When I talk with people on a particular social media communication platform (not giving out the name) there's a little picture of me in the corner and most of the screen is filled with the picture of the person I'm talking with.
My biggest fear is that some scammer will get a hold of the other person's screen recording of me and will splice the video of me and swap it with someone showing their dick and then threatening to show it to my family for bitcoin. The problem is that I don't care if my family sees a spliced video of that. They're smart enough to know how video works and I would explain what happened.
For those who may get an attempted scammer, the best thing to do is say nothing in return and block the person. It's against the law in most countries to use sextortion to get money. They're not going to keep trying to use sextortion against someone that keeps blocking them. There are easier fish in the sea to take advantage of.
Besides, if you send bitcoin then what's to stop them from making up a lame excuse for more since they know you're scared enough to send some in the 1st place.