Image-based sexual harassment and abuse (IBSHA) has recently gained scientific attention. To date, research has primarily focused on victim characteristics and impact, while little specific empirical research exists on victims' help-seeking behavior, including barriers and facilitators to seeking support. The aim of this scoping review was to examine the current state of literature on IBSHA victims' help-seeking behavior and barriers and facilitators to seeking support. Seven electronic bibliographic databases were searched up to June 2023 to identify relevant literature. Inclusion criteria consisted of (1) English or Dutch language, (2) original empirical data, (3) studying one or more forms of IBSHA, (4) victim sample, and (5) addressing help-seeking behavior, and/or factors encouraging or discouraging help-seeking. The scoping review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols extension for scoping reviews. In total, 81 articles were included. Varying definitions of IBSHA, sample sizes, and populations complicated the drawing of general conclusions. The research was primarily conducted in English-speaking Western countries with a majority of young, White, heterosexual, and women samples. Prevalence rates of help-seeking strongly varied. Multiple sources of informal and formal support were identified, including friends, family, social media platforms, and police. Informal support appeared preferred. Articles identified several barriers to help-seeking including shame, (fear of) negative social responses and negative expectations of formal support, and facilitators, including desire for justice and takedown of non-consensually shared images. Research on IBSHA is growing rapidly. The field would benefit from further research focused on help-seeking with diverse samples, standardized measures, and intersectionality. Recommendations for policy and practice are provided.