PTSD, Gender Idenity or Teen Angst?

I am seeing a client whose main complaint is lack of feeling (especially love: romantic or family: client says feels "empty"). It appears that the underlying probelm is an inability to trust after being sexually abused on three occasions. Clt is afraid "not normal" though I can't think why trusting people after such experiences would be normal or healthy.

Part of being "not normal" appears to be that clt. fears lack of feelings may indicate homosexuality. Clt. has no friends of the same sex and no interest in doing what they do or being like them. Clt. has a few friends of the opposite sex but feels no more than "comfortable" with them. Clt. is significantly distressed, isolated and confused and has symptoms of depression. Clt. can give no other reason to fear homosexuality and has no experiences with sex other than the abuse, which is more like mis-experience. My impressions are that the clt doesn't trust self, family, the future, or the world at large.

QUESTION: would you treat this as anxiety?

• Detailed assessment needed by Barbara Fleming, Ph.D., 11/3/97