Soru

A 36-year-old man, who works as a software quality assurance manager, comes to his primary care physician for a routine physical examination. He hands the physician a neatly bound, color-coded 20-page document detailing his daily blood pressure readings, caloric intake, and sleep duration for the past six months. He complains of chronic fatigue, stating that he often stays awake until 3:00 AM reviewing his subordinates' code. He says, "If I do not check every single line myself, they will ruin the product. It is just more efficient if I take over their tasks." He mentions that his wife recently threatened to separate from him because he refuses to let her load the dishwasher, arguing she "never follows the optimal spatial configuration." The patient does not believe his behavior is problematic; rather, he is highly frustrated that others fail to meet his exacting standards. He denies experiencing recurrent intrusive thoughts that cause him distress, and he does not perform repetitive physical rituals to neutralize anxiety. Which of the following is the most likely diagnosis?