It's from a horror manga called The enigma of the Amigara fault, made by a quite famous artist named Junji Ito.

Porn usage in this way is a response to some other trauma or compulsion that was created before the porn usage. Porn may have become a troubling thing, but it didn't start the trouble, and handling porn addiction in this way requires tackling the actual source of the problem.

i stg every kink can be subtextually boiled down to:
-i am powerful/in control
-i am seen as desirable
-i am safe and can now be vulnerable
-i can explore taboo in a safe + controlled environment

once you realize that you realize that no kink can hurt you