CSA stands for childhood sexual abuse, which is a form of child abuse that includes sexual activity with a victim under the age of 18 years old. An individual who was sexually abused as a child is an adult survivor of childhood sexual abuse (CSA) . CSA is a traumatic experience that can have devastating psychological effects in adulthood, including depression, anxiety, posttraumatic stress disorder (PTSD), suicidal thoughts and behavior, substance abuse and addiction, self-injury, attachment difficulties, feelings of shame and guilt, anger management problems, eating disorders, and even physical health complications. Adult survivors of CSA face unique challenges along their healing journey, and may perceive the world through the lens of their past trauma. Certain events or environmental factors may trigger memories that can make present moments feel unsafe, though the potential for harm may be low. Survivors of CSA are frequently abused by numerous perpetrators, sometimes simultaneously and sometimes later in life. This is due to their being groomed by the initial abuser, which makes them vulnerable to additional abusers.