I used to have a good friend that was a stripper (I promise, I wasn't the client...). Some of her biggest customers were people that wanted therapy without the paper trail of going to a licensed therapist. This is a big thing for pilots as well, since their health records and mental care are intensely scrutinized. A stripper will provide comfort, verbal relief, and physical love for $100 hour you can tell them anything and their reputation is bad enough no one will bother to believe them if they say something bad about you.

Well, in the jurisdictions that I care about the courts and lawmakers have already decided this and the legal requirement is to report.

If its your license to practice on the line you know what choice you're going to make.