Our expert says:
it's possible that this might suggest that she may have been abused at some time, or otherwise exposed to sexual activities, especially as she suggests that something very bad has happened which makes her feel heartsore. if the therapist she sees is any good, she ought to be able to open up to him / her. Ask the school if they can recommend a suiotable therapist / child psychologist, experienced in this field ; and inquire as to whether the school district could in some way help to cover some costs of such a referral ( sometimes in an enlightened school district, they might have such a psychologist as a consultant available for such situations ).
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