Calls to rape crisis centers are surging around the country amid an unprecedented public outpouring of survivors' stories about sexual misconduct.

Managers of crisis hotlines say the barrage of news implicating men in some of the most powerful positions in Hollywood, politics and the media is compelling women from all walks of life to speak out about their own traumatic experiences with sexual assault, many for the first time.

Advocates for sexual violence prevention see the national conversation as a hopeful moment that could bring lasting change. It is also a challenging one in the short term, with a spike in demand that is straining the resources of about 1,300 rape crisis centers around the country.

“The good news is we were able to help a record number of people last month,” said Scott Berkowitz, president or the Rape Abuse & Incest National Network, a national hotline. “The bad news is that there are even more that came to us and left before we could reach them because our wait times were too high.”

He said it's typical to see an uptick in calls when there is a big news story or a scandal, but the past year has brought two significant and sustained increases in demand for counseling and support.

The first came last year, after publication of a recording of then-presidential candidate Donald Trump bragging about groping women to the former host of “Access Hollywood.”

The second came in October with the report of decades of sexual harassment allegations against Hollywood producer Harvey Weinstein and then a #MeToo campaign went viral with many people sharing their own stories.

In all, the network responded to 19,432 survivors in October, a 10 percent increase from the month before. In addition to a general hotline and live online chat line, RAINN operates hotlines for the Department of Defense and the Peace Corps.

At peak traffic last month, when #MeToo was trending, some people waited online or on the phone for up to three hours, Berkowitz said. In response to the demand, the network recently trained a group of 20 new people. It now has 150 people working for its call center and is planning to hire 18 more, he said.

Requests for counseling are up at Doorways for Women and Families in Arlington County in Virginia, which saw a 15 percent increase in calls to its hotline last month. The D.C. Rape Crisis Center has seen a similar increase in calls and a 20 percent increase in requests for therapy. The uptick began last fall and has continued through the year, said Indira Henard, executive director of the center.

She said many survivors are referencing the headlines when they call. The daily reminders are creating stress and instability for many who have a history of trauma, she said.

“Every time they are on Facebook and Twitter, they are being triggered. In their news feeds, there is another article and then another,” she said. “Every time something happens, it activates what is in your nervous system.”

The uptick is happening across the country. In Cleveland, the volume of calls jumped 50 percent at the height of the #MeToo campaign, said Sondra Miller, president and chief executive of the Cleveland Rape Crisis Center.

Miller said the center has heard from distraught parents who found #MeToo on their children's social media profiles and did not know how to respond. And it has heard from survivors feeling pressure to publicly share their own stories, even if they don't feel they are in a “healthy place” to do that, she said. “We remind them they are under no obligation to share,” Miller said.

The hotline gets a lot of calls at night, she said. “People are having trouble sleeping or having flashbacks or nightmares or anxiety or depression. They want someone to help them through the next few hours,” she said.

In Fort Wayne, the Women's Bureau Rape Crisis Hotline has not seen a surge in phone calls, said Liz Toporas, the full time clinical counselor in Fort Wayne. But that could change.

“Holiday time is bad anyway, so I probably do expect to see an increase,” Toporas said.