From my experience as an art therapist working with youth and adults, I can tell you that the incidence of sibling abuse, including sexual abuse is unfortunately not uncommon. I have worked with perpetrators as well as victims, and the story usually includes traumatized families, and melty generational trauma stemming from social, societal and marginalized circumstances. Situations like war, disasters and the current pandemic are perfect developing grounds for family breakdowns and resorting to familial patterns of abuse. The social and cultural climate of shame and secret keeping allows the continuation of this painful situation. We all need to advocate braking the silence. Therapists, doctors, social workers need to advocate for speaking up, and creating an environment like ACEs that encourages openness.