According to the Child Molestation Research and Prevention Institute, at least 3 million children in America are reportedly molested before turning 13 years old. Protective parents want to know if something has happened to their child, and there are many signs to help you know when to seek further attention for help. Physical symptoms may include painful urination, frequent infections, blood in their underwear, unexplained injuries, or actual damage to the body.

Behavioral symptoms may include

Avoiding specific places or people

Most kids go through phases of separation anxiety, but when this becomes continuous, and the child cannot be consoled, there may be a specific reason the child does not want to be there.

Wetting (or other behavioral regression)

Like other behavior regression, sudden return to bedwetting or soiling clothes after toilet training is often a red flag for high anxiety or trauma. Sometimes it is one or the other, sometimes it is due to biological causes. A visit with the doctor can help determine what is going on and help you know what to do about it.

Inappropriate touching

It is common at different developmental stages to be curious about people's bodies or want to explore and understand. It's a sign of something wrong when the child continues inappropriate touching (of themselves or others) despite redirection, especially if it mimics behavior they may have witnessed or experienced.

Emotional symptoms may include

Sudden changes in mood or personality style

All kids have good days and hard days, different emotional responses, and different developmental phases of emotional development. But, if a normally outgoing child suddenly becomes withdrawn or shy, or a normally well-tempered child suddenly becomes consistently aggressive, that may be a red flag.

Guilt or shame

If your child's normally happy temperament changes to that look they get when they are in trouble and don't bounce back to "normal," this is a red flag. It's often not just a red flag that they may have been abused, but also that they think it was their fault or that they were threatened into not telling.

Nightmares

All kids have nightmares, and some even go through phases of night terrors, but sudden onset of nightmares, or nightmares that won't go away or are specific in nature, may be related to a traumatic experience.

You can teach your children basic safety without making them afraid. It is good to teach them that no one, other than a parent or a doctor, should ever see or touch the private places (or "swimsuit areas") of their body. It is important to tell them to say "no" if they are ever uncomfortable with how someone is touching them. It is critical to teach them to tell a safe adult if they ever feel like they have been touched inappropriately or are uncomfortable with how someone has touched them.

However, depending on the nature of what has happened, the child may be too afraid or ashamed to tell anyone. It is important to know the signs that a child has been molested so that you can seek help immediately. If the child needs immediate medical attention, call 911 or go to your nearest emergency room. You could also call your regular doctor, a counselor, or a hotline like the Childhelp National Child Abuse Hotline (800-422-4453).

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