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A pedophile is a person, most frequently a man, who focuses his sexual fantasies and behavior toward children. People who enjoy child pornography are pedophiles. Some pedophiles are sexually attracted only toward children and are not at all attracted toward adults. Pedophilia is usually a chronic condition. Main characteristics are:

Repeatedly for at least 6 months, the patient has intense sexual desires, fantasies or behaviors concerning sexual activity with a sexually immature child (usually age 13 or under).

This causes clinically important distress or impairs work, social or personal functioning.

The patient is 16 or older and at least 5 years older than the child.

State whether:

     Sexually Attracted to Males.
     Sexually Attracted to Females.
     Sexually Attracted to Males and Females.

Specify if: Limited to incest

State whether:

     Exclusive type (aroused only by children).
     Nonexclusive type.

When a pedophile becomes sexually active with a child he/she may:

Undress the child.
Encourage the child to watch them masturbate.
Touch or fondle the child’s genitals.
Forcefully perform sexual acts on the child.

Associated Features:

Abuse (past or present)
Somatic or Sexual Dysfunction
Sexually Deviant Behavior
The idea of Sex as a Requisite for Affection.

Differential Diagnosis:

Some disorders have similar or even the same symptoms. The clinician, therefore, in his/her diagnostic attempt has to differentiate against the following disorders which need to be ruled out to establish a precise diagnosis.

Impulse Control Disorder


Most paraphilic fantasies begin in late childhood or adolescence and continue throughout adult life. Intensity and occurrence of the fantasies are variable, and they usually decrease as people get older.


Treatment option can be a mixture of psychotherapy and medication.

Counseling and Psychotherapy [ See Therapy Section ]:

Cognitive, behavior, and psychoanalytic therapies are used to treat individuals with paraphilia's.

Pharmacotherapy [ See Psychopharmacology Section ] :

Some prescription medicines have been used to help decrease the compulsive thinking associated with the paraphilia's. Hormones are prescribed occasionally for individuals who experience intrusive sexual thoughts, urges, or abnormally frequent sexual behaviors. Almost always the treatment must be long-term if it is to be effective.


DSM Code

302.2 Pedophilia

F65.4 Pedophilia

Disorder Sheets

SANE / SaneLine
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Recommended Book

Sexual Offending Against Children: Assessment and Treatment of Male Abusers - Click Here to View



Misc Information


Sexual Dysfunction's