You wouldn't necessarily need to discuss the abuse right away...it takes time to build a trusting relationship to be able to do that. You could go just for daily coping skills in the beginning. I'm not sure these things will just magically go away without some type of professional support unfortunately. My therapist let me start by writing things down and I started very small, with the things that were easiest to share. I know how tough it is, but I don't know of a different way - I wish I did! BTW - you have nothing to be ashamed of, this was not your fault, and you deserved much better as a child!