The objectives in this study were: 1) To provide insight into Reality Counseling Services in Dealing with Post-Traumatic Stress Disorder (PTSD) in Children Victims of Sexual Violence. This study used an experimental method of single subject research (single subject research design) with A-B-A design. The instruments used were acute stress disorder interview (ASDI) and the Acute Stress Disorder Scale (ASDS). The subjects of this study were 3 children who were victims of sexual violence with the following criteria: Registered as victims in Pusat Pelayanan Terpadu (PPT) East Java Province from September to November 2017, the range after 6 months. The assistance or service is carried out for 3 months, namely in July-September 2018 in the victim's house or the place agreed upon by the Counselor with the counselee. The analytical method used in this study is visual inspection. The results of this study were obtained from the description of the implementation of reality counseling to deal with Post-Traumatic Stress Disorder (PTSD) in Children of Sexual Violence Victims in 8 sessions, with a description, session 1 of the implementation of the Pre test; session 2-7 counseling intervention phase Reality with the media "feeling worksheet" instrument; "Feeling face chart"; "False Belief"; "How I Have Fun"; "Who Care About Me"; "Something I Get Angry"; "Three Wishes"; "I Made Choice" and "counseling journal". This study recommends that counselors, parents, guidance and counseling teachers be able to apply further and appropriate strategies in an effort to deal with post traumatic stress disorder (PTSD) in children who are victims of sexual violence.