Kevin is a 21-year-old heterosexual college student seeking help with the presenting complaint, "I have erotized rage." Kevin expressed during his pre-adolescence, he received a diagnosis of Generalized Anxiety Disorder and was treated with Fluoxetine, and Attention Deficit Hyperactivity Disorder treated with Methylphenidate. Kevin has a family history of alcoholism, anxiety, and depression. He reports that his brother has a history of excessive porn use and crippling social anxiety. While a college student, Kevin had been discovered to be using his cellphone to record female students taking showers. His actions led to his prompt suspension from college and placement in rehab. For the 5 years prior, he reports that he masturbated to Internet pornography daily. For 3 years prior to the evaluation, he was using his cellphone to record his female peers in showers and later using these recordings as masturbatory material. Kevin reports that he is popular with women, and he has had long-term romantic and sexual relationships. Kevin reports that marijuana use is a problem and a trigger for some of his sexual behaviors, and subsequently abstained from marijuana use but continued drinking alcohol with friends.