Psychological Impact (ctd.) Illustrative Reflections One participant described heightened anxiety and isolation, which extended to a fear of further harm to family members. “Every message I get triggers anxiety. Even a normal notification feels like it could be something harmful.” Discussion Psychological harm is not limited to the survivor; it affects their ability to engage with their family, community, and work. The social stigma attached to reporting TFGBV intensifies these effects, indicating an urgent need for accessible mental health services tailored to survivors. Another noted that survivors often lash out emotionally, showing signs of anger or frustration, stemming from unresolved trauma. “I’ve stopped sleeping properly because I replay the threats in my mind. It’s exhausting and neverending.” Survivors expressed hesitation in approaching formal institutions due to fears of being blamed or not taken seriously. A participant recounted her experience, stating: “The officer handling my case asked why I gave my phone number to a stranger, making me feel like it was my fault.” 34

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