This inquiry explored whether childhood sexual abuse (CSA) survivors who employ emotion language when describing their abuse experiences display better mental health. It examined the trauma narratives of 55 adults employing the Linguistic Inquiry and Word Count program. It explored whether positive and negative emotion language in participants’ abuse narratives were linked with self- and caregiver-reported mental health symptoms and whether these associations diverged by abuse intensity. As hypothesized, participants who employed more positive and negative emotion language had better psychological results, particularly when the abuse was more intense.