 Sexual abuse is associated with many sub-clinical behavioral issues as well, including re-victimization in the teenage years, a bipolar-like switching between sexual compulsion and shut-down, and distorted thinking on the subject of sexual abuse (for instance, that it is common and happens to everyone).When first presenting for treatment, the patient can be fully aware of their abuse as an event, but their "appraisal" of it is often distorted, such as believing that the event was unremarkable (a form of isolation).Frequently, victims do not make the connection between their abuse and their present pathology.