Marriage, family, and couple counselors should be educated in various treatment options for sexually abused adolescents, due to the frequency, and severity of this form of abuse. The long-term effects of sexual abuse can be devastating for victims. Posttraumatic stress disorder, anxiety, and depression are potential issues resulting from sexual abuse. The present review analyzes three different therapeutic approaches family counselors may use for working with sexually abused children and adolescents. These approaches include trauma-focused-cognitive behavioral therapy, play therapy and expressive art therapy, eye movement and desensitization, and reprocessing therapy. Implications for family, marriage, and couples’ counselors are provided recommendations as well for future research.