I think fetishes (including ours) demand treatment when they hurt either others or the person with the fetish in some way. For example, if someone can only achieve sexual release/arousal with the fetish that is bound to cause some very serious relationship problems and issues with connecting to women. Very few people are lucky enough to find a woman who is willing to indulge the L&C fantasy. If you're not that lucky, you're screwed.
Also, there are people (and I was one of them for a while until I changed my habits with great effort) who do become a little addicted to it and spend multiple hours a day looking for photos and spending a ton of money they cannot afford just to get a glimpse of a lift or two. I can say from personal experience that that is not healthy by any standard.
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