How do I heal from sexual trauma?

Updated on February 24, 2026 by Mia Davis

Trauma, the Body, and the Path to Reclaiming Pleasure

This episode is near and dear to my heart—and it may be to yours, too. Joined by Rafaella Smith-Fiallo, LCSW (founder of The Healing Exchange and co-creator of Afrosexology) and certified trauma-informed sex and relationship coach Alyssa Pressman, I explore the path to healing after sexual trauma. No graphic detail, only warmth, tools, and hope for survivors and for those who love them.

⚠️ Content note: This episode discusses sexual trauma and assault. If this topic is triggering, please listen in chunks or skip entirely. If you or a loved one is in crisis, support is available: Crisis Text Line: Text HELLO to 741-741. National Suicide Lifeline: 1-800-273-TALK (8255). Trevor Project: (866) 488-7386.

Today's Questions

What is trauma?
How does trauma impact the body, and how does that show up during sex?
Is there a benefit to labeling sexual trauma or assault?
Why do we blame ourselves when we are the victim?
Why do we so often freeze in response to threat—and does that make it harder to report or prosecute assault?
How do we determine who we can confide in about a sexual trauma?
What is the best way to support a loved one who has experienced trauma?
Why do so many people engage in risky behaviors post-trauma?
How do we choose safe partners without settling just because they feel safe?
How can you tell your partner about your assault?
Can or should you tell a hookup about your triggers and trauma?
Is therapy the only option to heal from sexual trauma?
What does it mean to be a trauma-informed practitioner?
How can BDSM/kink help us heal from trauma?

Our Guests

Rafaella Smith-Fiallo, LCSW

Licensed clinical social worker, founder of The Healing Exchange, and co-creator of Afrosexology. Specializes in pleasure-centered healing from sexual trauma.
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