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This study attempts to assess the psychological and social effects of sexual abuse on children, sampled from Addis Ababa, Ethiopia. The study is cross-sectional, non-experimental. Samples were selected using purposive sampling technique and data were gathered using both qualitative and quantitative methods: in-depth interview guide, Scales (PTSD, Anxiety and Emotional Distress). The gathered quantitative data were analyzed by using descriptive statistics & the conducted case studies were qualitatively analyzed by using the journal entitled: Long term and Immediate Impacts of CSA. The results indicated that sexually abused victims suffer a lot of psychological and social consequences of the violence. The majority of their non-offending parents also developed sense of guilt, shame, anxiety, betrayal, shock, isolation, social interaction problems, etc. The severity of the effects of CSA depends on who is doing the abuse, the manner of the abuse, and how long the abuse goes on.