The main goal of these recommendations was to assess the effectiveness of pharmacological treatments for adolescents with paraphilic disorders who are sexual offenders or at-risk of becoming sexual offenders. Treatments that are psychosocial and psychotherapeutic were also examined. Particularly when compared to adults, adolescents with paraphilic illnesses pose a different therapeutic challenge. Additionally, the majority of the published treatment programmes have made use of psycho-educational, familial, and cognitive behavioral interventions. Adolescent psychological therapy is based on the idea that sexually inappropriate behavior can be controlled by the offender and that more mature behaviors can be taught. These recommendations’ major goals are to raise the standard of care and support medical professionals in making clinical judgements and viability. An algorithm is proposed for the treatment of paraphilic disorders in adolescent sexual offenders or those who are at risk.