The African American experience is grounded in a strong religious tradition that does not adequately address sexual violence against women. This chapter offers perspective on how religiously-motivated heterocentric-patriarchy marginalizes Black female sexual trauma survivors. Recommendations are informed by Black feminisms in order to support culturally congruent practice. These interventions emphasize Black women's lived experience, raise awareness of multilevel oppression, and foster the empowerment of Black women. Basic treatment considerations for African American female trauma survivors and their support systems are provided.