Psychological Impact Key Insights Patterns Identified Survivors consistently reported significant psychological distress, including anxiety, fear, and mistrust. Many described feelings of isolation stemming from the persistent nature of online harassment and the public exposure of private information. • Chronic Stress: The recurring nature of Illustrative Reflections One participant, a university student, described the overwhelming psychological impact of being blackmailed online: “I still don’t know how to solve my issue, and I don’t know what to do with the people who have violated my privacy. There were no consequences, and now I’m so scared to trust anyone to the point where I am so scared to take pictures and be comfortable.” threats and harassment led to heightened anxiety and difficulty coping. • Impact on Emotional Well-Being: Survivors frequently expressed difficulty trusting others, with some withdrawing from public spaces, both online and offline. Discussion Psychological distress caused by TFGBV extends beyond the digital realm, affecting survivors’ ability to engage with family, community, and work. This harm is further compounded by societal stigma and cultural expectations, which often place additional social burdens on survivors. As we explore the social impact, we see how these cultural norms deepen survivors' isolation and restrict their autonomy, creating interlinked cycles of psychological and social harm. This vivid account underscores the long-lasting emotional toll of TFGBV. The fear of trust violations, loss of privacy, and the constant anxiety of being watched significantly alters how survivors interact with their environment. 25

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