I was happy to discover that there were a couple of things on your list I haven't had trouble with. Unfortunately, the rest apply.
Isolation and loneliness--My wife was SA, too, so between the two of us, if we could live in a cave or on some island somewhere with absolutely no human contact, life would be good. We're getting better, thanks to some friends without any know issues, but I still know when it's time to retreat and let myself recuperate from over-socializing.
Depression--I've seen the pits of dispair, but thankfully, I'm doing better these days.
Body Image--I was 5' 10" and 125 pounds for about the first 5 years of therapy. It was a personal mission to be the thin one in my family. It made me different, special, since my dad was always fat. It showed I had self-control, where he didn't. I've let go a lot now. I'm up to 170 pounds, and though the old thoughts pop in every once in a while, it feels good to be kind of free from that.
Substance abuse--Is porn and MB a substance abuse? I think it is.
Sexual dysfunction or confusion--This one will follow me forever. I'm with my wife, and I picture abuse. I feel dirty, like I've done something wrong, but I haven't. So I'll avoid the whole subject like the plague, which, when you're married, brings up a whole other set of problems. So I spend time with her, and it starts all over again.
Self-mutilation--I was a cutter, bruised myself all over. I'm so glad that period of my life has passed. I still keep myself away from razor blades and stuff. I think this subject is closely related to body image/control. It's, "I have control over my own body. I can do with it what I want."
Anxiety and fear--Triggers still get me, like feeling someone's breath on me. That'll send me out the door. Or smells.
Dysfunctional relationships--I've had a habit of making the best friends with people who are only out to use me. My wife is not that type, which is a huge step in the right direction.
Spiritual void or disillusionment--My dad was the preacher in our church. I've overcome a huge hurdle in that my relationship with God is good, and I still attend that type of religion, but don't ask me if I think my dad is approved by God. And don't ask me to forgive my dad.
Difficulty concentrating--I'm supposed to be working right now.
Trust issues--I could not have responded to this list even five years ago. I used to trust 100% or 0%. That comes from being raised by a family of liars and secretive people. I've slowly learned to trust somewhere in between.
This was a good discussion topic. Not somewhere I like to go very often, but it's good to look inside and see how things are going. I have therapy this afternoon, so discussions like this get the brain going for later. I'm glad this site is helping you, too. It certainly helps me. It's rare to find a group of men able and willing to speak about the "unspeakable". Like we're all in this together, and we will get better.
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ForeverFighting
"This search for the truth--it's not for the faint of heart."--Goren on 'Law & Order: CI'
"The former things will not be called to mind, neither will they come up into the heart."--Isaiah 65:17