I haven't yet gone to therapy for the sexual abuse, but I have gone to therapy for the emotional abuse (this was before I realized I'd been sexually abused because it was covert). I can't really agree with Lanie2830 that no one can learn to accept themselves after being abused. I think it's possible, but it does take a lot of work and time.

For a long time, I was angry at myself for being the obedient daughter. I chose not to rock the boat and let my abusive parents control me, even when I was an adult. (This, incidentally, includes letting my mother do what she wanted with my body, even when I hated it. I sometimes even sought out inappropriate affection, probably because it gave me the illusion that I was accepted by her, which I never was and never will be.)

My T helped me see that I'd been trained to behave like that because the messages my parents sent were clear: Obey and be loved; disobey and be rejected. No child wants to be rejected by his or her parents, so I obeyed. She also helped me see that I was no longer that obedient child. I'm no longer in contact with my abusers, and she helped me appreciate the power of that choice.

So I do believe that a T can help you learn to work through shame, but it will take time and patience. Incidentally, I don't think any T can force you to take medications if you don't want to, so you might want to refuse and see what happens. I personally would refuse to take any medications, no matter what my T said.

What kaliope said is so true and of the utmost importance. It's really important that you find a therapist who has experience dealing with trauma and preferably abuse.

I heard a horrifying (well, to me) story (I think on another abuse forum) about a woman who was going to a T who specialized in anxiety and phobias. The sexual abuse she suffered came up in therapy. When she was telling her T about it, she had trouble saying what the molester had said to her.

This T really pushed her to say these things, and when she did, she had a meltdown. The T justified what she did by saying that she didn't want the words to have so much power over her. Basically, the T was using a common approach for phobias (I believe it's called desensitization), but for trauma/sexual abuse, it's too aggressive. My guess is that the T really didn't know how to deal with sexual abuse memories, so she used the technique she was familiar with for phobias, thinking that would be OK.

This is why it's really important to find a T, if you can, who has experience treating trauma survivors, preferably sexual abuse survivors. If you can't, the next best thing might be a family therapist. At least such a T can understand family dynamics better than one who, for example, specializes in mood disorders.