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This systematic review was conducted using Siddaway et al.\u2019s guidelines. Inclusion criteria were: published between 2000 and 2022; used qualitative methodologies; and captured adolescents\u2019 perspectives. Eleven studies were identified, representing an aggregated sample size of 72 young people aged 12 to 18. Methodologies used included thematic analysis, content analysis, conversation analysis, and narrative analysis. A total of 9 of the 11 studies addressed experiences of individual therapy using semi-structured interviews; 2 studies explored experiences of group therapy through focus groups. The review identified three key processes that reflect adolescents\u2019 experiences: engagement, ambivalence to trust; painful processing: exercising agency; and integrating: taking responsibility. Young people struggled to engage in therapy, and it took time to build trust; they experienced improvements in mood and general well-being, facilitated by psychoeducation, talking about the abuse, experiencing difficult emotions, and learning coping skills. They described integrating their abuse experience into their life story, discovering their inner strength and resilience. The therapeutic experience was underpinned by two key support processes: the therapeutic relationship and a supportive environment outside of therapy. This review supports the components of trauma-focused therapy alongside personalizing psychotherapy to the needs of adolescents for agency and autonomy.<\/jats:p>","DOI":"10.1177\/15248380261437090","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T07:45:48Z","timestamp":1777016748000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Adolescents\u2019 Positive Experiences of Psychotherapy Following Sexual Abuse: A Systematic Review"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0204-7270","authenticated-orcid":false,"given":"Rosaleen","family":"McElvaney","sequence":"first","affiliation":[{"name":"Dublin City University, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bronagh","family":"Starrs","sequence":"additional","affiliation":[{"name":"University of Northampton, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,4,24]]},"reference":[{"key":"e_1_3_5_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1468017313504717"},{"key":"e_1_3_5_3_1","doi-asserted-by":"crossref","unstructured":"Allnock D. 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