I would very much appreciate any advice or orientation on dealing with child compulsive masturbation. My patient is a girl, 4 years old, who is compulsively masturbating at home, and school, as well, regardless of being with others or not. I've checked for any medical (infections, allergies, etc.) influences. She's OK. Also, important, is that she has no friends at school, and her other older sisters leave her often out of their playing games. I have some ideas to work with, but since I'm more or less a beginner (family and couple systemic therapist), and have no one else to talk to the place I live in, I will really appreciate any orientation. Thank you.