Presentation and history

A 51-year-old male real estate lawyer began to embezzle money at work, regularly listing mysterious expenses on his travel reimbursement forms, which turned out to be purchases of pornographic materials via the internet. When questioned, he claimed that he used the corporate accounts so that his wife would not find out about this sexual activity. At about the time that this behavior was discovered by his partners, a few of the female law clerks complained that he often made inappropriate comments about their physique and that he stared at them in a way that made them uncomfortable. His work had dramatically deteriorated, and rather than working with his clients, he spent most of the day at work shuffling papers, reading magazines or downloading pornography onto his computer. He was eventually asked to leave the firm, but made no attempts to find a new job. His wife and children reported that over the past year he had lost interest in them and watched television without speaking when at home. He developed a strong desire for potato chips and gained 15 lbs. His manners deteriorated, and he stuffed his mouth, often choking at the dinner table. He insisted on eating food on his plate in a specific order, often with his hands. Family history revealed that his father and first cousin had died from "Lou Gehrig's disease."