You should assume that the pornography does something good for him. Pornography, because it quickly induces arousal, has the capacity to help repetitive viewers to distract themselves from other current issues in their lives, such as relationship alienation, vocational inadequacy, procrastination, or sexual dysfunction. Many men who become heavy pornography users seem to have significant comorbid psychopathological conditions such as substance abuse, mood disorders, anxiety symptoms, paraphilia, or attention deficit disorder. We don't stress this with patients. We just have to know about it. Although clinicians see frequent viewing of pornography for long periods of time as "obsessive," "compulsive," "addictive," or "dependent," in our early relationship-building work with the patient, we want to be perceived as empathic and knowledgeable. Internet pornography use is quite prevalent. The border between problem-free and destructive use has yet to be clearly drawn. We want to understand the patient's views, and we want him to explain his wife's views to us. We want to be sure that he has a problem.