This s/lId v attempts 10 assess Ihe psychosocial effecis of sexual abuse on children,rnsampl ed li mn Addis Ababa. The sludy is cross-seclional, non-experimental. Samplesrnwere .IÂ·e/ecled using purposive sampling technique and dala were gathered us ing bot hrn'i l/ al il a fl re and 'Iuantitative melhuds: in-depth imervieH! guide, Scales (PTSD, Anxietyrnand Emu/ ional Distress).rnThe galhered quantitative da la were analyzed by using descriptive statistics (percentage)rnand Ihe conducted case studies were qualitatively analyzed by using Ihe journal entitled:rnLong ter m and immediate impacts of CSA. The resulls indicated thai sexually abusedrn'iclims s ilfrer a 101 of psychological and social consequences of the violence. Thesernproblems include increased anxiety, high emotional distress. more symptoms of PTSD,rnlowered selfesleem, guilt, shame, depression, lack of trust, betrayal, aggressivernbehaviors. hatred. anger, social wi thdrawal or isolation. helplessness, hopelessness, selfrnhumilia lion, sexual dysjimction , addiclion, suicide, passivity, dissociation, less or norninlimal" relationship, fear, etc. The majorily of Iheir non-offending parenls alsornde veloped sense of fear, guill. shame, anxiely. belrayed. shock. isolation. socialrninl ew c/ion jlI'oh/ems. elc. The se verily oflhe effects orCSA depends on who is doing thernabuse- lile conlexl, the manner of Ihe abuse-Ihe nalure, and how long Ihe abuse goes on Ihrne dll rO lio l1.rnFinally, hased on the observed problems of the vict ims and the findings of the study,rnrecomm endations were forwarded focusing on disclosure/ reporting, prevention andrnIr ealme nl siralegies. and legal aspects.