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Anonymous Digital Therapy May Increase Help-Seeking Among Stigmatized Individuals.

Luke Flanagan1, Jana Scheibig1, Paula Busch2

  • 1Berlin Institute of Health at Charité - Universitaetsmedizin Berlin, Berlin, Germany.

Studies in Health Technology and Informatics
|May 23, 2026
PubMed
Summary

Public stigma deters individuals with a sexual interest in children (ISIC) from therapy. Anonymous digital therapy may increase ISIC engagement, improving coping strategies and reducing child sexual abuse material (CSAM) and child sexual abuse (CSA).

Keywords:
AnonymityDigital HealthOnline SurveyPaedohebephiliaPrivacyStigmaTherapyUser Study

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Area of Science:

  • Psychology
  • Criminology
  • Digital Health

Background:

  • Child sexual abuse (CSA) and child sexual abuse material (CSAM) largely occur undetected.
  • Public stigma against individuals with a sexual interest in children (ISIC) creates significant barriers to therapy.
  • Therapy is a key intervention for reducing CSA offense risk and CSAM consumption.

Purpose of the Study:

  • To examine treatment anxieties among ISIC.
  • To investigate the impact of anonymity on ISIC comfort with therapy.
  • To explore the potential of anonymous digital therapy for ISIC.

Main Methods:

  • Qualitative analysis of ISIC treatment anxieties.
  • Assessment of comfort levels with therapy under varying conditions of anonymity.
  • Exploration of digital therapy as a modality for ISIC.

Main Results:

  • Anonymity significantly increases ISIC comfort with the prospect of therapy.
  • ISIC express substantial anxieties regarding seeking and engaging in treatment.
  • Digital therapy, particularly with anonymity, shows promise for increasing engagement.

Conclusions:

  • Addressing ISIC treatment anxieties through anonymity is crucial for improving mental well-being and coping strategies.
  • Anonymous digital therapy could be an effective strategy to increase ISIC engagement in treatment.
  • Reducing barriers to therapy for ISIC is essential for mitigating CSA and CSAM.