The aim of this study was twofold. First, to explore what challenges social workers may experience in their work with female rape survivors. The second aim was to explore how social workers work with females who have survived rape. A qualitative research design was chosen, and semi-structured interviews with social workers were conducted. Thematic analysis was used to structure the findings. Four themes were found in connection to challenges; feelings of shame and guilt among rape survivors, the criminal proceedings, to not be able to help all survivors and lastly potential threats to social workers’ own wellbeing. The findings regarding methods were that the social workers adapt their work strategies based on the needs of the survivor. The social workers used strategies focused on reducing feelings of shame and guilt and normalizing symptoms.