The long-term psychosocial outcomes for victims in CSA are depression, anxiety, post traumatic stress, feelings of guilt and powerlessness, anti-social behaviors, dissociative disorders, Axis II disorders, conduct problems, substance abuse, eating disorders, suicide ideation and sexualized behavior (558-559). Therapies are usually based on verbalization between the therapist and client. If a child/ adolescent is off-set by negative CSA past experiences they will be distrusting of adults—the therapist (559). In using a horse for AAT the client is able to learn how to interact with, and control a large animal. The hypothesis for the equine therapy was that participants would show significant reduction of depression, anxiety, undesirable behaviors and trauma. Gestalt and Existential therapies are all about being client centered and that was exactly what the equine therapy was doing. Gestalt and Existential therapies encourage client insight, the use of metaphors, problem solving activities, and the interaction with the horses (560). Following interaction with horses the client gained self-efficacy, coping abilities, self-esteem, and social