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Sexual Abuse and Assault in Men: The Quiet Pain Men Carry

Black and white close-up of a young man with duct tape over his mouth – representing the silencing and stigma surrounding male sexual abuse and assault

Why Men Struggle to Talk About Sexual Abuse and Assault

Sexual abuse and assault are devastating experiences that can leave lasting emotional and psychological scars. While conversations about sexual violence have become more open in recent years, they still often overlook men as victims. The reality is that many men experience sexual abuse, yet stigma, shame and societal expectations prevent them from speaking out or seeking help.

Many men fear that disclosing their experiences will lead to disbelief, ridicule or a loss of their sense of masculinity. Traditional gender norms suggest that men should always be in control and invulnerable, making it even harder for survivors to process their trauma and reach out for support.

The silence around male sexual abuse not only isolates survivors but also allows harmful myths to persist. Understanding the realities of sexual violence against men is the first step in breaking the stigma and encouraging more men to seek the help they deserve.

The Reality of Male Sexual Abuse and Assault

Sexual violence against men is more common than many people realise. Studies suggest that:

  • One in six men has experienced sexual abuse before the age of 18
  • Many male survivors never disclose their abuse due to fear of judgment or not being believed
  • Sexual violence can happen to anyone, regardless of age, background or sexual orientation

Despite these statistics, male survivors are often overlooked in discussions about sexual violence, leaving many to suffer in silence.

The Psychological and Emotional Impact

Sexual abuse can have profound and long-lasting effects on a man’s mental health and overall well-being. Many survivors struggle with:

  • Shame and guilt – feeling responsible for what happened, even though the abuse was never their fault
  • Anger and self-blame – directing frustration inward, which can lead to low self-esteem and self-destructive behaviours
  • Post-Traumatic Stress Disorder (PTSD) – experiencing flashbacks, nightmares or heightened anxiety related to the trauma
  • Emotional numbness – disconnecting from emotions to avoid pain, which can impact relationships and self-worth
  • Trust and intimacy issues – struggling to feel safe with others, particularly in close relationships
  • Sexual difficulties – confusion, fear or distress related to intimacy or sexual relationships

Without proper support, these effects can lead to further mental health struggles, including depression, anxiety, substance abuse and even suicidal thoughts.

Why Men Stay Silent

Fear of Not Being Believed

Many men worry that if they disclose their experiences, others will dismiss them or question their masculinity. Pervasive myths, such as “men can’t be victims,” only reinforce this fear.

Shame and Self-Doubt

Survivors may internalise their trauma, believing that they should have been able to prevent the abuse. Some may even question their identity or self-worth as a result.

Cultural and Societal Expectations

Men are often conditioned to be strong and in control, making it difficult to admit vulnerability or seek help. The pressure to move on without addressing the trauma can be overwhelming.

Confusion About Consent and Abuse

Some men struggle to label their experience as abuse, especially if the perpetrator was someone they trusted or if they felt physically aroused during the assault. The body’s natural responses do not equal consent, but this misunderstanding can cause deep shame and prevent survivors from seeking help.

How to Begin Healing After Sexual Abuse

Acknowledge That It Was Not Your Fault

One of the biggest hurdles for male survivors is overcoming self-blame. Abuse is always the fault of the perpetrator, never the victim. Accepting this truth is a crucial step in the healing process.

Reach Out for Support

Speaking to a trusted friend, family member or professional can help break the cycle of isolation. While opening up can be difficult, finding someone who listens without judgment can be incredibly validating.

Consider Joining a Support Group

Connecting with other survivors can provide reassurance that you are not alone. Men’s support groups and survivor networks offer a safe space to share experiences and coping strategies.

Engage in Healthy Coping Strategies

Processing trauma in a healthy way can include:

  • Exercise or movement to relieve stress and regulate emotions
  • Creative outlets like writing, art or music to express feelings
  • Mindfulness and grounding techniques to manage anxiety and PTSD symptoms

How Therapy Can Help Male Survivors of Sexual Abuse

Therapy can be a life-changing resource for survivors, offering a safe space to process trauma and regain a sense of control. Many men carry the weight of their experiences for years, believing they must handle it alone. However, therapy provides the tools to move forward in a way that feels safe and manageable.

A therapist can help:

  • Process and validate experiences without judgment
  • Address trauma responses, such as flashbacks, panic attacks or avoidance
  • Improve self-esteem and self-worth, helping survivors rebuild confidence
  • Strengthen relationships by working through trust and intimacy issues

Healing is possible, and no survivor should have to go through it alone. Men’s Therapy Hub connects men with therapists who understand these challenges and provide compassionate, tailored support.

No matter how long ago the abuse occurred, you deserve to be heard, believed and supported. Seeking help is not a sign of weakness. It is a powerful step toward reclaiming your life.

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How to choose a therapist:

If you’re reading this, there’s a good chance you’re thinking about starting therapy. Maybe for the first time. That’s no small thing. Getting to this point takes guts. Admitting that things might not be quite right and deciding to do something about it is a massive first step. So first off, well done.

We know choosing a therapist can feel overwhelming. There are a lot of options and it’s easy to get stuck not knowing where to start. That’s why we created our Get Matched service. It’s designed to take some of the stress out of finding the right person for you.

Still not sure who’s right? That’s okay. Here are a few things to keep in mind.

Work Out What You Need

Before anything else, try to get clear on what’s going on for you. Are you struggling with anxiety, depression, or something that feels harder to describe? Maybe it’s your relationships or how you see yourself. Whatever it is, having a rough idea of what you want to work on can help guide your search.

Some therapists specialise in certain areas. Others work more generally. If you’re not sure what you need, ask. A good therapist will be honest about what they can help with.

Think About What Makes You Comfortable

Therapy only works if you feel safe enough to talk. So the relationship matters. Here are a few questions to help you figure out what feels right.

  • Would you rather speak to someone from your own home, or in-person somewhere else?

  • Do you feel more at ease with someone who listens quietly, or someone who’s more direct?

  • Would you benefit from seeing someone who understands your background or lived experience?

There are no right answers here. Just what works for you.

Look Beyond the Letters

Every therapist listed on Men’s Therapy Hub is registered with a professional body. That means they’ve trained properly, they follow a code of ethics and they’re committed to regular supervision and ongoing development. So you don’t have to worry about whether someone’s legit. They are.

Instead, focus on what else matters. What kind of therapy do they offer? What do they sound like in their profile? Do they come across as someone you could talk to without feeling judged?

Try to get a sense of how they see the work. Some will be more reflective and insight-based. Others might focus on behaviour and practical strategies. Neither is right or wrong. It’s about what speaks to you.

Test the Waters

Many therapists offer a free or low-cost first session. Use it to get a feel for how they work. You can ask about their experience, how they structure sessions and what therapy might look like with them. A few good questions are:

  • Have you worked with men facing similar issues?

  • What does your approach involve?

  • How do your sessions usually run?

Pay attention to how you feel during the conversation. Do you feel heard? Do you feel safe? That gut feeling counts.

It’s Okay to Change Your Mind

You might not get it right the first time. That’s normal. If something feels off, or you don’t feel like you’re making progress, it’s fine to try someone else. You’re allowed to find someone who fits. Therapy is about you, not about sticking it out with the first person you meet.

Starting therapy is a big decision. It means you’re ready to stop carrying everything on your own. Finding the right therapist can take time, but it’s worth it. The right person can help you make sense of things, see patterns more clearly and move forward with strength and clarity.

You don’t have to have all the answers. You just have to start.

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About our therapists

At Men’s Therapy Hub, we understand that finding the right therapist is an important step in the journey towards better mental health. That’s why we ensure that all our therapists are fully qualified and registered with, or licenced by,  a recognised professional body – guaranteeing that they meet the highest standards of training and ethics in their private practice. This registration or licence is your assurance that our therapists are not only appropriately trained,  but also bound by a code of conduct that prioritises your well-being and confidentiality. It also ensures they are engaging in continual professional development.

We know that therapy starts with finding the right therapist so MTH offers clients a wide range of choices to ensure they find the therapist that best suits their individual needs. Flexible options for therapy sessions include both online and in-person appointments catering to different preferences and lifestyles. In addition, therapists offering a variety of approaches are available – enabling clients to choose a style that resonates most with them. Whether seeking a therapist nearby or one with specific expertise, Men’s Therapy Hub ensures that clients have access to diverse and personalised options for their mental health journey.

All the therapists signed up to MTH are not just experienced practitioners but professionals who recognise the unique challenges that men face in today’s world. Our therapists offer a wide range of experiences and expertise meaning clients can find someone with the insight and experience to offer them relevant and effective support.

Furthermore, MTH will aid our therapists to engage in Continuing Professional Development (CPD) specifically focused on men’s mental health. This will include staying up-to-date with the latest research, therapeutic approaches and strategies for addressing the issues that affect men. We’ll also feature men out there, doing the work, so we can all learn from each other. By continually developing their knowledge and skills, our therapists are better equipped to support clients in a way that’s informed by the most current evidence-based practices.

If you’re ready to take the next step towards positive change we’re here to help. At Men’s Therapy Hub, we’ll connect you with an accredited experienced male therapist who understands your experiences and is dedicated to helping you become the man you want to be

Our mission statement

Men were once at the forefront of psychotherapy, yet today remain vastly underrepresented in the field. Currently, men make up around a quarter of therapists and less than a third of therapy clients globally. We hope that Men’s Therapy Hub will help to normalise men being involved in therapy on both sides of the sofa.
More men are seeking therapy than ever before, but we also know that dropout rates for men are exceedingly high. Feeling misunderstood by their therapist is one of the key factors affecting ongoing attendance for men. That’s why our primary function is helping more men find good quality male therapists they can relate to.
We know that men face unique challenges including higher rates of suicide, addiction and violence. Research shows that male-led mental health charities and male-only support groups are showing positive results worldwide, so we’re committed to building on that momentum.
Our mission is twofold: to encourage more men to engage in therapy whether as clients or therapists and to create a space where men feel confident accessing meaningful life-changing conversations with other men.

We hope you’ll join us.

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