This week on the Victim Service Center Podcast we are talking about Survivor to Thriver: How Victims of Sexual Violence Define Themselves.

On this episode Emilie Mitchell, VSC Education Coordinator, is joined by Gail Gardner, VSC Speaker’s Bureau Member and Author, and Brandi Godbee, VSC Lead Therapist.

You can listen to this episode on YouTube: https://youtu.be/9Ln5Tv6PR6I

You can also listen to our episode on Spotify, Apple Podcasts, or wherever you get your Podcasts from!

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Trigger Warning: In this podcast we will be discussing sensitive topics such as Sexual Assault. It’s important to take care of yourself while listening. Some suggestions are listening while you’re in a healthy head space or knowing who you can reach out to if you become upset. Our 24/7 helpline for crisis calls based out of Central Florida is 407 500 HEAL. By contacting the National Hotline at 1-800-656-4673 you can get support and learn about your local resources. There is always someone ready to help.

November 11 is Veterans Day, a day in which we honor the brave men and women who have served our country through military service.

Every year, thousands of men and women across the country make the decision to join the military. There may be a multitude of reasons driving this decision. Many feel a calling to serve their country and be part of something larger than themselves. Others are motivated by the numerous opportunities afforded by the military, such as education benefits and job training. Some are drawn to the possibility of adventure – a way to see the world beyond the parameters of the communities where they grew up.

Regardless of the motivation to join, no one anticipates experiencing sexual trauma while serving our country.

Unfortunately, one in four women and one in one-hundred men report to their Veteran Affairs (VA) health care providers that they have experienced military sexual trauma.

Military Sexual Trauma (MST) is a term used by the VA to refer to sexual assault or threatening sexual harassment that occurred while someone was serving our country. In the Central Florida area alone, there are nearly 4,000 men and women who have reported MST to their VA healthcare providers. We also know that there are many others who have not yet come forward.

MST can affect one’s physical and mental health for years afterwards. Common effects include unwanted memories, distress related to reminders of the trauma, anxiety, depression, a sense of always being “on guard,” difficulties with trusting others, and problems in relationships.

Fortunately, people can recover from experiences of MST. The VA is committed to ensuring that veterans who are survivors of MST have access to the help they need to recover.

Treatment for physical and mental health conditions related to MST is available at every VA facility and provided at no-cost. Veterans may be able to receive these services even if they are not eligible for other VA services. They do no need to be service connected or receive VA disability compensation. Also, it does not matter how much time has passed since the trauma or whether they reported the trauma to authorities (as the VA recognizes that many individuals do not report sexual trauma).

For more information, veterans can speak with their existing VA health care provider or present to the enrollment department at the nearest VA facility to start the process of getting connected to services. In addition, each VA Medical Center has a designated MST Coordinator who can provide information on MST related services and help veterans get connected.

I am happy to serve as MST Coordinator for the Orlando VA Medical Center and surrounding outpatient clinics, including facilities at Lake Nona, Lake Baldwin, Crossroads, Clermont, Deltona, Kissimmee, Tavares, Viera, and Daytona. I can be reached at 407-646-5500, extension 28442.

Veterans can also learn more about VA’s MST-related services online at www.mentalhealth.va.gov/msthome.asp

If you served our country and are a survivor of MST, please understand that you are not alone. We understand that it can be difficult to reach out for help. When you are ready, the VA is committed to help you in your journey of recovery.

Ashley Arens, Ph.D., ABPP

Clinical Psychologist

Imagine sitting in the crowded waiting room of the local hospital’s Emergency Department .  Around the room you see children with fever or crying of pain, others with lacerations needing to be sutured, 

You, however, are there because you have been sexually assaulted.  You may not have any outwardly visible trauma as you wait for an exam which will take a long time to complete, so others are taken for treatment before you.   

This was the case in the Emergency Department where I worked in the late 80‘s – early 90‘s when I first became interested in Forensics and the specialty of Sexual Assault Nurse Examiners.  The Emergency Department physicians and nurses accompanying them were reluctant to begin an exam which they knew would be very time-consuming, often taking them away from other patients for more than an hour, and because they did not do sexual assault exams that often,they were unfamiliar with the process.  Having to testify in court was another issue. 

 We  know that the physical trauma and the mental trauma can be devastating to a victim of sexual assault so these patients need compassionate care in a timely manner not only for their well being but also for effective evidence collection. Enter the Specialty of the Sexual Assault Nurse Examiner.  The SANE is there for one patient; the victim of the assault.  The SANE is an RN with advanced training in sexual assault, evidence collection, packaging, and maintaing the chain of evidence.  Additionally there is a Board Certification that is administered by the International Association of Forensic Nursing that validates, through extensive testing, the knowledge and proficiency of the nurse examiner and designates the nurse as a SANE-A ; an experienced nurse in the examination of adults and adolescents. 

The SANE together with the Victim Advocate in a secure location with the equipment and supplies needed, are able to  provide the patient the confidential,  compassionate, timely exam in a quiet, comforting environment. Although this is only the beginning of a long road of healing for the victim, the SANE strives to ease the fear and anxiety in the initial medical and physical exam phase of this process to help give control back to the patient. 

I am proud to be a Forensic nurse; a SANE-A. 

Judy Bednar, RN, MSN, SANE-A

PTSD in recent years has been most associated with military combat veterans who can experience the disorder at an approximate rate of 18%, but with sexual violence victims this percentage is much higher. According to the Rape, Abuse, and Incest National Network (RAINN) 94% of women who are raped experience symptoms of PTSD during the two weeks following the rape, and 30% of women report symptoms of PTSD 9 months after the rape.

All survivors suffering from PTSD will react differently, some possible signs to look for are generally categorized as:

1. re-experiencing: the feeling of reliving the event through flashbacks of the trauma, persistent thoughts, and stressful dreams;
2. avoidance: altering(possibly subconsciously) your routine or behavior to avoid or eliminate situations associated with the trauma;
3. hyperarousal: can include irritability, panic, being hyper alert to the possibility of danger, or a sense of panic or edginess.

According to PTSD United, an approximate 8% of Americans, 24.4 million people, today have PTSD. What can we as a community do to help someone who is suffering from symptoms of PTSD? We can continue to have open conversation about the importance of seeking help for mental health conditions.

As the supporter of a loved one with PTSD we can help maintain a sense of normalcy and calm. Express our support through belief and validation of their feelings without putting pressure on the survivor to talk about their experiences. Maintaining a calm composure when they are experiencing bouts of anxiety or anger, and remaining committed to the relationship to help them rebuild trust in their daily routine.

If you or a loved one is experiencing symptoms of PTSD from sexual assault, reach out to Victim Service Center through our 24/7 Crisis Helpline (407) 500 HEAL. You can also reach the National Sexual Assault Hotline at 800-656-HOPE (4673) or through their online chat.

Written by: Orialis, VSC Crisis Counselor

Many victims are in an intimate relationship with their abuser. Sexual assault and domestic violence exist within the scope of oppression. It is how a perpetrator abuses power and control over a victim. A perpetrator can use a variety of violent and non-violent methods to take away a victim’s agency. These may include: violence, intimidation, emotional abuse, controlling money, making the victim feel like they are “crazy”, and sexual assault. The National Coalition Against Domestic Violence (FCADV) reports that about 15-25% of women are sexually assaulted by an intimate partner. Sexual violence is another way of controlling and taking away a person’s agency. Although some domestic violence victims have outward signs of abuse, many suffer abuse in other ways.

Sometimes the wounds of domestic and sexual violence are invisible. Victims of intimate partner violence are at a high risk for depression and anxiety. Ninety-four percent of women who are raped experience symptoms of post-traumatic stress disorder (PTSD) during the two weeks following the rape, and one third contemplate suicide.

One particularly dangerous aspect of domestic violence is the isolation that results from the victimization. As a way to control the victim, an abuser may not let the victim remain in contact with their friends or family. In some cases, the victim doesn’t even realize they have been isolated.

In my experience as a crisis counselor, many of my clients have stated that they didn’t seek help sooner because they were scared. Imagine that the person that is supposed to love and care for you is also the person hurting you the most. It can be a huge feat to trust others following this type of betrayal. When a victim fears that they will not be believed or if they are isolated from resources, they may be less likely to seek support. Many of my clients have been dealing with this silently for years before feeling safe enough to ask for help.

Oftentimes, our society does not believe that an individual can be a victim of sexual violence by their spouse or partner. As long as we continue this narrative and do not acknowledge the sexual violence between partners, we dismiss a huge portion of survivors. The link between sexual violence and domestic violence in undeniable.

For survivors, you are worthy.  You are worth of understanding, empathy, and kindness. At the Victim Service Center, we are here to believe you and to help you. We want to walk alongside you through your journey. To make an appointment, please call 407-254-9415. If you need to speak with our crisis counselor, please call 407-500-HEAL.