T74.22

Clinical Causes: Perpetrators seeking power and control over a child Abuse often occurs within trusted relationships, such as family members, caregivers, or family friends Perpetrators may have a history of abuse themselves or mental health issues that contribute to their actions Environmental factors, including lack of supervision or protective community environments Isolation of the child, which can increase vulnerability to abuse

Key Symptoms: Behavioral signs such as withdrawal, fearfulness, or anxiety Changes in sleep patterns, including nightmares and insomnia Sudden inappropriate sexual knowledge or behavior for the child's age Physical signs like bruising, bleeding, or soreness in genital areas Regression to earlier behaviors such as thumb-sucking or bed-wetting Reluctance to be around specific individuals or places Difficulty trusting others or developing healthy relationships

Diagnosis Path: Diagnosis typically involves a comprehensive evaluation by healthcare professionals, including medical examinations, psychological assessments, and interviews with the child and caregivers. Medical providers look for physical evidence of abuse and assess the child's emotional and behavioral health. Collaboration with specialists such as child psychologists and social workers ensures a thorough understanding of the child's situation.

Treatment Protocols: Psychological therapy for the child, such as trauma-focused cognitive-behavioral therapy (TF-CBT), to address emotional and mental health needs Medical treatment to address any physical injuries or health issues resulting from abuse Counseling and support for non-abusing caregivers Legal interventions, including reporting to authorities and coordination with child protective services Safety planning to prevent future abuse and ensure the child's environment is secure Community resources and support groups for both the child and family to assist in recovery