a history of abuse and a psychiatric disorder often responded to different treatments than those with a psychiatric disorder without a history of abuse (Stuart & Kaplan, 2014).

CSA Symptoms

Researchers have found high rates of post-traumatic stress disorder (PTSD) in sexual abuse victims (Karakurt & Silver, 2014). Dissociation, which disrupts consciousness in areas of memory and perception, is another problem associated with adults who have suffered CSA in childhood. Higher dissociative scores were associated with those who were sexually abused in childhood (Apgar, 1999). Children who face the horrors of sexual abuse experience the ultimate sense of betrayal, as they are dependent on others (Karakurt, 2014). In a quantitative study it was found that adolescents in treatment centers show high levels of psychological distress after disclosure of sexual abuse (Brabant, Hébert, and Chagnon, 2013). Studies show that children continue to experience the trauma from the abuse, including symptoms of anxiety, suicidality, and post-traumatic stress disorder (PTSD), involving physical health problems, and risky sexual behaviors (Walsh, Fortier, & DiLillo, 2010; Maniglio, 2009; Zink, Klesges, Stevens, & Decker, 2009). In the book The Courage to Heal (Bass & Davis, 1994), the self-love that victims tried to nurture so carefully seems out of reach, almost unattainable, and after experiencing this childhood trauma it may be difficult. After experiencing this childhood trauma, it may be difficult to love oneself.

Survivors of CSA are left feeling powerless, alone, and not worthy of protection or love, and feeling that something is wrong with them (Bass & Davis, 1994). One such survivor said: “Survivors were programmed to self-destruct. You learned to put yourself down so effectively that the abusers don’t even have to be around any more to do it” (Bass & Davis, 2004, p. 202). Some feel they should be perfect, or that nothing is ever good enough, and others do not even try, feeling that they will never be good enough (Bass & David, 2004). It is difficult to change some of these internalized messages and negative thinking experienced from sexual abuse at an early age, especially when one is learning to develop initiative and trust (Finkelhor & Brown, 1986; Karakurt & Silver, 2014). Cheasty, Clare, & Collins (1998), studied the effects of childhood sexual abuse on adult depression in a case-controlled study. Results showed that out of 237 women interviewed, 132 were depressed and 37% of the depressed women had been sexually molested prior to age 16 (Cheasty et al., 1998). All of those who were severely molested, defined as including penetration or attempted penetration, were depressed (Cheasty et al., 1998).

CSA has been linked to subsequent sexual victimization in adulthood (Allor & McElvaney, 2010). In the quantitative research study Adverse Childhood Experiences and Sexual Victimization in Adulthood (Ports, Ford, & Merrick, 2016), it was found that CSA was a significant risk factor for sexual re-victimization in adulthood. Among a nationally representative sample of children and youth, 6% of the total sample reported having experienced a sexual offense and 1.4% experienced a sexual assault in the last year (Finkelhor, Turner, Shattuk, & Hamby, 2015). Rates were highest for girls aged 14–17 years, of whom 16.4% experienced a sexual offense and 4.6% experienced a sexual assault in the last year (Finkelhor et al., 2015).

Another dynamic of CSA that has a harmful influence on survivors is the feeling of powerlessness. Powerlessness in this context can be defined as a disturbance of a child’s body against the child’s will (Karakurt & Silver, 2014). The last dynamic related to sexual abuse is stigmatization. Stigmatization can be described as abuse-specific shame and self-blame (Finkelhor & Browne, 1986). It is linked with negative feelings and guilt, as well as a concept of the self as bad and responsible for the abuse (Finkelhor & Browne, 1986). Guilt is frequently observed among sexual abuse victims; many survivors feel guilty and blame themselves for the abuse (Levenkron, S., & Levenkron, 2007). Another event increasing the victim’s sense of guilt occurs when the offender must separate from his or her family after the disclosure (Karakurt & Silver, 2014).

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OUR PATIENTS SAY

All of our patients appreciate what we do… Just hear it from them!

My kids love Jennifer she has helped so much. My kids feel very comfortable with her. Maria also was very professional and nice to get back with us. I live in Katy and the drive is so worth it. Thanks Mosaic Counseling.
Diana Ball
Diana Ball
17:32 07 Jul 18
Maria is my therapist and she has helped me with a lot. I would recommend her and her staff too. Always helpful and respectful !!
Susiee Guerrero
Susiee Guerrero
22:10 21 Jun 18
Mosaic Tree Counseling is exactly the ideal place for You, your children or family members to be involved in. Therapy is rarely offered in your home, which Mosaic Tree Counseling provides. This allows your children to be in an environment that they feel comfortable, especially opening up their feelings or emotions to someone they might not be able to open up to emotionally. I'm am a pediatric nurse and I'm in the same situation alot of us go through in life, Divorce,Death, Changes in our Pre teen, teens life, social media!!! I'm finally having a peaceful household due to our wonderful therapist Candice Scurry!!! The difference is with Mosaic Tree Counseling is that they truly are here to help us and our family's. Candice Scurry goes above and beyond in making sure I have tools and resources to work with as well. The progression in my household is AMAZING!!!!!!!
Shanna Bledsoe
Shanna Bledsoe
18:57 26 Apr 18
I am very pleased with one of your employees named Juanita. I am in Houston TX. She has been very clear professional when trying to get any information about finding someone who is in my insurance plan. I really hope that this nice experience continues as I am going to further my life with Misaic Tree . Thanks again so far❤️
Sabrina Michel
Sabrina Michel
14:27 26 Apr 18
I would like to express how much I value the services my daughter, and I are receiving from Mosaic Tree Counseling. I love the professionalism, they are compassionate, understading,and dedicated to helping ppl. I would recommend them to anyone. Special thanks to Jennifer Mouille ❤️💋
Kelvitte Smith
Kelvitte Smith
15:11 12 Jul 18
I have seen Maria and Jennifer. They are great. I would recommend them to anyone.
Cynthia Clark
Cynthia Clark
20:55 22 Aug 18
I usually don't leave reviews, but I can't keep Mosaic Tree Counseling to myself if it could help others. Maria has worked with me on my issues. My quality of life and happiness I feel now is unbelievable. I never waited long in the waiting area and was never a problem to get scheduled when I needed it. If you are dealing with any kind of problem, these guys are the best. I would definitely recommend them to my family and friends.
Jennifer Budge
Jennifer Budge
18:53 07 Sep 18
Love the staff and facility! They are always so patient, helpful, and caring. Especially Jennifer, she is a great human being with a tender heart and passion for this job. I can't say anything enough good things about her and I would recommend her to anyone and everyone.
V C
V C
03:54 26 Oct 18
I've worked here lightly before, and observed the staff and operation. The clients were of all kinds of people and I was very impressed how they appreciated coming in for therapy. Good place for children, also.
Frank Peters
Frank Peters
06:31 27 Oct 18
Love the staff and facility! They are always so patient, helpful, and caring. Especially Jennifer, she is a great human being with a tender heart and passion for this job. I can't say enough good things about her and I would recommend her to anyone and everyone.
V C
V C
03:18 27 Oct 18
This place is run with the utmost kindness & professionalism. The rooms there feel relaxed. I was lucky to talk to her for an hour, as well as another counselor there. Both were right on. They listened for a long time. They were on my side. We ended sessions talking about solutions. The whole experience was excellent.
Shawn Lambright
Shawn Lambright
20:41 07 Mar 19
Love the staff and have received such great help here!
Annabelle Hanak
Annabelle Hanak
18:41 03 Apr 19
I started my sessions at Mosaic as individual sessions with Jennifer. Eventually, to my complete and utter surprise, we were able to get my honey to tag along for some couples therapy AND his own personal sessions. Her guidance and love has not only transformed our relationship but has really helped us individually address our own personal demons. We are forever grateful to have found her! She has become a true confidant in our life. We cant recommend Mosaic enough! everyone here is lovely.
lauren mcclaflin
lauren mcclaflin
20:26 05 Apr 19
I want to thank Maria for all the time and attention she has given me and my husband. We had been struggling to have a healthy marriage for the past couple of years. Maria has truly changed the way me and my husband communicate and has truly made our marriage better than ever with couple's therapy. She truly listens to us and all of our concerns about our relationship. We are now more in love than ever and have ceased all the fighting that was wearing our relationship out. Thank you Maria and Mosaic Tree Counseling for saving our marriage! I highly recommend Maria for marriage counseling and couples therapy!
Paul Lynch
Paul Lynch
17:17 06 Apr 19
Although my first experience was rather sub-par, the owner Maria immediately reached out to me regarding the concerns I had and addressed them swiftly. She is a wonderful women with a heart of gold. I can honestly say, working with her makes me feel open and comfortable and I am ready to see how my future sessions with her turn out!
Daisy Cole
Daisy Cole
13:54 08 Jul 19
Maria is phenomenal at her profession. She is very friendly and professional. She really cares about her clients. The office staff is also very friendly and professional. I highly recommend Mosaic Tree Counseling.
Kimberly Perricone
Kimberly Perricone
19:55 11 Jul 19
I can’t say enough good things about Jennifer Mouille at a Mosaic Tree! Our family sees her for both individual and family therapy and she has helped us understand each other better and communicate our needs in healthy ways. We are a foster family with a teenage foster daughter and Jennifer is very skilled at helping our daughter begin to face past traumas and work to overcome her pain and anger. She also helps us, the parents, understand how to support and encourage our daughter. Though talk therapy is a big part of what she does, she’s also given us strategies and “homework” for when we leave her office.
Christina Waggoner
Christina Waggoner
16:38 01 Sep 19
I have been seeing my therapist Jennifer Mouville for almost a year now and she is one of the best. Thank you so much for helping me on this journey. I have so much more confidence and peace from our sessions. Thank you Mosaic Tree counseling.
Jhessye Moore-Thomas
Jhessye Moore-Thomas
17:25 30 Oct 19
The staff here is very hospitable and professional. I was nervous about starting counseling services in general but Jennifer instantly reassured me that Mosaic Tree is a safe place. It’s almost been a year now and I’m so glad I chose to come here.
Vicious vic
Vicious vic
08:54 07 Jan 20
The staff here are very friendly and helpful. They are beyond caring when it comes to my family members that come here.
A G
A G
16:12 22 Jan 20
WOW Amazing therapy and marriage counseling. I have been blessed to be able to get to know Jennifer . She has really helped me in so many ways in this journey . Rather it be for marriage or just individual counseling, I have now been hooked on the feeling of actually getting real help . As a male I admit I was skeptical of even starting treatment . I’ve only been going now 2 months and it has been a life changing experience for me . I will continue to go here for many years and receive the support, sujestions , gratitude , hospitality and all around love at this place . Take the time and give this group a try , you will not be disappointed what so ever . Very productive, professional and straight to the point of help is what you will receive . Thank you so much Jennifer and the Mosaic Tree Counseling !
Mister Guerro
Mister Guerro
15:16 03 Feb 20
My daughter was in a very dark place several months ago. Mosaic Tree was recommended to me by my insurance company and her school counselor. It was the best decision we made. Sometimes we need a professional to help us through. Mosiac brought out my daughter's best qualities and made her believe in herself. I highly recommend them.
Jackie Zavala
Jackie Zavala
20:07 11 Mar 20