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I described 4 categories of sexually victimized children (① in family assaulted by adult, ② out of family assaulted by adult, ③ in family assaulted by child, ④ out of family assaulted by child) with model cases in terms of occurring factors and treatment techniques. There is limited research or empirical evidence in this area because those supporters hesitate to consult with a specialist, especially when the victim is a child. For the child psychiatrist and allied professional, the main role is evaluating, with standard developmental and emotional assessments, children who conducted the assault or were victimized. Professionals also need to decide the kind of care and degree of urgency of care that is needed for the victim, and the advice for the actual supporter, if continuous care is required. As in all cases of child abuse, the child who conducted the assault or the victimized child needs access to psychiatric services to address concerns about their situation, to determine appropriate levels of care, and to construct a healthy support system. [ABSTRACT FROM AUTHOR]