Scarlett (pseudonym) prepares to make a video for her Onlyfans account while in her home on Thursday, October 28, 2021. She has been involved in sex work for over 20 years and has been shifting to online platforms to protect her health during the pandemic.

The view outside Scarlett's former apartment on Saturday, December 4, 2021.

Scarlett walks her dogs, shortly before going to bed on Saturday, October 23, 2021.

Scarlett engages with a client during a light BDSM session on Tuesday, November 2, 2021. She uses a combination of social media and online platforms to both advertise and screen potential clients before meeting.

Scarlett looks in the mirror, as she prepared to make a video for Onlyfans at her home on Thursday, October 28, 2021.

Scarlett’s phone shows the multiple saved phone numbers from her now former stalker on Tuesday, October 26, 2021. The stalker used online programs to generate fake phone numbers to defeat Scarlett’s privacy protections. Due to the nature of her work, she has to answer unknown phone numbers, which makes her more susceptible to harassment. Scarlett was able to successfully file a restraining order against the man, who had a had a record of this behavior.

Scarlett shows her dose of Ketamine, shortly before ingesting it in her home on Tuesday, October 26, 2021. Scarlett gets this medication prescribed through an online company, which specializes in guided trips for treatment resistant depression.

Scarlett goes on a guided trip on Ketamine in her home while listening to pre-recorded music and messages with her headphones. The feeling has been described as “falling down the K-Hole,” where patients can experience short-lived but intense visualizations, emotions, and can induce near death experiences. Ketamine is a promising option for short term relief for depression symptoms, but is typically used when more conventional methods prove ineffective.

Scarlett writes to a potential client at her home on Sunday, October 31, 2021.

Scarlett interacts with a client during a light BDSM session on Tuesday, November 2, 2021. The meeting primarily consisted of powerplay and verbal acts of playful degradation.

Scarlett's neighbor cuts apart her bedframe so they can fit it up the stairs to her new apartment on Saturday, December 4, 2021. She was forced to move to accommodate her landlord’s divorce. As a result, she was worried that she would have to get rid of approximately half of her furniture.

Scarlett ends her Onlyfans video at her home on Thursday, October 28, 2021.