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I am assuming that the patient is in therapy of some sort. Usually the therapist will just listen to the patient and no matter how much the abused person tries to cover up (usually because they feel it is their fault, they could have stopped it and they are embarrassed) the therapist is trained well and will know the signs. This is so UNTRUE! The victim has usually had little say in the matters of their abuse and there isn't much they can do about it if they were too young at the time or their lives were threatened. If the abused finds it too painful to talk about their feelings at the time or has a trust issue with their therapist (people in general), then its wise to write down your feelings on paper and keep it hidden at home until the patient feels they can give the letter to the therapist. As long as the therapist can get the story from their patient it doesn't matter if it's verbal or on a piece of paper. Once I was stalked by a total stranger (it turned out to be someone in the plant where I worked) and the language and threats if I didn't comply was so filthy that I wrote it all down for the police officer. I might add, even his face turned red. As long as they get the info that is all that matters. The abused person should not feel embarrassed, weak or submissive and understand that this happens to thousands of people all over the world. It's painful and it tough to talk about it so it's extremely important to communicate with the therapist any way the abused feels comfortable with. Marcy

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Q: How are clients monitored for signs of abuse?
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