Match each clinical vignette with the most likely personality disorder diagnosis.
- A 24-year-old woman refuses a promotion because it requires more interpersonal contact, expressing an intense fear of criticism and feeling inept compared to her colleagues.Avoidant Personality Disorder
- A 30-year-old man wears overly flamboyant clothing, behaves in a highly theatrical manner, and becomes visibly upset when he is not the center of attention.Histrionic Personality Disorder
- A 45-year-old executive demands to see the 'chief of medicine', boasts about his unique talents, and dismisses the inconvenience his demands cause the clinic staff.Narcissistic Personality Disorder
- A 35-year-old night shift guard has no friends by choice, shows flat affect, prefers solitary activities, and states he has no interest in close relationships.Schizoid Personality Disorder
Answer
The correct matches are: the 24-year-old woman with Avoidant Personality Disorder, the 30-year-old man with Histrionic Personality Disorder, the 45-year-old executive with Narcissistic Personality Disorder, and the 35-year-old guard with Schizoid Personality Disorder.
Each vignette describes the classic, undisputed DSM-5 diagnostic criteria for the respective personality disorders, focusing on their most defining features (social inhibition for avoidant, attention-seeking for histrionic, grandiosity for narcissistic, and detachment for schizoid).
Step-by-Step Solution
Key Concept
Clinical presentation and differentiation of major personality disorders
Estimated Time:1m 0s