• Symptoms of Anxiety These include unexplained sleep disturbances (sweats, terrors, nightmares); showing a new or unusual fear of certain people, places, or locations; having unexplained periods of panic or alarm.
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  • Abnormal Sexual Behaviors or Symptoms These behaviors and symptoms include excessive masturbation; leaving ‘clues’ that appear to intentionally invite discussion of sexual issues; complaining of pain while using the toilet, or exhibiting symptoms of a sexually transmitted disease such as an offensive odor or an unusual rash; resistance to removal of clothing at appropriate times (bath, bed, toilet, diaper change);any symptom indicating evidence of physical trauma to the genital or anal area; engaging in persistent sexual play with friends, toys or pets; initiating sophisticated sexual behaviors, language, or knowledge; asking an unusual amount of questions about human sexuality.
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  • Changes in Personality or Mood Changes include unusually aggressive behavior toward family members, friends, toys, and pets; indicating a sudden reluctance to be alone with a certain person; withdrawing from previously enjoyable activities, like school, or abrupt changes in academic performance.
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  • General Behavioral Changes These can include beginning to wet the bed, experiencing a loss of appetite or other changes in eating habits, including trouble swallowing; developing frequent unexplained health problems; regression to behaviors too young for the stage of development previously achieved; or engaging in self-destructive or self-mutilative behaviors.
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  • Changes in Beliefs or Discussions These changes can include refusal to talk about a secret shared with another adult or older child; discussions about a new, older friend; suddenly thinks of self or body as dirty, bad or repulsive.