Ask a Psychiatrist and Get Answers to Mental Health Questions ASAP
Thank you for writing to JustAnswer with your question.
I am sorry to hear of your history. Bu it sounds as if you have gained much insight into your behavior. Often with this level of insight the individual can begin to take control of their impulses. But, for some individuals this can take nearly a lifetime, but it does sounds like you have come a long way for your age
I have worked with many survivors of abuse. Some are able to gain insight after much work and go on to have as "normal" as a relationship as anyone else. Then there are those that more rarely become perpertrators themselves. In this case it is more difficult to change their behavior and these individuals may have to be under some sort of restraint for the rest of their lives.
Are you are you saying that even after this ability to link your behavior to your prior experience and emotional trauma that you are still unable to control it? If this is the case, then I think you owe it to those who you come in contact to make them aware of your history and your past inability to control your behavior. The more honest and out in the open you can be about it, the less likely these feelings and impulses are going to be able to overtake you subconsciously and be expressed.
It may take more more for you in therapy and especially group therapy can be helpful for survivors of abuse. There is also a type of therapy known as EMDR (http://psychology.wikia.com/wiki/Eye_movement_desensitisation_therapy) that has been helpful for some with PTSD. This may be something that you want to look into.
If you have not tried medication, this too may be something that can be helpful. Certain antiseizure , antidepressant or antipsychotic medications can be helpful in controlling compulsive behaviors. You would want to see a Psychiatrist with expertise in those with sexual trauma and PTSD.
I am sorry that I can not give you a "yes or no" answer, but that is not possible. I hope the above information is helpful.
If you have questions or comments please feel free to reply.