• Torn or stained clothing

  • Stained bed/bedding

  • Difficulty walking or sitting

  • Vaginal or rectal bleeding

  • Itching, swelling or pain in the genital area

  • Vaginal infections or sexually transmitted diseases

  • Bruising in the genital area or inner thighs

  • Incontinence

  • Pregnancy

  • Stares, day dreaming, fantasizing

  • Fear of the dark, nightmares, disturbed sleep

  • Extreme changes in behavior

  • Bed wetting

  • Sexual promiscuity

  • Dressing provocatively

  • Unexplained money or gifts following contact with a specific caregiver

  • Fear of a person or place

  • Fear of being left alone or going home

  • Frequent bathing

  • Refusal to disrobe for bedtime or showers in front of familiar or trusted others

  • Aggressive or disruptive behavior

  • Running away

  • Shy, withdrawn, isolated, depressed, crying

  • Talk of suicide or attempts

  • Excessive interest in pornography

  • Abusing alcohol or drugs

  • Engaging in illegal activities

  • Asking another adult if he/she can live with them