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Dr Natasha Langan, a chartered clinical psychologist and accredited psychosexual therapist, explores how childhood sexual abuse impacts intimacy, and how ADHD in women can increase vulnerability to traumatic relationships and sexual exploitation.

• Women with ADHD face higher rates of sexual victimization, unplanned pregnancies, and relationship dissatisfaction
• Trauma includes both major events (sexual assault) and smaller experiences that accumulate over time (public humiliation, feeling "different")
• Shame plays a central role in both ADHD and sexual trauma, creating beliefs that "something is wrong with me"
• Compassion-focused therapy helps address shame by understanding our "tricky brains" that evolved for survival, not happiness
• Vaginismus involves involuntary pelvic floor muscle spasms making penetration painful or impossible
• Women's pain has historically been dismissed by healthcare providers, creating barriers to proper treatment
• Sexual healing requires broadening ideas about what constitutes sex beyond penetration
• A multidisciplinary approach combining physiotherapy, psychology, and sometimes medical care is most effective
• Sexual health is a fundamental human right that includes pleasure, not just prevention of STIs or pregnancy

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