e is not attracted to underage children but, has built tolerance towards regular porn videos and hence was searching for something new, unusual, and more stimulating. The client also reported having low self-esteem and severe issues regarding his appearance, especially his face. He strongly feels that he is “ugly”. He remembers having a difficult time during 10th to 12th grade in school, being bullied and had no friends. He reported that he could not answer back and felt extremely consumed with himself answering back to the bullies in his head.

During puberty and early adolescence, the client reported being a “pervert” - in his words. On exploration, he reports being a consumer of regular heavy porn usage and his choice of preferred video category was ‘voyeurism’. He also disclosed acting on his voyeuristic desires i.e. putting cameras in girls’ toilets in school, peeking through windows and sneakily watching his mother and aunt bathe or change clothes. He also reports groping or touching inappropriately his younger sister in her sleep. The client has had 2 sexual encounters where both were not up to his satisfaction as he didn’t achieve full erection, and it did not match the images viewed in porn. The client also reported having suicidal ideas as he felt he isn’t a good person and has done something wrong and unacceptable.

Preoccupation with sexual fantasies and curiosity to explore them is common and natural during adolescence and young adulthood. But, when that curiosity and desire begins to affect one’s self concept and interferes in one’s concentration, daily life, and productivity, then, it indicates unhealthy sexual concept. To ascertain his personality and unconscious motives, a projective personality tool - Somatic Inkblot Test (online version, Dubey et al,