Isolated nightmare may be over but jarring re-entry into a world much different to the one they were snatched from a decade ago may take time to adjust to, psychologist says.
Kidnapped Cleveland women begin their recovery
Now, for the women freed from captivity inside a Cleveland house, the ordeal is not over. Next comes recovery - from sexual abuse and their sudden, jarring re-entry into a world much different from the one they were snatched from a decade ago.
Therapists say that with extensive treatment and support, healing is likely for the women, who were 14, 16 and 21 when they were abducted. But it is often a long and difficult process.
"It's sort of like coming out of a coma," said Barbara Greenberg, a psychologist who specialises in treating abused teenagers. "It's a very isolating and bewildering experience."
In the world the women left behind, a gallon of gas cost about $1.80 (Dh6.60). Barack Obama was a state senator. Phones were barely taking pictures. Things did not "go viral". There was no YouTube, no Facebook, no iPhone.
Emerging into the future is difficult enough. The two younger Cleveland women are doing it without the benefit of crucial formative years.
"By taking away their adolescence, they weren't able to develop emotional and psychological and social skills," said Duane Bowers, who counsels traumatised families through the National Centre for Missing and Exploited Children.
"They're 10 years behind in these skills. Those need to be caught up before they can work on reintegrating into society," he said.
That society can be terrifying. As freed captive Georgina DeJesus arrived home from the hospital, watched by a media horde, she hid herself beneath a hooded sweatshirt. The freed Amanda Berry slipped into her home without being seen.
In the house owned by Ariel Castro, who is charged with kidnapping and raping the women, claustrophobic control ruled. Police say that Mr Castro kept them chained in a basement and locked in upstairs rooms, that he fathered a child with one of them and that he starved and beat one captive into multiple miscarriages.
In all those years, they only set foot outside of the house twice - and then only as far as the garage.
"Something as simple as walking into a Target is going to be a major problem for them," Mr Bowers said.
Jessica Donohue-Dioh, who works with survivors of human trafficking as a social work instructor at Xavier University in Cincinnati, said the freedom to make decisions can be one of the hardest parts of recovery.
"'How should I respond? What do they really want from me?'" Ms Donohue-Dioh said, describing a typical reaction. "They may feel they may not have a choice in giving the right answer."
Another step toward normality for the three women will be accepting something that seems obvious to the rest of the world: they have no reason to feel guilty.
Ms Donohue-Dioh said even for people victimised by monstrous criminals, guilt is a common reaction. The Cleveland women told police they were snatched after accepting rides from Mr Castro.
"They need to recognise that what happened as a result of that choice is not the rightful or due punishment. That's really difficult sometimes," Ms Donohue-Dioh said.
Family support will be crucial, the therapists say. But what does family mean when one member has spent a decade trapped with strangers?
"The family has to be ready to include a stranger into its sphere," Mr Bowers said. "Because if they try to reintegrate the 14-year-old girl who went missing, that's not going to work. That 14-year-old girl doesn't exist anymore. They have to accept this stranger as someone they don't know."
Natascha Kampusch, who was kidnapped in Austria at age 10 and spent eight years in captivity, has said that her 2006 reunion with her family was both euphoric and awkward.
"I had lived for too long in a nightmare, the psychological prison was still there and stood between me and my family," Ms Kampusch wrote in 3096 Days, her account of the ordeal.
Ms Kampusch, now 25, said in a German television interview that she was struggling to form normal relationships, partly because many people seem to shy away from her.
"What a lot of these people say is: 'What's more important than what happened is how people react,'" said Ms Greenberg, the psychologist.