“This kind of work will have short-term implications emotionally, in terms of triggering powerful and difficult feelings for her, increasing the likelihood of her becoming more withdrawn, quiet or frozen, or resorting more to silence/non-response or minimal answers, and she may also show increased avoidance of people or places linked to the case. In the longer term, repeated or poorly supported discussions about the death of her sister, and the local authority allegations, risk strengthening her avoidance of such conversations, as well as having a negative impact on her sense of herself as being ‘bad’, which can consolidate trauma-related shame and increase later anxiety and depressive symptoms. She may also feel angry and betrayed by professionals, and withdraw further from them, thereby increasing her emotional isolation and further limiting possible avenues of support.”