MARIA, MY PATIENT, IS NEATLY dressed in a skirt and blouse. Her bright coral nail polish, designer handbag and artful mascara and eyeliner look perfect. Her face, by contrast, is tight and almost devoid of expression; her eyes look terrified. Maria tells me that she is troubled by insomnia and anxiety.
Maria, I learn, was sexually abused as a child by her uncle. She has few memories from that period of her childhood. As an adult, she kept away from him. She also had problems with anxiety in her 20s, but seeing a counselor helped. For decades, it all seemed to go away. She started a new job, got married and had kids.
Less than a year ago, however, she went through a devastating divorce, and then the uncle who…