Sexual Counseling (Sexual Violence Perpetrator, Sexual abu

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1. Arrest and conviction for a sexually related crime, such as exhibitionism, exposure, voyeurism, or criminal sexual conduct (first, second, or third degree).

2. Sexual abuse of a younger, vulnerable victim. 

3. Frequent use of language that has an easily noted sexual content. 

4. Evident sexualization of most, if not all, relationships.

5. Focus on and preoccupation with anything of a sexual nature.

6. Positive familial history pf incest. 

7. History of being sexually abused as a child.

Interest in pornographic content in books, magazines, videos, and/or on the internet that is more than mere curiosity. 

1. Threats of violence have been made against students, teachers, and/or administrators.

2. Violent or aggressive behavior has been directed toward peers and/or school authority figures.

3. Feels alienated from most peers within the school.

4. Subjected to bullying or intimidation from peers.

5. Subjected to ridicule, teasing, or rejection from peers.

6. Engages in drug or alcohol abuse.

7. Has access to or a fascination with weapons.

8. Has a history of hurting animals.

9. Has a history of conflict with authority figures.

10. Exhibits poor academic performance. 

11. Feels disrespected by peers and adults.

12. Lacks close attachment to family members.

1. Self-report of being sexually abused.

2. Physical signs of sexual abuse (e.g., red or swollen genitalia, blood in the underwear, constant rashes, a tear in the vagina or rectum, venereal disease, hickeys on the body).

3. Vague memories of inappropriate childhood sexual contact that can be corroborated by significant others.

4. Strong interest in or curiosity about advanced knowledge of sexuality.

5. Pervasive pattern of promiscuity or the sexualization of relationships.

6. Recurrent and intrusive distressing recollections or nightmares of the abuse.

7. Acting or feeling as if the sexual abuse were reoccurring (including delusions, hallucinations, or dissociative flashback experiences).

8. Unexplainable feelings of anger, rage, or fear when coming into contact with the perpetrator or after exposure to sexual topics.

9. Pronounced disturbance of mood and affect (e.g., frequent and prolonged periods of depression, irritability, anxiety, and fearfulness).

10. Marked distrust of others as manifested by social withdrawal and problems with establishing and maintaining close relationships.

11. Feelings of guilt, shame, and low self-esteem.

12.  Excessive use of alcohol or drugs as a maladaptive coping mechanism to avoid dealing with painful emotions connected to sexual abuse.

Sexualized or seductive behavior with younger or same-aged children, adolescents, or adults (e.g., sexualized kissing, provocative exhibition of genitalia, fondling, mutual masturbation, anal or vaginal penetration). 

1. Uncertainty about sexual orientation.

2. Sexual fantasies and desires about same-sex partners that cause distress.

3. Feelings of guilt, shame, and/or worthlessness. 

4. Depressed mood; diminished interest in activities.

5. Concealment of sexual identity from parents.

6. Recent homosexual experimentation that has created questions about sexual orientation.

7. Parents verbalize distress over concern that the client may be homosexual.

8. Recent disclosure of homosexual identity to parents.

Parents express feelings of failure because the client is gay/lesbian. 

1. Engagement in sexual intercourse with several different partners with little or no emotional attachment.

2. Engagement in sexual intercourse without birth control and without being at a stage of development to take responsibility for a baby.

3. Sexually active with one partner but with no sense of long-term commitment to each other.

4. No utilization of safer-sex practices.

5. Routine public engagement in sexually provocative dress, language, and behavior.

6. Talking freely of own sexual activity without regard for consequences to reputation or loss of respect from others.

7. Use of drugs and/or alcohol to alter mood and judgement prior to and during sexual activity. 

8. Low self-esteem evidenced by self-disparaging remarks and predictions of future failure.

9. Depression evidenced by irritability, social isolation, low energy, and sad affect.

10. Hypomania evidenced by impulsivity, high energy, lack of following-through, and pressured speech.

11. Angry, oppositional pattern of behavior that is in conflict with social mores, parental rules, and authority figures. 

Conflict and instability within the family of origin.