How It's Complicated works
1
Find your therapistUse our free matching service for personal recommendations, or browse our network of 2,500+ therapists yourself.
2
Create your free accountSign up in under 2 minutes. All you need is an email and a password, and you're ready to go.
3
Start therapyReach out to your therapist and book your first session within 24 hours. Online or in person, in 60+ languages.
Learn more about paedophilia
Paedophilic disorder is recognised in the DSM-5 as a paraphilic disorder involving an intense and persistent sexual attraction to prepubescent children. The DSM-5 distinguishes between a paraphilia (the attraction itself) and a paraphilic disorder, which applies when the attraction causes significant personal distress or involves behaviour that has caused or risks causing harm to children. Any sexual contact between an adult and a child is illegal and causes serious harm. This page is for people who experience distressing, unwanted attraction to children and are seeking professional support to manage it.
People who seek clinical support in this area typically present with some of the following.
Common experiences
- Persistent sexual attraction to children that is unwanted and causes significant distress or shame
- Intrusive sexual thoughts about children that feel difficult or impossible to control
- Fear of acting on thoughts or urges, accompanied by a strong motivation not to do so
- Social withdrawal, avoidance of situations involving children, or difficulty functioning normally as a result of the distress
- Depression, anxiety, or isolation connected to the experience of the attraction and its implications
Therapy for paedophilic disorder focuses on managing distress, building effective strategies, and reducing the risk of harmful behaviour, not on endorsing or facilitating any contact with children.
- CBT (Cognitive Behavioural Therapy) CBT adapted for this presentation addresses the thought patterns and urges associated with paedophilic attraction, building skills in recognition, interruption, and risk management.
- Psychiatry Psychiatrists can assess the full clinical picture and, where appropriate, consider medication to reduce sexual drive as part of a broader management plan.
- Clinical psychology Clinical psychologists conduct thorough assessments, formulate the specific presentation, and design a treatment plan suited to the individual's circumstances and level of risk.
- Psychotherapy Broader psychotherapeutic work can address the emotional and developmental roots of the attraction, the shame and isolation that typically accompany it, and the building of a meaningful life in which the risk of acting out is reduced.
It's Complicated is a therapist-founded mental health platform connecting clients with verified practitioners across Europe and globally, in over 60 languages. We work with over 2,500 vetted therapists, with in-person availability in Berlin, Amsterdam, Barcelona, Lisbon, Vienna, and other major cities, alongside online sessions worldwide. It's Complicated is free to use, and you pay your chosen therapist directly at rates they set.
Finding a clinician experienced in complex sexual presentations, who will approach the work without judgement while maintaining appropriate professional responsibility, requires a specific kind of matching. Our matching service is built to remove that friction. You complete a short survey, our psychologists combine data-driven insights with human judgement to identify the right therapists for your situation, and you choose from a shortlist of strong candidates. You can also browse our directory directly if you'd prefer to choose yourself.
Get matched with a clinician who specialises in disorders of sexual preference, or browse the directory.








