Arecent increase in the number of referrals for individuals who have accessed child pornography over the Internet has led to a need for clinicians to familiarise themselves with the language and concepts associated with this type of sexual offence. A brief review of the area highlights the legal dilemmas posed by the nature of the Internet. While definitional issues are a primary focus in legal processes, a demonstrated sexual arousal to children is more relevant in therapy. Modifications of traditional treatment approaches are suggested to facilitate therapeutic progress for this population. Discussion focuses on the early motivation for treatment, cognitive distortions, victim impact and cycles of offending behaviour. This work is offered as an early intervention to prevent potential future progression to hands-on sexual offending against children.