Multimodal fMRI and DTI correlates of affective symptoms in diarrhea-predominant irritable bowel syndrome: a subtype-focused neuroimaging study

ObjectiveTo investigate brain structural and functional alterations in diarrhea-predominant irritable bowel syndrome (IBS-D) and their associations with affective symptoms using multimodal magnetic resonance imaging (MRI).Methods53 IBS-D patients and 55 healthy controls (HCs) underwent resting-state functional MRI (rs-fMRI) and diffusion tensor imaging (DTI). Rs-fMRI data were analyzed using fractional amplitude of low-frequency fluctuation (fALFF), z-transformed regional homogeneity (zReHo), and functional connectivity (FC). For DTI data, we extracted fractional anisotropy (FA), mean diffusivity (MD), radial diffusivity (RD), and axial diffusivity (AD) under the tract-based spatial statistics (TBSS) framework. Inter-group comparisons of rs-fMRI metrics used FDR correction (q < 0.05), whereas DTI metrics were compared using non-parametric permutation testing with TFCE correction (p < 0.05). Abnormal imaging metrics were correlated with scale scores of symptoms, anxiety, depression and sleep quality.ResultsCompared with HCs, IBS-D patients showed increased fALFF in the left cuneus, left superior and middle occipital gyri, and left pericalcarine cortex; decreased fALFF in the right insula and bilateral precuneus/posterior cingulate cortex; and increased zReHo in the left thalamus/insula and sensorimotor regions. FC was altered, characterized by reduced insula-prefrontal connectivity, decreased sensorimotor-SMA connectivity, and enhanced thalamus/insula-hippocampal connectivity. DTI revealed lower FA in the left corticospinal tract, left cingulum bundle and right uncinate fasciculus with widespread MD and RD increases. Correlation analyses showed that fALFF in precuneus/posterior cingulate cortex was positively correlated with SAS (r = 0.422, q = 0.045), zReHo in thalamus/insula with SDS (r = 0.489, q = 0.013), and MD with PSQI (r = 0.360, q = 0.047).ConclusionIBS-D is associated with multi-network, multi-level alterations involving the default mode network, thalamus-insula circuit, and sensorimotor network, with exploratory associations observed between select imaging dimensions and particular affective symptom dimensions. These findings provide subtype-focused, hypothesis-generating neuroimaging evidence for brain alterations in IBS-D.

Internet-Based Cognitive Behavioral Therapy for Panic Disorder Among Arabic-Speaking Patients: Case Series

Background: Internet-based cognitive behavioral therapy (ICBT) has shown promise for the treatment of panic disorder (PD), but little is known about its feasibility and use across cultures and languages. Objective: This study examines the feasibility and preliminary outcomes of an Arabic-translated ICBT program for PD and describes how patients experienced the program. Methods: Six Arabic-speaking women (aged 21‐50 years, mean 35, SD 10 years) with a primary diagnosis of PD underwent a 16-week guided ICBT program using an Arabic-translated protocol. PD symptoms (Panic Disorder Severity Scale–Self-Report [PDSS-SR]), anxiety sensitivity (Anxiety Sensitivity Index-3 [ASI-3]), and agoraphobic avoidance (Mobility Inventory [MI]) were assessed pretreatment, posttreatment, and 3 months later. The outcomes were analyzed descriptively. Four patients also participated in individual, semistructured posttreatment interviews about their experience of the program, which are reported descriptively as the patient-perspective component of the case series. Results: The program was completed by 4 of the 6 (67%) patients. Among completers, PDSS-SR scores decreased from 11‐18 pretreatment to 0‐7 posttreatment, ASI-3 scores decreased from 18‐59 to 0‐4, and MI scores decreased from 1.44‐3.82 to 0.00‐1.60, indicating reduced agoraphobic avoidance. Follow-up data were available for 3 of the 4 (75%) completers: 2 maintained their gains, and 1 showed a partial return of symptoms. The fourth reported a recurrence of symptoms posttreatment but could not be reached for follow-up. During the interviews, all 4 patients expressed positive views of the program. Conclusions: Arabic-translated ICBT appeared feasible and was associated with reductions in panic symptoms and anxiety sensitivity among Arabic-speaking patients with mild-to-moderate PD. These preliminary findings support further investigation with larger samples.
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Prenatal maternal psychiatric disturbance and offspring neurodevelopmental disorders: a retrospective case–control study from Egypt

BackgroundMaternal mental health during pregnancy is an under-recognized predictor of offspring neurodevelopment, particularly in low-resource settings with limited perinatal mental health screening. This study investigated the association of the presence and diagnostic subtype of neurodevelopmental disorders (NDDs) in offspring with maternal depression, anxiety, stress, physical or verbal abuse, and perceived social support during the last trimester of pregnancy in an Egyptian sample.MethodsA retrospective case–control design compared 200 mothers of children diagnosed with autism spectrum disorder (ASD), attention-deficit/hyperactivity disorder (ADHD) or attention deficit disorder (ADD) (cases) with 300 mothers of typically developing children (controls) aged 3–17 years. Participants were recruited in Egypt through a university hospital, charitable medical convoys, a private child psychiatry clinic and the community, and controls were frequency-matched on child age, sex and maternal socioeconomic status (SES). Mothers retrospectively reported depression, anxiety and stress (Depression Anxiety Stress Scales-21), perceived social support (Multidimensional Scale of Perceived Social Support), and physical or verbal abuse and emotional distress during the last trimester; child behavior was described with the Strengths and Difficulties Questionnaire. Associations were estimated with logistic regression adjusted for child age, sex, maternal SES and maternal age, with covariates selected a priori. Because SES matching was not achieved and recruitment sources differed between groups, sensitivity analyses included restriction to the only site that recruited both cases and controls.ResultsCase mothers had significantly higher severity of depression, anxiety and stress, more physical or verbal abuse (45.2% vs. 13.7%) and lower perceived social support than control mothers (all p <.001). In models adjusted for child age, sex, maternal SES and maternal age, abuse (odds ratio [OR] = 4.09, 95% CI 2.52–6.64), depression (OR = 2.94, 95% CI 2.33–3.70 per severity category), anxiety (OR = 1.99, 95% CI 1.70–2.32) and stress (OR = 2.12, 95% CI 1.74–2.58) were associated with higher odds of case status, and perceived social support with lower odds (OR = 0.45, 95% CI 0.36–0.56 per scale point). Associations were similar at the single site that recruited both cases and controls. When all exposures were modelled together, depression (OR = 2.56), anxiety (OR = 1.37) and social support (OR = 0.45) remained associated with case status, whereas the abuse estimate was attenuated (OR = 1.84, 95% CI 0.96–3.54); because this mutually adjusted model conditions on potential mediators of abuse, its estimate should not be interpreted as either a total association or a direct effect. Among cases, maternal psychosocial factors only weakly distinguished autism from ADHD.ConclusionPrenatal psychosocial adversity and maternal psychological distress, particularly depression and anxiety, were strongly associated with offspring NDDs in this Egyptian sample, and depression and anxiety remained associated after mutual adjustment. Because exposures were recalled after the child’s diagnosis and cases and controls were recruited largely from different sources, these estimates may overstate the true associations. Because exposures were recalled retrospectively in a case–control design, these associations cannot be interpreted as causal, but they support the embedding of screening for maternal mental health and violence within routine antenatal care in similar under-resourced settings.

Value of joint hypermobility assessment as a clinical marker in psychiatric emergency care

IntroductionAnxiety disorders are among the most frequent reasons for psychiatric emergency consultations, yet their identification remains challenging. Joint hypermobility syndrome has consistently been associated with anxiety in both clinical and community samples, but its usefulness in psychiatric emergency settings has not been investigated.AimTo investigate whether joint hypermobility is associated with anxiety in psychiatric emergency care, to examine its relationship with illness severity and global functioning, and to evaluate its predictive value for an anxiety diagnosis at discharge.Material and methodsThis prospective study included 400 consecutive patients attending the psychiatric emergency department of a general hospital. Participants were assessed using the Severity of Psychiatric Illness (SPI) scale, the Anxiety Screening Questionnaire (ASQ-15), the Global Assessment of Functioning (GAF) scale, and a validated self-administered questionnaire developed by Hakim and Grahame for joint hypermobility. Associations between joint hypermobility and anxiety diagnoses were examined using bivariate analyses (ANOVA and chi-squared test) and multivariable logistic regression.ResultsAt discharge, 61.2% of patients diagnosed with an anxiety disorder met criteria for joint hypermobility (score ≥3), compared with only 17.4% of patients with other diagnoses (χ² = 39.34, p < 0.0001). In the multivariable logistic regression model, joint hypermobility was independently associated with an anxiety diagnosis at discharge (OR = 4.70, 95% CI 2.31–9.56), together with lower psychiatric illness severity, and younger age. The final model showed good discriminative ability (AUC = 0.863). Joint hypermobility screening demonstrated a sensitivity of 68.1% and a specificity of 80.6% for anxiety disorders at discharge.ConclusionJoint hypermobility is associated with anxiety disorders in psychiatric emergency care and may provide a simple, low-cost clinical marker to support the identification of anxiety disorders in this setting. Further studies are warranted to confirm its diagnostic utility and generalizability.

Preliminary diagnostic performance of the MOXO continuous performance test in young adults undergoing ADHD assessment

IntroductionAttention-deficit/hyperactivity disorder (ADHD) diagnosis in young adults is often challenging due to symptom overlap with affective disorders and the inherent subjectivity of clinical evaluations. While Continuous Performance Tests (CPTs) provide objective metrics, their preliminary diagnostic performance and concordance with clinical evaluations relative to self-report questionnaires require evaluation in clinical settings. This study explored the diagnostic performance of the MOXO-CPT and formally examined its incremental predictive value beyond commonly used self-report measures in young adults assessed for ADHD.Materials and methodsA total of 118 young adults (aged 18–25 years) consecutively referred with attention-related complaints completed the MOXO-CPT and self-report scales (ASRS, WURS-25, STAI, RRS-SF). ADHD diagnoses were established via comprehensive semi-structured clinical interviews based on DSM-5 criteria by an experienced psychiatrist blinded to test and questionnaire scores. Multivariable logistic regression and Receiver Operating Characteristic (ROC) analyses evaluated independent predictors and discriminative performance relative to this clinical reference standard.ResultsADHD was diagnosed in 58.5% (n=69) of the cohort, while the remaining 41.5% (n=49) comprised a clinical comparison group predominantly presenting with alternative psychiatric conditions (63.3%). Participants with ADHD showed poorer performance across all MOXO-CPT indices (attention, timing, impulsivity, and hyperactivity) compared to the non-ADHD clinical comparison group. In multivariable modeling, average or above-average performance on the attention and hyperactivity indices was independently associated with a lower likelihood of ADHD diagnosis. ROC analysis indicated that the MOXO-CPT attention index demonstrated favorable discriminative capacity relative to the clinical diagnosis (AUC = 0.87, sensitivity = 81.2%, specificity = 85.7%), whereas other indices showed acceptable-to-poor discriminative performance.DiscussionIn this help-seeking sample of young adults, the MOXO-CPT attention index demonstrated promising discriminative ability in differentiating ADHD from a non-ADHD clinical comparison group predominantly presenting with anxiety and depressive disorders. These preliminary findings suggest that distractor-embedded continuous performance testing may serve as a useful objective adjunct for distinguishing ADHD from common psychiatric mimics in outpatient settings, rather than a stand-alone tool or a general screening instrument for healthy populations.

Study of Anxiety Free Experiences at the Dentist

Conditions: Dental Phobia; Dental Anxiety in Children; Dental Fear; Dental Fear and Anxiety

Interventions: Behavioral: One-Session Treatment for Dental Phobia (OSTD); Behavioral: Psychoeducation and Relaxation Training (RELAX)

Sponsors: University of Texas Rio Grande Valley; National Institute of Dental and Craniofacial Research (NIDCR)

Recruiting

Psychosocial Correlates of AI Chatbot Use for Emotional Support Among Young Adults: Cross-Sectional Study

<strong>Background:</strong> Generative AI chatbots are increasingly used for mental health–related purposes, yet little is known about the factors associated with such use or AI chatbot dependence. <strong>Objective:</strong> This study examined factors associated with young adults’ use of AI chatbots for emotional self-disclosure and mental health–related support, as well as the associations between AI chatbot use and dependence. <strong>Methods:</strong> A cross-sectional online survey of individuals aged 18 to 29 years was conducted in Japan. Self-report measures assessed psychosocial factors (self-esteem and loneliness), mental health symptoms (anxiety and depression), AI chatbot use (emotional self-disclosure and mental health–related support), and AI chatbot dependence (emotional dependence and social anxiety–related dependence). <strong>Results:</strong> Of 820 participants, 381 (46.5%) reported using AI chatbots for emotional self-disclosure at least once in the past month, including 65 (7.9%) who reported doing so every day or almost every day. In addition, 336 (41%) reported using AI chatbots for mental health–related support, including 53 (6.5%) who reported doing so every day or almost every day. Anxiety and depressive symptoms were combined into a composite measure of mental health symptoms because they are highly correlated. Multivariable logistic regression showed that greater mental health symptom severity, but not self-esteem or loneliness, was associated with both emotional self-disclosure (odds ratio [OR] 2.23, 95% CI 1.85-2.69; <i>P</i>&lt;.001) and mental health–related support (OR 2.42, 95% CI 2.01-2.94; <i>P</i>&lt;.001). Among emotional self-disclosure users (n=381), the frequency of emotional self-disclosure was positively associated with emotional dependence (β=0.334; <i>P</i>&lt;.001) and social anxiety–related dependence (β=0.307; <i>P</i>&lt;.001). Path analyses indicated that a model specifying psychosocial factors and mental health symptoms as antecedent variables to AI chatbot use and dependence fit the data better than an alternative model specifying AI chatbot use and dependence as the antecedent variables (comparative fit index [CFI]=0.994 vs 0.583; root mean square error of approximation [RMSEA]=0.033 vs 0.293). In this model, lower self-esteem and greater loneliness were associated with more severe mental health symptoms, which, in turn, were associated with greater AI chatbot dependence, primarily through direct pathways and, to a lesser extent, through more frequent emotional self-disclosure. Among emotional self-disclosure users, loneliness was the only significant psychosocial correlate of emotional dependence (<i>F</i><sub>1,369</sub>=7.78; <i>P</i>=.006). <strong>Conclusions:</strong> Emotional engagement with AI chatbots was common in this sample of young adults in Japan. Findings suggest that young adults experiencing mental health symptoms may be more likely to use AI chatbots for emotional self-disclosure and mental health–related support, while loneliness may be particularly relevant to emotional dependence among users. These findings highlight the need to understand AI chatbot use not only as a technological behavior but also as part of young adults’ broader emotional and help-seeking landscape.

Efficacy of mindfulness-based interventions and biofeedback for migraine management: a systematic review and meta-analysis of randomized controlled trials

ObjectiveThis systematic review and meta-analysis of randomized controlled trials aims to analyze the efficacy of mindfulness-based interventions and biofeedback on headache frequency, pain intensity, headache-related disability, psychological distress, and quality of life in adult patients with migraine.MethodsThe review followed the PRISMA statement and was registered in PROSPERO (CRD420261381587). A structured search was conducted across PubMed, Scopus, and PsycInfo for RCTs published in English between May 2016 and May 2026. Seven clinical trials (n = 535 participants) met the inclusion criteria. Methodological quality and risk of bias were evaluated using the Cochrane Risk of Bias 2 (RoB 2) tool.ResultsThe pooled analysis for headache frequency (n = 6 studies) showed no statistically significant differences between groups (MD = −0.59; 95% CI: −1.81 to 0.62; p = 0.34). Conversely, significant improvements favoring the experimental groups were found for headache-related disability measured with the HIT-6 scale (n = 6 studies; MD = −2.28; 95% CI: −4.47 to −0.08; p = 0.04), pain intensity (n = 3 studies; SMD = −0.39; 95% CI: −0.64 to −0.14; p = 0.002), and health-related quality of life (n = 3 studies; MD = +5.21; 95% CI: 1.95 to 8.47; p = 0.002). No statistically significant differences were observed for anxiety (p = 0.30) or depression (p = 0.88).ConclusionInterventions incorporating Mindfulness-Based Interventions and Biofeedback do not significantly reduce objective migraine attack frequency compared to control conditions, nor do they yield distinct differences in affective outcomes (anxiety/depression)—which may partly reflect subclinical baseline depression scores in episodic cohorts, active-comparator effects, and instrument heterogeneity. However, they exhibit statistically significant efficacy in decreasing subjective pain intensity, mitigating headache-related functional disability, and restoring health-related quality of life, supporting their role as valuable complementary strategies for self-regulation and clinical coping in migraine management.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/view/CRD420261381587, Identifier: CRD420261381587.

What Is Sextortion?

Andy, a 16-year-old high school junior in New York City, received a message from a girl he didn’t know on Snapchat. She was cute, blonde, a freshman at the University of Wisconsin, and her greeting was Midwestern nice. He barely paused before responding. They chatted on the platform for a few days before she asked him to send a nude photo of himself. Andy didn’t know what to do, so he texted his closest friends for advice. They told him to find a nude photo of a stranger online and send that, so he did. And that’s when everything changed.

The person posing as a college girl threatened to share the photo everywhere online and claim it was him — unless Andy sent a $100 gift card. Scared, he went to the drug store and sent it right away. But the threats didn’t stop, and the messages got more frequent and intense. The person texting revealed that they were an adult overseas, not a college student, and would be tortured if they didn’t succeed in getting Andy to send more money. The amounts increased to $300 at a time, and he scrambled to do it, using his parents’ credit card. Over the course of a week, he racked up a bill of nearly $2,000.

This is just one example of sextortion, the use of explicit content to threaten someone with exposure if they don’t do what is demanded. One large U.S. survey found that approximately 5 percent of middle and high school students have been victims of sextortion, while about 3 percent admitted to targeting others. The National Center for Missing and Exploited Children (NCMEC) notes that they have seen a dramatic increase of cases reported to their CyberTipline, in particular from teenage boys.

Definition of sextortion

Sextortion is a form of exploitation where a child is threatened or blackmailed, most commonly with the possible public sharing of nude or sexual images of the child, by someone who demands additional sexual images or money.

A teen can be sextorted by a someone they know — often someone they are dating or used to date. But the perpetrator also can be an adult stranger pretending to be a teen to lure kids.   

With strangers, the interaction starts off innocuously enough: a friendly text or message online, often from someone who appears to be a similar age as the child and usually of another gender. That might be on video games such as Roblox or Minecraft for younger kids or Discord servers for teens. They may share connections in common on the platform because they’ve reached out to the child’s friends as well, so even though they’re a stranger, they don’t seem like one. “What’s tricky is who kids will describe as a friend versus a stranger is different than for adults,” says Megan Ice, PhD, a psychologist at the Child Mind Institute. “A kid may feel like they know this person” who they just met online and texted a few times.

The predator will establish a friendship or romantic relationship, then they may propose “I’ll show you mine if you show me yours” to ask for a nude photo. Or they will secretly record a video or live chat to get explicit content. In the era of generative AI and “nudify” apps, a kid doesn’t even have to provide a nude — they can use regular photos of a child to create sexual images for blackmailing purposes.

There is also sadistic sextortion, a newer but growing form of sextortion where the child is forced to do dangerous and disturbing things like torture pets or hurt themselves and write their name in blood on the wall, all performed on camera. A global network called 764 has targeted children and adolescents with sadistic sextortion, and the FBI has posted warnings about the group.

The pressure to comply is intense — the texts might come every few seconds, dozens of messages an hour and progressively faster, to create a sense of urgency. The blackmailer might have a package delivered or send the police to a child’s house on a false report (known as “swatting”) to show they know where they live, so the threat of retribution feels very real. The fear, shame, and hopelessness have led some kids to die by suicide after being sextorted.

Why teens are at risk for sextortion

While all age groups are at risk for sextortion, teens are often targeted because they are particularly vulnerable. During adolescence, changes in the brain can lead teens to feel social rewards intensely, so they care a lot about what others think of them, Dr. Ice says.  And that makes them more likely to underestimate the risks of doing something that feels good in the moment.

“Adolescents are exploring their identity, they’re exploring their sexuality,” says Justin Patchin, PhD, a professor of criminal justice at the University of Wisconsin–Eau Claire, who studies sextortion. Their prefrontal cortex is still developing, so short-term rewards are prioritized over long-term consequences. That means “they’re more vulnerable to acting impulsively and sharing explicit images with somebody that they’re interested in.”

“The other reason high school students make a particularly good target is because if a 16-year-old girl sends a topless picture to somebody online, they’ve now created and distributed child pornography, which is a crime. Whereas if an 18-year-old girl does that, it’s not a crime,” Dr. Patchin says. Blackmailers may tell teens who send sexual images or other explicit content that they’ve broken the law and could be prosecuted, which makes the extortion even more effective.

“I teach criminal justice, and sexting is the only behavior that I can think of where teens are treated more harshly by the system than adults,” Dr. Patchin says.

Teen groups at higher risk for sextortion

Research shows that LGBTQ+ kids are more at risk for sextortion. They often find community online, and it’s common for them to have friendships with people that they haven’t met in person.

Kids with autism, ADHD, or mental health issues such as social anxiety may also be particularly at risk. “Neurodiverse kids may develop strong friendships in online communities related to niche interests, making them vulnerable to predators who take advantage of the lack of supervision in these spaces,” Dr. Ice says. She is especially concerned about autistic kids, who may not question the intentions behind other members’ communications, and kids with ADHD, whose struggles with impulsivity may mean they act quickly when responding to a request.

“Kids who are hiding behavior from adults” — such as kids with eating disorders or who self-harm — tend to be very active in online communities like Reddit, Dr. Ice says. Predators will commonly target those communities to find the kids who are most vulnerable and then work to build relationships with them.

How to prevent sextortion

Parents can’t prevent sextortion from happening, but they can talk to their kids to make them aware of it — and advise them to speak up immediately if something happens. “I tell parents if there’s an incident in the news, if you see an article that you’re reading online, that’s a good prompt to have that conversation with your kid and say, ‘Hey, look at this story,’” Dr. Patchin says. “You can ask them, ‘Has anything like this happened to you? If it does, please come talk to me. We’ll deal with it together.’”

You can discuss the risks of sexting, Dr. Patchin says: “If that image does get online somewhere and a bunch of people see it, what kind of potential consequences there might be. And in an extreme, terrible situation, maybe it could be a crime if a prosecutor or a police officer wants to pursue it.”

It’s also important to be aware of common tactics and tell kids about them. For example, predators often move the conversation to messaging apps disguised to look like a clock or calculator app, but when you click on it, you have to enter a password. That can help them avoid detection, because mainstream apps often have content filters. Private messaging apps also make it harder for law enforcement to track and prosecute them.    

“Kids need to be educated, because there are people online who will take advantage of them not knowing what is safe,” Dr. Ice says. “Just like you would take certain safety precautions when you’re walking down the street, you need to take safety precautions online.”

While you want kids to understand the risks of engaging in these behaviors, you want to emphasize they should come to you for help no matter what. “You want to make clear that if they tell you, they will not lose access to their phone or all the things that keep them connected to their friends,” Dr. Ice says. “I think that fear is what keeps it secret a lot of the time.”

NCMEC has useful resources about sextortion, including an interactive activity for teens, noescaperoom.org.  

Signs of sextortion

Many signs of sextortion are similar to those of depression or even addiction, particularly online gambling. For example, a child might show sudden changes in eating or sleeping habits, uncharacteristic changes in behavior or routine, or engage in more secretive online behavior. Kids might become either distant or clingy because they are stressed out and afraid to tell you what is going on. According to NCMEC, other signs might include:

  • Receipt of anonymous gifts (physical or digital)
  • Law enforcement being called to your home under false pretenses
  • Random occurrences at your address, such as unexpected deliveries

Signs of sadistic sextortion might include:

  • Scarring on the thighs or forearms, especially if the scars form a pattern
  • Sudden interest in collecting tools including drills, screwdrivers, hammers, blow torches, or large knives with no clear purpose
  • Family pets or other animals being harmed or dying under suspicious circumstances

What to do if someone is blackmailing your child

If your child tells you they are being sextorted, “you want to avoid shaming and blaming — of yourself or the child,” Dr. Ice says,  because these are professional scammers who know what works. “Let them know they did the right thing to tell you, and you can help them.” Don’t pay the blackmailer more money because it rarely makes them stop. Here are some steps you can take:

  • Report the account on the platform where the interaction occurred.
  • Block the person, but don’t delete your child’s profile or messages — they can be helpful to track the person and stop the blackmailing.
  • Go to the police station to report the sextortion. You can also report the incident to the CyberTipline, run by NCMEC, which can connect you with legal, emotional, and other supports.
  • Use NCMEC’s Take It Down, which helps youth remove online nude, partially nude, or sexually explicit photos and videos taken before they were 18.

When Andy finally told his mom Jackie about the sextortion — about a week after that first message — it was nearly 11pm, but his dad took him to the police station to report it. The police said that they were the fourth family to come in that day about sextortion and reassured them that the perpetrators would not come after them. “Hearing that was the biggest relief,” Jackie said. “Once we wiped his phone and computer, it was over.”  

Frequently Asked Questions

What is sextortion?

Sextortion is a form of exploitation in which someone threatens to share a nude or sexual images unless the person comply with demands, typically for money, more explicit content, or other harmful actions. Kids are often targeted, and the perpetrator may be someone the child knows or a stranger who has built trust online by pretending to be a peer.

How can you get rid of blackmailers?

Experts advise not paying the blackmailer, because paying rarely makes the demands stop and often leads to requests for more money. Instead, report the account on the platform, block the person, save the messages as evidence, and contact law enforcement. If your child is being targeted, the National Center for Missing and Exploited Children has useful resources.

What should you do if someone is blackmailing you with nudes?

If someone is threatening you with intimate images, tell a trusted adult right away and remember that you are not alone. Report and block the offender, keep copies of messages and other evidence, and make a police report. If the images or videos were taken before you turned 18, the National Center for Missing and Exploited Children has a service called Take It Down to help you remove them from the internet.

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