TY - JOUR A1 - Steil, Regina A1 - Schneider, Angelina A1 - Schwartzkopff, Laura T1 - How to treat childhood sexual abuse related PTSD accompanied by risky sexual behavior: a case study on the use of dialectical behavior therapy for posttraumatic stress disorder (DBT-PTSD) T2 - Journal of child & adolescent trauma N2 - Childhood and adolescent sexual abuse (CSA) is a traumatic experience associated with a variety of short- and long-term negative consequences. Theoretical models assume that an abuse related and learned distorted image of sexuality might lead CSA survivors to feel obligated to provide sex or engage in unwanted sexual practices in order to gain affection or prevent abandonment. Dialectical behavioral therapy for posttraumatic stress disorder (DBT-PTSD) is tailored to people with PTSD and comorbid emotion regulation deficits. This case study presents the results of an outpatient DBT-PTSD treatment of an adult patient with posttraumatic stress disorder following sexual and physical abuse. DBT-PTSD was used to treat the patient’s complex psychopathological problems and to decrease her risky sexual behavior, which manifested itself in highly dangerous sexual practices with her partner. The treatment took place over a period of 18 months, with a total of 72 sessions. At the end of the treatment, the patient no longer met criteria for PTSD as indicated by large reductions in the assessments used. Furthermore, she managed to distance herself from risky sexual practices and to remain in a satisfying relationship. KW - Childhood sexual abuse KW - Dialectical behavioral therapy KW - Posttraumatic stress disorder KW - PTSD KW - Risky sexual behavior Y1 - 2021 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/69611 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-696110 SN - 1936-153X N1 - Open Access funding enabled and organized by Projekt DEAL. VL - 15 IS - 2 SP - 471 EP - 478 PB - Springer International CY - Cham ER -