Prosecution of such cases is a rarity but porn addicts and porn users need to figure out the reporting requirements for their state and make a judgment as to where their therapist stands on weighing confidentiality vs.
But even if the porn has entirely adult content and even if there are no real children depicted anywhere in it, there are ways porn addicts and porn users can get in trouble.
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You need also to be aware of federal criteria in the law cited above that classifies porn as child porn when it depicts content in such a manner that conveys the impression that the material is or contains a visual depiction of a minor engaging in sexually explicit conduct.
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