The objective of this study was to examine the level of trust, shame and communication rnchallenges of sexually abused women in the case of Women from the Association for Womenâ€Ÿs rnSanctuary and Development (AWSAD). The study used descriptive research design and the rnresearcher employed mixed method approach i.e., quantitative and qualitative design. Trust and rnshame were measured through Quantitative design whereas communication challenge was rnevaluated through qualitatively design. The study area was selected based on availability rnsampling because the numbers of victims were very high in AWSAD among any other shelters in rnthe country. The data collected were analyzed using mean, standard deviation, percentage, rnindependent sample t-test for the quantitative data using SPSS version 24 and thematic analysis rnfor qualitative data. The result shows that the majority of sexually abused women have rnexperienced psychosocial problems (low trust level, moderate shame level and poor rncommunication with other), because of history of sexual abuse and discrimination by the rncommunity. The independent sample t-test showed that there was statistically significance rndifference between married and single women regarding the general and individual trust level of rnsexually abused women. Whereas there is no statistically significant difference among married rnand single study respondents regarding total shame of sexually abused women. The researcher rnhas recommended that different parties like non-governmental organizations, health rnprofessionals and youth clubs are expected to show the magnitude of trust, shame and rncommunication challenges and related issues among sexually abused women with the possible rnways of solving the problems.