A paraphilic disorder exists when recurrent, intense sexually arousing fantasies, urges, or behaviors cause distress and/or impairment to the individual. In some individuals with paraphilic disorder, their sexual satisfaction has entailed personal harm or the risk of harm to others. The cases in this chapter represent studies of sexual sadism and voyeuristic disorder and how each of the men diagnosed with these conditions respond to court-appointed therapy. Questions for consideration follow each case.

Depressive disorders are characterized by sadness severe enough or persistent enough to interfere with function and often by decreased interest or pleasure in activities. This chapter contains three cases of depressive disorders in adults, including major depressive disorder and dysthymia. These cases illuminate how depression manifests in different people with different backgrounds, including a young Caucasian woman, young biracial man, and a middle-aged woman. While the clients in these cases have symptoms that lead to a DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition) diagnosis in the same category, the cases highlight how medical concerns may complicate symptoms, as well as family of origins issues that may exacerbate symptoms. Questions for consideration are also included.