 The modality also shifts during the course of treatment; for example, group therapy is rarely used in the initial stages, as the subject matter is very personal and/or embarrassing.In a 2012 systematic review, cognitive behavior therapy showed potential in treating the adverse consequences of child sexual abuse.Major factors that affect both the pathology and response to treatment include the type and severity of the sexual act, its frequency, the age at which it occurred, and the child's family of origin.