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            |  | Signs 
                of Sexual Abuse
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            | There are various lists of possible physical and behavioral indicators 
              of child sexual abuse, some of which are: 
                (By Kathy Smedley, Licensed Professional Counselor, a Licensed Marriage, 
              Family Therapist, and Program Director for the Northeast Texas Children's 
              Advocacy Center.) Waking up during the night sweating, screaming or shaking 
                  with nightmares. 
 
Masturbating excessively. 
 
Showing unusually aggressive behavior toward family members, 
                  friends, toys, and pets. 
 
Complaining of pain while urinating or having a bowel movement, 
                  or exhibiting symptoms of genital infections such as offensive 
                  odors, or symptoms of a sexually transmitted disease. 
 
Having symptoms indicating evidence of physical traumas to 
                  the genital or anal area. 
 
Beginning wetting the bed. 
 
Experiencing a loss of appetite or other eating problems, 
                  including unexplained gagging. 
 
Showing unusual fear of a certain place or location. 
 
Developing frequent unexplained health problems. 
 
Engaging in persistent sexual play with friends, toys or pets. 
                  
 
Having unexplained periods of panic, which may be flashbacks 
                  from the abuse. 
 
Regressing to behaviors too young for the stage of development 
                  they already achieved. 
 
Initiating sophisticated sexual behaviors. 
 
Indicating a sudden reluctance to be alone with a certain 
                  person. 
 
Engaging in self-mutilations, such as sticking themselves 
                  with pins or cutting themselves. 
 
Withdrawing from previously enjoyable activities, like school 
                  or school performance change.
 
Asking an unusual amount of questions about human sexuality. 
               
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