A 16-year-old girl presented to a community clinic with a history of sexual assault by a 24-year-old man six months earlier. She reported accepting a ‘Facebook’ friend request from this previously unknown man, chatting with him online for several weeks and confiding in him about problems she was experiencing with her peers at school. After engaging in increasingly intimate online conversations and exchanging a number of sexually explicit photos, she agreed to meet him in person for the first time at his home. When she refused his sexual advances, he forcefully sexually assaulted her. They have since had no contact. She presented as anxious and reluctant to report the assault to the police. Her mother, who accompanied her to the clinic, appeared distraught yet very supportive of her daughter. No current physical symptoms, such as vaginal bleeding, discharge or pain, were noted. The physical examination, including close inspection of her genital area, demonstrated normal findings. Specimens were collected to test for pregnancy and sexually transmitted infections, including gonorrhea, chlamydia, HIV, hepatitis B and C, and syphilis. A sexual assault evidence kit was not indicated due to the historical timeframe of the incident. A HEADSS (Home, Education, Activities, Drug use and abuse, Sexual behaviour, Suicidality and depression) assessment highlighted feelings of sadness, anxiety, social isolation and bullying at school. She reported experiencing intrusive thoughts of the assault, particularly at night, as well as intense feelings of self-blame and shame. The option of involving the police was discussed; however, she declined despite ongoing fears for her safety.