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The goal of treatment is not only to treat current mental health issues, and trauma related symptoms, but also to prevent future ones.Children often present for treatment in one of several circumstances, including criminal investigations, custody battles, problematic behaviors, and referrals from child welfare agencies.

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For instance, treatment of young children generally requires strong parental involvement and can benefit from family therapy.

Adolescents tend to be more independent; they can benefit from individual or group therapy.

Their examination of a small sample of CSA-discordant twins also supported a causal link between child sexual abuse and adult psychopathology; the CSA-exposed subjects had a consistently higher risk for psychopathologic disorders than their CSA non-exposed twins. generated controversy by suggesting that child sexual abuse does not always cause pervasive harm, that some college students reported such encounters as positive experiences and that the extent of psychological damage depends on whether or not the child described the encounter as "consensual." Depending on the age and size of the child, and the degree of force used, child sexual abuse may cause internal lacerations and bleeding.

In severe cases, damage to internal organs may occur, which, in some cases, may cause death.

Child sexual abuse can occur in a variety of settings, including home, school, or work (in places where child labor is common).

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