Information about childhood sexual victimization was collected from clients during intake and from therapists after clients had received 6 months of therapy. A history of childhood sexual abuse was associated with high symptom levels across symptom dimensions of the TSC-40 and specifically with elevation on the trauma subscale of the TSC-40. Findings support the view that, in a clinical setting, childhood sexual abuse is related to generalized distress and post-trauma stress disorder symptoms. 22 references and 2 tables