How Child Sexual Abuse Impacts the Developing Brain During Middle Childhood (ages 6-12 years old) 

How Child Sexual Abuse Impacts the Developing Brain During Middle Childhood (ages 6-12 years old) 

(part 3 in a 5 part series)

Children who have been sexually abused are typically abused by someone they know. Whether it’s a parent, grandparent, babysitter, family friend or someone else close to the family, this type of trauma has the potential to cause lasting damage. This is because trauma, such as sexual abuse rewires the brain, making those critical functions associated with the activation of the stress response system stronger due to their repeated deployments. On the other hand the functions that are not as critical for self protection or survival are not used as much or are used sporadically, which makes them not as strong. Not only are the functions related to the stress response system being impacted but so is the attachment relationship, as the person violating the child is someone the child trusts. The systems involved with developing secure attachment, which is linked to the reward center of the brain, develop in relation to that of the stress response system. This is discussed more in part one of this series, so click here to refresh your memory. 

Your Child’s Developing Brain

The development of the brain during the 5-12 years is slower than in the first 5 years. During this large time span of development the major job of the brain is synaptic pruning. Synaptic pruning is the process by which the brain gets rid of what it doesn’t need while refining those that are used more frequently. Frontal lobe development predominates during this time period which means your child’s ability to think more abstractly, to manage their emotions better, to reign in their impulses, use language, share and connect with others is greatly enhanced. You see this as you witness your child use their words nearly to express their ideas, to problem solve, and to express empathy with others.

Also during this time your child’s world is expanding greatly. Now they are spending more time at school which is often larger than their preschools. They also have more of an opportunity to interact with more adults, older, and even younger children. Their ability to adapt to their different environments is also more evident and a skill that even we adults use. How we behave at home is different than how we behave at work, and children operate in much the same way.

Along with the cognitive increase in development during this time period we have the growth of socio-emotional development. Children during this time use their early life associations and relational templates as guides as they pick their friends, decide which teachers they like and don’t like, and even learn more about their own interests and desires (hobbies). They use and integrate so much information and build an internal construction of who they are as people. That is the beliefs about who they are as individuals, both the positive and the negative. 

When Sexual Abuse Happens During Middle Childhood (ages 6-12)

So when a child is sexually abused during this time period, their experience of this trauma is different than that of a toddler and even an adolescent or an adult. With their increased cognitive abilities they often take on more of the blame of what happened. Moreover shame and guilt predominate as they have more of an understanding about cause and effect and they still think relatively concretely about things. They understand that the sexual abuse that has occurred was wrong (they did not like it, want it, or even understand fully what was happening) but yet they might still have positive feelings towards their abuser or their body might have responded to the physical acts (which is a more common experience for survivors of sexual abuse), which make it all the more confusing.

Abusers manipulate children before, during, and after the abuse. They utilize grooming techniques to bring the child in, to break them down, and coerce them into staying silent. Children during this stage don’t fully understand the impacts of grooming and manipulation but instead feel like they didn’t make it stop (somehow) they deserved or wanted the abuse to happen. Part of healing is helping the child understand, and believe, how it’s truly not their fault. 

5 Steps to Helping Your Child Heal From Sexual Abuse

A child who was sexually abused during this time period has some of the same needs as anyone else who is trying to heal from sexual abuse. It’s important that your child receives the support they need to heal so that they don’t have to carry their pain into adulthood. So here are 5 steps you can take to support your child in their healing journey. 

  1. Feeling Safe. The goal here is to help the child feel a felt sense of safety again. This means that internal sense of safety in which a person can trust and rely upon themselves (and thus others) to stay safe from harm. Sexual abuse (and any trauma) tears at the fabric of this felt sense as danger is felt everywhere. Feelings of uneasy, anxiety, and fear are coupled with all kinds of internal sensations that when triggered can send us into fight-flight-freeze mode. The work here is to help your child be able to tap into those sensations nd allow them to move organically and uninterrupted throughout, so they don’t remain trapped in the body. This is done by having the person identify and feel safe and then move between the fear and safety, in a controlled and manageable manner. 
  2. Rebuilding Trust. While doing the body work in step one, we are helping the child learn how to connect within themselves and trust the sensations they have within their bodies as opposed to being afraid of them. They will this use their reconnection to their bodies as a guide to help them access their instincts, to learn how to listen to those instincts as a method of self protection. Part of trust work will also be repairing your relationship with your child. Children will often share that they feel their parents or caregivers let them down by not. knowing about the abuse and putting a stop to it (sooner). 
  3. Control. This is something that will be apart of their healing journey and will stretch through all parts of their lives and their work. Being sexually violated is having your power taken away. This leaves survivors feeling vulnerable in an out of control way that is uncomfortable and sometimes even painful. Part of healing is giving the survivor opportunities to feel in control. This can be done in such simple ways like allowing them to pick their therapist, or pick what will be done in therapy, picking how to design their room or have their room. When trying to support them you also want to ask them if it’s ok to bring up certain topics and if they say no respecting that and stating this clearly. Also consent around physical contact, hugs and kisses are also a good way of helping your child feel in control and empowered. (yes you should be asking every time unless your child tells you to stop asking. It’s a good way of helping them understand that their voice matters). 
  4. Psycho-education. Children are smart and can handle talking about a variety of topics if presented in a developmentally appropriate way. So if they are going to therapy you can talk to them clearly about how the therapist will help them heal from what happened. Allow them to be apart of the journey of picking their own therapists (control also here) by also asking them what they think about the therapists they met with and how they feel about them (trust and safety). You also want to talk clearly, and again developmentally appropriately, about the role of sex and what sex is suppose to be like and how the person who sexually abused them abused them. It’s ok to label it as abuse. Depending on age and act you can use words like rape or molestation but the key is to help the child understand the difference between consensual sexual acts and how those are suppose to be/feel and that of abuse. 
  5. Boundary work. The goal here is to help the child feel empowered to protect themselves and to get help if someone does something they don’t like. It’s important that children learn what is unacceptable behavior and what is unacceptable behavior towards them and that not everyone should have access to them. 


Child sexual abuse is a huge problem that really needs to be discussed more. Not only so we are aware of how pervasive it is and how we can protect our children but also so we can help survivors not feel so alone. To help them understand why they behave the way they do and what they can do to change this. 

In the final couple blogs I’m going to dive deep into child sexual abuse and how it impacts adolescence and then adulthood, so stay tuned. My hope  with this series is to help you not only see the signs of abuse but also recognize the subtle ways that a survivor behaves as a result. In the end I want to help normalize the survivors experience while also giving them tools to help change their behaviors and heal so they can feel more control and in love with themselves. 

If you have any questions or would like to talk to learn more about Sexual Abuse Therapy, feel free to reach out any time by visiting my contact page.

Chana Ceasar

Chana Ceasar

Hi I'm Chana and I am a licensed therapist specializing in treating sexual abuse and other traumas. Whether you are pregnant survivor, a parent of a survivor or an adult survivor of sexual abuse or complex trauma I am here to support you on your healing so you can love yourself, find your empowered voice, and have the relationships you desire.


  1. Lou Kenny on January 7, 2023 at 2:39 am

    My partner of 3 yrs, a 50 yr old recently divorced man, father of 2, grandfather of nearly 3, shared with me his secret of 45 yrs, that he was raped as a 5 & 6 yr old boy by a neighbours 12/13 yr old son on more than 2 occasions (2 had can recall the location and parts of the rape, however, he feels that other sexual abuse occurred over approximately a 12 mth period).
    He has since reported the abuse to police, as it occurred so long ago and there is virtually no other witnesses (his parents recall being “suspicious of that boy” but very little else, so the police are not, at this stage, pursuing any charge or court action. The abuser is currently employed as a school teacher, a position he has held for many many years.
    Meanwhile, we/I am particularly interested in the affects of this trauma on a youngster of 5/6 yrs of age, now an adult who has not at all begun any formal healing/counselling for himself….where to begin?
    Your article is one of the few/any I’ve found that seems to attempt addressing the specific impact on brain development and future relationships. Can you please advise any further steps?

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