Relationships Violence and Abuse What Is Rape Trauma Syndrome? By Ariane Resnick, CNC Ariane Resnick, CNC Facebook Ariane Resnick, CNC is a mental health writer, certified nutritionist, and wellness author who advocates for accessibility and inclusivity. Learn about our editorial process Updated on September 26, 2021 Medically reviewed Verywell Mind articles are reviewed by board-certified physicians and mental healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Carly Snyder, MD Medically reviewed by Carly Snyder, MD Facebook LinkedIn Twitter Carly Snyder, MD is a reproductive and perinatal psychiatrist who combines traditional psychiatry with integrative medicine-based treatments. Learn about our Medical Review Board Print Verywell / Alison Czinkota Table of Contents View All Table of Contents What Is Rape Trauma Syndrome? RTS Stages Symptoms Causes How Do you Know If You Have It? Treatment What Is Rape Trauma Syndrome? Rape trauma syndrome (RTS) is a form of post-traumatic stress disorder (PTSD). It is the specific version of PTSD that occurs after sexual assault. RTS is most commonly associated with rape, but other forms of sexual assault, such as attempted rape, can also lead to RTS. While it is considered more of an emotional and psychological condition than it is a physical one, Rape trauma is regarded as a syndrome because there are standard and consistent behaviors, thoughts, and feelings that occur consistently in victims of sexual assault. Victims of sexual assault may experience one, some, or all of RTS symptoms, and they may experience them for months or years after the rape or assault. The term rape trauma syndrome was coined by nurse Anna Wolbert Burgess and sociologist Lynda Lytle Holmstrom in 1974. Read on to learn more about RTS, its stages, and causes. Also, learn about treatment options. RTS Stages RTS is generally broken down into three stages, based on the physical occurrence of the sexual assault. Below are the three stages of it: AcuteOutward AdjustmentResolution or Integration Acute The acute stage of RTS occurs in the moments, days, and weeks after sexual assault. The Rape Abuse and Incest National Network says that victims fall into one of three categories during this stage. Expressed: The victim is outwardly upset and emotionalControlled: Rather than outwardly upset, they are in shock and behaving as if everything is OKShocked Disbelief: The victim is disoriented and may have a hard time recollecting their attack Outward Adjustment After the initial, or acute phase, the next linear stage of RTS is the Outward Adjustment stage. During this stage, which can last anywhere from weeks to months, or even longer, the sexual assault victim does not appear to be as traumatized and shaken as they were during the acute phase that immediately followed the assault. Even though a person may appear to be OK and moving on with life, this second phase of RTS makes clear that quite often, that appearance is not true. People in this stage may try to rationalize or justify the assault, act like it wasn't a big deal, refuse to discuss it, or engage in extreme activities like moving away or changing relationships. Regardless of the coping technique, people moving through this phase are often still incredibly traumatized. Resolution or Integration The third and final stage of RTS is when the victim has come to terms with the fact that the sexual assault occurred and does their best to move on from it. They may never forgive their assailant or feel entirely comfortable sexually again, but they make a concerted effort to move forward with their life regardless. Unfortunately, this phase is indefinite, and some people may experience a relapse into one of the two previous stages. Symptoms There is no single human response to any occurrence, but RTS clarifies that there are common patterns. For example, in the case of sexual assault, there are a set of feelings, thoughts, and behaviors that occur in the days, weeks, and months following the traumatic event. These are the most known exhibited symptoms of RTS: Anxiety Shock, including disorientation Crying Mood swings Feelings of helplessness Withdrawal Rationalization or denying of the event Sexual dysfunction Flashbacks and nightmares Trouble concentrating Anger or rage Shame or self-blame Depression Suicidal thoughts or ideation Phobias Why the First Three Months Are Critical for Sexual Assault Survivors With PTSD Causes RTS is a specific form of PTSD, with a particular set of behaviors and psychological impacts caused by sexual assault. Victims of sexual assault might experience RTS even if they were assaulted in a way different from the exact definition of rape, which, by law, must involve penetration. For example, under the umbrella of sexual assault, RAINN considers the following actions to be sexual assault, and you may experience RTS after these events: Attempted rapeForced sexual contactForced sex acts You can experience RTS if you were the victim of sexual assault that does not exactly fit the FBI definition. RTS can occur whether you knew your assailant as an acquaintance, if they were a loved one, or if they were a complete stranger. It can happen whether the event was hours-long or barely a minute. It can happen whether the event was in your home, the assailant's home, or in public. How Do you Know If You Have It? If you are the victim of sexual assault, and especially if you are the victim of rape, it is highly likely that you will experience RTS. If you were sexually assaulted in the past, you may have experienced RTS but were unaware that what you were experiencing had a name. The set of behaviors, thoughts, and feelings called RTS is the most frequent and expected response to rape, but if you reacted differently than any of the above list of symptoms, that doesn't mean you didn't move through RTS. You may have processed it differently because all brains are different. If you were raped or otherwise assaulted sexually, it is very likely that you experienced, or continue to experience, RTS. Treatment The trauma of rape and sexual assault can seem never-ending. Many victims feel that their lives are forever changed from it happening. Fortunately, there are steps you can take if you are experiencing RTS. Though no action can erase the event from your mind, seeking help can assist you in moving on from the assault and living a full, happy life again. Reach Out to Loved Ones There is no need to experience this alone and no benefit to doing so, either. Tell someone in your world what happened, and let them help you find a professional crisis counselor. Join a Support Group Even if you know that you aren't alone in going through this, joining a support group can enable you to feel and understand that on a deeper level. Support groups for sexual assault survivors exist in most major cities and online. Seek a Trauma-Informed Therapist Any form of therapy can help us move on from difficult times, but in this situation, you will be best suited for treatment if you find a trauma therapist who knows how to work with victims of assault. There are numerous subtypes of this therapy category, and you may need to experiment to find the best fit for you. A Word From Verywell RTS may be an overwhelming experience, and it can feel indefinite when you are in the first stages of it. By taking one of the suggested treatment steps, you can move along on the path to healing. If you are a survivor of sexual assault, you can contact the RAINN National Sexual Assault Hotline at 1-800-656-4673 to receive confidential support from a trained staff member at a local RAINN affiliate. For more mental health resources, see our National Helpline Database. By Ariane Resnick, CNC Ariane Resnick, CNC is a mental health writer, certified nutritionist, and wellness author who advocates for accessibility and inclusivity. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit Speak to a Therapist for Relationships Advertiser Disclosure × The offers that appear in this table are from partnerships from which Verywell Mind receives compensation.