This article presents the results of a study that assesses the dynamics of the parameters of sexual awareness in mentally sick patients (sexual criminals with pedophilia and comobrid mental disorders in the process of compulsory treatment). 52 patients were examined before and after the course of treatment (psychopharmacological effect combined with antiandrogens and cognitive-behavioral psychotherapy); among which there are 32 subjects with heterosexual pedophilia, 11 subjects - with homosexual pedophilia, 9 subjects - with bisexual pedophilia; 22 subjects (43,3 %) diagnosed with schizophrenia, 18 subjects (34,6%) - with organic personality disorder, 12 subjects (23%) - with mild mental retardation. Methods used: “MiF” - a modified gender identity test; “TsTO” - “Color Test”; "Coding"; Vagner Test (a computer version of the HAND test) and the Drawing Test “Man. Woman. Child». The identified changes make it possible to detect actual targets for psychotherapeutic intervention and can be taken into account when determining the risk of recidivism and of patients’ danger degree.