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I saw a documentary about three or four decades ago with a guy who was a paedophile. After watching it I felt bad for him, he basically said "I was never abused. To me it seems natural to think of children as sexual beings. I realise why it is wrong and I will never act on it.
Think of it this way. You may find blondes beautiful, but you don't know why. Now I imagine if everyone else was wanting you dead because you like blondes. That's me. And no one will help me."
He looked for help in many different ways and places, the doctors, therapists, mental health clinics etc etc but they all just kept on reporting him to the police. I think in the end he tried to commit suicide, or he tried to chop his own balls off to stop the urges. It was something extreme. After that he got the help he needed anyways.
I've looked for it a few times but never could find it again. I may be misremembering certain things, but the basics are her knew it was a mental disorder and wanted help. But only got it when things got extreme.
These are the people who should get help.
The ones like that obese orange child rapist should get the noose.
I'm so glad documentaries like that exist. It was documentaries like the one you mentioned that I stumbled across and that made me realize that "locking up all the pedophile monsters" was a narrative that would harm my children, not protect them. I can barely imagine how lonely and cruel such a fate must be and the bare minimum we can do as a society is to offer the help, support, and compassion to these people.