When the child: suddenly refuses to change for gym or to participate in physical activities; Reports nightmares or bedwetting; Experiences a sudden change in appetite; Demonstrates bizarre, sophisticated, or unusual sexual knowledge or behaviour for their age; Becomes pregnant or contracts a sexually transmitted infection, particularly if under age 14; Runs away; Reports sexual abuse by a parent or another adult caregiver. AND/OR when the adult/parent/caregiver: Is unduly protective of the child or severely limits the child's contact with other children; Is secretive and isolated; Is jealous or controlling with family members.