title: Treatment for youth paraphilic disorders: opportunities to reduce harm.
abstract: OBJECTIVE
  To outline current understanding and recommended treatments for paraphilic or sexual deviant disorders in adolescents and youth.
  
  
  METHODS
  An overview of the diagnosis, development and scope of paraphilic disorders. Evidence and an algorithm for pharmacological treatments in youth are outlined.
  
  
  RESULTS
  Paraphilic disorders are relatively common in adolescents and youth, with fantasies and urges preceding the onset of deviant behaviour by a handful of years. Research in youth is sparse, but the available evidence supports that paraphilic disorders respond favourably to psychological and pharmacological treatments.
  
  
  CONCLUSIONS
  The detection of paraphilic disorders in adolescents and youth presents a window of opportunity, where treatment may be provided before deviant behaviour occurs, potentially reducing the future incidence of sexual abuse.
authors.affiliation: Consultant Forensic, Child and Adolescent Psychiatrist, Adolescent Unit, The Forensic Hospital, Matraville, NSW, and; Conjoint Lecturer, School of Psychiatry, University of New South Wales, Sydney, NSW, and; Forensic Mental Health Service, ACT Health, Canberra, ACT, and; Visiting Fellow, Centre for Mental Health Research, Australian National University, Canberra, ACT, and; The Level 8 Practice, Sydney, NSW, Australia.
authors.forename: John
authors.initials: J
authors.lastname: Kasinathan
mesh_terms: D000293:Adolescent; D001689:Biological Psychiatry; D015928:Cognitive Behavioral Therapy; D004358:Drug Therapy / Q000379:methods*; D006801:Humans; D010262:Paraphilic Disorders / Q000175:diagnosis* / Q000628:therapy*; D018570:Risk Assessment; D012307:Risk Factors; D012720:Severity of Illness Index; D012742:Sex Offenses / Q000517:prevention & control; D055815:Young Adult
keywords: adolescents; biological treatment; paraphilic disorders; sexual deviance; youth