Sexual assault has been shown to affect people with intellectual disability (ID) at a rate up to seven times higher than the general population. While PTSD is commonly considered a potential consequence of sexual assault, the health effects are often much more complex and varied. Survivors experience a higher risk of depression, anxiety, substance use, self-harm, and suicidality. There are increased risks of medical conditions such as irritable bowel syndrome, fibromyalgia, increased pain, and chronic fatigue. Individuals living with ID face many unique barriers in reporting a sexual assault and receiving subsequent clinical attention. Clinicians who understand these challenges can more effectively facilitate comprehensive, compassionate care.