I've just read this thread because I've been thinking about this question a lot. I was abused when I was 8 or so, I was told to forget about it and not to talk about what happened, and certainly nobody seemed to care how I actually felt. I recently told my mother that they'd just left me completely alone with it all (I've only recently started to at least try to talk to my parents, this was hugely scary for me) and she told me that "one couldn't tell" that I was struggling. I believe that they just didn't want to know - and apparently still don't want to. Being a child then, I tried very hard to do what they seemed to want me to, not to complain, not to need help, but of course I couldn't do that. I just ended up with all this repressed rage, feeling like a freak and a monster, not trusting anyone, always feeling that I'd been wronged but always getting blamed. I do wonder what would have happened if anyone had figured out that there were reasons for my "difficult" behaviour. This was in the 70s and going on into the 80s, so I guess it would have been some sort of pills - just listening didn't seem to have been invented then. What I've heard and read about mental health services makes me think that I was perhaps better off not getting sucked into that system. As things are, I have no record, it is (usually) up to me how much people know about my difficulties - I am in control of what I share, and with whom. But, given how hard I find it to trust anyone, that sometimes feels like more of a curse than a blessing, and I have been let down by people I'd thought of as friends. When things get really tough I often find myself fantasizing about hospitals as places of refuge, with no responsibilites, no expectations to live up to, just a bed and a wall to stare at. I know that is just a fantasy, but I really do so much wish I could have had some help then, when I needed it. I wish someone could have spared me all the fear and the shame and the loneliness.