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  • Over a period of at least 6 months, recurrent, intense sexually arousing fantasies, sexual urges, or behaviors involving sexual activity with a prepubescent child or children (generally age 13 years or younger).

  • The person has acted on these sexual urges, or the sexual urges or fantasies cause marked distress or interpersonal difficulty.

  • The person is at least age 16 years and at least 5 years older than the child or children in Criterion A.

    Note: Do not include an individual in late adolescence involved in an ongoing sexual relationship with a 12- or 13-year-old.

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