The hypothesis that clinicians' perceptions of psychological maladjustment are related to the deviation of symptoms from prevailing gender role stereotypes was explored. Case history descriptions were sent to a random sample of practicing psychologists. These clinicians viewed female patients with "masculine" symptoms (e.g., alcoholism or antisocial behavior) as more psychologically disturbed than males with the same symptoms; they also perceived male patients with "feminine" symptoms (e.g., depression and anxiety) as more psychologically disturbed than their female counterparts. Significant main effects for psychologists' sex were found for both the perceived usefulness of drug treatment and prognostic outlook ratings.