Parent Guide · PC3

If Your Child Discloses Sexual Abuse

The first hour, the first day, the first week — what to do and what to never say.

Dr. Yamicia Connor, MD, PhD, MPH · Last reviewed June 2026

In this guide
  1. If you are reading this in the first hour
  2. The first ten seconds: what to say
  3. What NOT to say
  4. How to listen
  5. Who to call, in what order
  6. Medical care: the SANE framework
  7. What NOT to do tonight
  8. The next morning
  9. What recovery looks like, over time
  10. Taking care of yourself
  11. If your instinct is being dismissed
  12. What I want you to take with you
If your child needs medical care right now — go to a pediatric emergency department and ask for the SANE nurse or the child abuse team. If you don't know which hospital, call RAINN at 1-800-656-HOPE (4673) and they will help you find the closest one. If your child is in immediate danger, call 911. If you don't know what to do next, call the National Human Trafficking Hotline at 1-888-373-7888 for trafficking or RAINN for any other sexual abuse.

If you are reading this in the first hour

Your child told you something. Or someone close to you did. Or you found something on a phone and now you are sitting somewhere holding this guide and trying to think.

You are going to be okay. Your child is going to be okay. There is a path forward and you do not have to figure it out alone tonight.

The first hour is mostly about two things. Stay close to your child. Do not do anything that cannot be undone.

Read the rest of this guide if you can. If you cannot read, scroll to "Who to call, in what order" below. That is the action list.

If you are a parent reading this in the middle of the night, please hear me.

You did not fail. Your child told you. That is the hardest part. The fact that you are the person they came to is information about you. It means that whatever else happened in their life this week, this month, this year — they knew you would believe them. That is not nothing. That is the foundation we are going to build the next five years of healing on.

Now I am going to ask you to do something hard. I am going to ask you to slow down. The thing your body wants to do right now is move — call someone, drive somewhere, find the person who did this. The thing that helps your child most is the opposite of that. The thing that helps your child most is for you to be the safest person in the room for the next several hours, and then to make a small number of phone calls in the right order.

I am going to walk you through it.

The first ten seconds: what to say

The window between when your child says the words and when you respond is the most important window in this entire process. Your face. Your voice. Your body. Your child is watching all three.

You do not have to say anything brilliant. You have to say something that tells them you heard them, you believe them, and you are not going anywhere.

"Thank you for telling me. I believe you. This is not your fault. I am so glad you told me. We are going to figure this out together. You don't have to know what to do next — that's my job. I love you."

That is the script. You can shorten it. You can repeat it. You can say it three times in a row if your child is crying and you cannot think of anything else.

If you can only remember four words: "I believe you. Thank you."

What NOT to say

Do not say any of these tonight

  • "Are you sure?" — Even gently. It reads as doubt. Your child is already terrified you won't believe them.
  • "Why didn't you tell me sooner?" — Even with love behind it. The answer is almost always shame. You are about to make the shame worse.
  • "Are you positive that's what happened?" — Same problem. They are positive. They have been carrying this.
  • "Did you say no?" — Children, especially groomed children, often did not say no. That is how grooming works. Asking implies the absence of "no" is the absence of harm. It is not.
  • "What were you wearing / drinking / doing on that app?" — There is no version of this question that does not land as blame.
  • "I will kill him." / "I'm going to make him pay." — I know. I would too. But your child needs you to be a stable adult in the room right now, not a person about to do something that takes you away from them.
  • "Don't tell anyone else." — You cannot promise this and you should not try.
  • "Are you going to be okay?" — Your child does not know. Asking shifts the burden of reassurance back onto them. The right direction is for you to reassure them.

How to listen

Your job tonight is not to investigate. It is not to get the full story. It is not to figure out how this happened.

Your job tonight is to listen the way a person listens when someone has handed them something fragile.

Let your child lead. Do not interrupt. Do not ask leading questions ("did he do this thing? did he do that thing?"). Leading questions can compromise the legal case later, and they can also push your child to say things to please you. Let them tell you what they want to tell you, in their own words, at their own pace.

If your child stops talking, do not fill the silence with questions. Try this instead:

"Take your time. I am right here. You can tell me anything or nothing. I am not going anywhere."

If your child says "I don't want to talk about it anymore" — believe them. The story will come back out, in pieces, over days and weeks. That is normal. That is how disclosure works. The first telling is almost never the full telling.

Try not to react with visible horror. I know that is asking a lot. Your child is reading your face for whether they ruined everything by telling you. The expression you want is grief-with-love. Not shock. Not rage. Not panic. Sad-with-them, on-their-side.

If you cry, that is okay. Children can handle a parent's tears. They cannot handle a parent who is suddenly a stranger.

Who to call, in what order

Make these calls in this order. You can do this on your phone while sitting next to your child.

  1. If your child needs immediate medical care — go to a pediatric ED. Ask for the SANE nurse (Sexual Assault Nurse Examiner) or the child abuse team. Do not let your child shower or change clothes before going. If you don't know what hospital — call RAINN below and they will tell you which one near you has a SANE on staff.
  2. RAINN — 1-800-656-HOPE (4673) — 24/7. They will help you think through the next several hours. They can route you to a local rape crisis center, find you a SANE nurse, and walk you through reporting if you want to. They do not require you to identify yourself or your child.
  3. If this is trafficking or commercial exploitation — call the National Human Trafficking Hotline at 1-888-373-7888 or text HELP to 233733. They specifically handle trafficking situations and they have safety planning that the general sexual assault hotlines do not.
  4. Your child's pediatrician or primary care doctor — call the next morning if it's overnight. The pediatrician is a mandated reporter, which means once you tell them, the report happens. That is a good thing in most cases, but you should know it's coming so you are not surprised. They will help you connect to local trauma-informed mental health care and follow-up medical care.
  5. Law enforcement — only after one of the calls above — RAINN and the trafficking hotline can help you think about whether and when to report to police, and how to do it in a way that protects your child. Going straight to the police, with no advocacy support, is harder on your child than people realize. You can still report. You should not do it alone.
About mandated reporting: Pediatricians, ED nurses, school counselors, and most therapists are required by law to report suspected child abuse. RAINN and the National Human Trafficking Hotline are not mandated reporters in the same way — you can call them and talk without anything being triggered automatically. That is why they are first on the list. They will help you figure out what to do, then you can move into the mandated-reporter system with a plan.

Medical care: the SANE framework

A SANE is a Sexual Assault Nurse Examiner. They are specifically trained to do the medical exam and the forensic evidence collection at the same time, in a way that is as gentle as is humanly possible. They are not police. They are nurses.

If the abuse happened in the last 96 hours (4 days), a SANE exam is medically and legally time-sensitive. Evidence collected during that window may be needed later. After 96 hours, the medical care still matters — for infection, for pregnancy, for the chronic effects we are going to need to monitor — but the forensic evidence collection becomes much harder.

If you are not sure when the abuse happened, or whether it just happened, or whether it happened more than once — go to the ED anyway. Let the SANE nurse and the child abuse team decide what is medically indicated. That is their job.

Before you go to the ED

  • Do not have your child shower, change clothes, or brush their teeth if it might have happened in the last 96 hours.
  • Bring a change of clothes for after the exam (the SANE may collect clothing as evidence).
  • Bring your child's insurance card and a comfort item — a stuffed animal, a blanket, a hoodie they love.
  • Bring snacks and water for both of you. ED visits run long. You will not be hungry. Eat anyway.
  • Bring your phone charger.

What NOT to do tonight

Do not, under any circumstances

  • Do not confront the person who did this. Not by phone. Not by text. Not in person. Not through a relative. I know every cell in your body wants to. Do not. It can compromise the legal case, it can put your child at additional risk, and it can put you in legal jeopardy.
  • Do not post anything on social media. Not a vague-post. Not a "praying for my family" post. Not a screenshot with the name redacted. Anything you post tonight will be screenshot and shared and used against your child later. The story is your child's to tell, when and if and how they choose, years from now.
  • Do not interrogate your child. Resist the urge to "get the full story" tonight. The story will come out. Pushing for details now can re-traumatize your child and compromise any future forensic interview.
  • Do not promise you will not tell anyone. You cannot keep this promise. Some of what your child told you, you are legally required to share. Some of it, you will need to share to keep them safe. Saying "I won't tell" and then telling is a worse betrayal than saying upfront, "I am going to tell the people we need to tell to keep you safe, and I am going to tell you who they are."
  • Do not contact the other person's family, employer, or church. Same logic as confrontation. Let the professionals do this in the right order.
  • Do not delete anything from your child's phone. Screenshots, messages, photos — these are evidence. Even if they horrify you. Take a deep breath and leave the phone alone until you have talked to a professional.

The next morning

Your child will wake up in the morning and they will be looking for one thing: a sign that everything is different now, that they have broken something irreparably, that you see them differently.

The most healing thing you can do is the opposite. The same breakfast. The same routine. The same hug. The same "good morning, kid."

"Good morning. I love you. Last night was a lot. I have been up making some calls — I talked to a nurse who is going to help us figure out the next steps, and I'm going to tell you about it when we have eaten. Are you hungry? Do you want toast or eggs?"

Then eat with them. Then tell them, in simple sentences, what is happening next.

"Today we are going to do three things. We're going to see the doctor. We're going to talk to a person who is trained to help kids who have been through what you have been through. And we are going to come home and watch a movie and order something good for dinner. You don't have to do anything else. I will take care of everything else."

If your child does not want to go to the doctor — listen. Then go anyway, but go gently. Bring the comfort item. Let them sit on your lap in the waiting room even if they are too old for laps. Let the SANE nurse explain the exam in their own words, and let your child decide whether they want you in the room.

The thing nobody tells you about disclosure is that it is the start of a long arc, not a single event. Your child is going to tell you the same story three more times in the next month. Each time, a new detail. Each time, a new feeling. The right response, every time, is the same response: thank you for telling me, I believe you, I am right here.

What also happens, in my experience, is that your child will get angry at you at some point. Not because you did anything wrong. Because you are the safest place they have to put the anger, and the anger has to go somewhere. Let them be angry. Do not take it personally. Do not match it. The anger is not about you. It is about the impossible thing that happened to them and the fact that they need a target for it.

You are the target because you are safe. That is the highest compliment a child can pay a parent.

What recovery looks like, over time

Children who are believed and supported recover. That is not a platitude. That is in the data. The single biggest predictor of long-term outcomes after childhood sexual abuse is whether the child was believed by a non-offending parent at the time of disclosure.

You are doing that part right now. By reading this. By calling. By staying with them.

Recovery is not linear. There will be weeks where your child seems fine. There will be weeks where they regress — bedwetting, nightmares, clinging, anger. There will be weeks where you think you are over the worst of it, and then something — a smell, a song, a man on the street who looks like the person — triggers a wave you did not expect.

That is normal. That is how trauma processes. That is not a sign you are failing or that your child is broken.

The work, over the next few months, looks like this:

  • A trauma-trained therapist. Specifically: TF-CBT (trauma-focused cognitive behavioral therapy) or EMDR. Ask in the first call: "Have you treated children who experienced sexual abuse?" If they hedge, find someone else. The Psychology Today therapist finder lets you filter for Trauma and PTSD and EMDR.
  • A safe physical home. If the abuser had access to your home, change locks, change passwords, change routines. Your child needs to know the door they sleep behind is one no one else can open.
  • A predictable life. School. Meals at the same time. Bedtime at the same time. The thing trauma takes away from a child is the sense that the world is predictable. The thing you can give back is a predictable world.
  • Permission to have feelings. Sad days. Angry days. Numb days. None of these are the wrong feeling. All of them are the body doing its work.
  • Time. A lot of time. Healing from childhood sexual abuse is not measured in weeks. It is measured in years. Your child is going to be okay. Your child is also going to carry this. Both are true.

Taking care of yourself

I am going to be direct with you because I have watched too many non-offending parents try to do this alone and break under it.

Secondary trauma is real. Listening to your child tell you what happened to them does something to your nervous system. You will have nightmares. You will have intrusive thoughts. You will replay things you cannot stop replaying. You will be unable to look at certain people without rage. You will feel guilty for not seeing it sooner — for the missed warning signs, for the times you left your child with that person, for the years you didn't ask. That guilt is not the truth. It is grief doing the work of grief.

You need three things:

  • Your own therapist. Not your child's. Your own. Someone who specializes in working with parents of survivors. Stop It Now! (1-888-PREVENT, Mon–Fri ET hours) has a helpline specifically for non-offending family members and they can refer you locally.
  • One trusted adult who knows. A sister. A best friend. A pastor or rabbi or imam you trust. One person who can hold this with you, who you can call at 11pm when you cannot sleep. You do not need to tell the world. You need to tell one person.
  • The boring stuff. Eat. Sleep. Drink water. Move your body once a day even if it is a walk around the block. Stop drinking, or at least cut back — alcohol makes the intrusive thoughts worse. Stop scrolling, or at least put the phone down at 9pm. These are not optional. These are how your body survives the next six months.

If you are partnered, and your partner is the non-offending parent — be patient with each other. You will grieve differently. One of you will want to talk constantly. One of you will want to not talk at all. Both are normal. Get couples support if you can.

If your partner is the person your child disclosed about — that is a different situation, and you need to call RAINN tonight, not in the morning. Your priority is your child's safety. Do not be alone with the person your child accused. Do not let them be alone with your child or your other children.

If your child told you about a family member — a parent, a stepparent, a grandparent, an uncle, an older sibling — the situation is more dangerous, not less. The pressure to "keep it in the family" or "not destroy the family" will come at you from every direction, including from yourself. You cannot manage this inside the family. Call RAINN. Call a lawyer. Tell your child's pediatrician. Believe your child. Family loyalty does not trump child safety. There is no version of this where the right move is silence.

If your instinct is being dismissed

If the abuser is someone with social or institutional power — a coach, a clergy member, a doctor, a popular teacher, a wealthy family member — you may be told, gently or not so gently, that you are overreacting. That kids make things up. That you are going to destroy a man's career. That you should think very carefully before you say something you cannot take back.

Trust your child. Trust yourself. The pressure to retreat is the thing that lets the next girl get hurt.

I want to name something out loud. Black girls, Native girls, immigrant girls, poor girls, girls in foster care, girls with disabilities — these girls are believed less often than other girls. By doctors. By teachers. By police. Sometimes by the people in their own families. If your child belongs to one of those groups, the work of being believed is going to be harder, and you are going to have to push harder. That is not your fault and it is not your child's fault. It is the system. The system is going to make you fight. You can fight. Your child is worth the fight.

What I want you to take with you

Your child told you. That is the hardest single thing they have ever done. They came to you because they trusted you. You are going to honor that trust by being the calmest, most stable, most steady person in this story.

You do not have to be perfect. You have to be present.

One phone call at a time. One night at a time. One conversation at a time.

You are not alone. The people on the other end of the phone numbers above have been doing this work for decades. Lean on them. That is what they are there for.

And the next time your child says "can we talk?" — drop everything and listen. Even if it is about something small. Especially if it is about something small. You have just established yourself as the person they tell. Keep being that person.