Match each patient's clinical presentation with the most likely personality disorder diagnosis.
- A 29-year-old man is evaluated in a dermatology clinic for a rash. He wears a heavy wool coat despite the warm summer weather. His speech is vague and metaphorical, and he attributes his skin condition to 'misaligned cosmic energies.' He states he has no close friends because he feels intensely uncomfortable around others, even people he has known for years.Schizotypal personality disorder
- A 34-year-old man is brought to the emergency department after a physical altercation. He is initially charming and cooperative with the triage nurse. Later, he is caught taking syringes from an unattended medical cart. When confronted, he smoothly denies the theft and expresses no remorse, claiming the hospital 'has plenty to spare anyway.'Antisocial personality disorder
- A 26-year-old woman presents to a primary care clinic for fatigue. She mentions she recently declined a promotion at her remote job because she feared she would be heavily criticized by her new managers. She expresses a strong desire to have a romantic relationship but avoids dating entirely because she is convinced she is socially inept and unappealing.Avoidant personality disorder
- A 42-year-old woman is evaluated for a minor ankle sprain. She displays exaggerated distress, loudly demanding to see the 'chief of medicine' immediately. She is dressed provocatively and wears heavy, theatrical makeup. She repeatedly refers to the medical assistant she met only ten minutes ago as her 'absolute dearest confidant.'Histrionic personality disorder
Cevap
The presentations match as follows: The patient with magical thinking and severe social anxiety has Schizotypal PD. The deceitful, remorse-lacking patient has Antisocial PD. The patient fearing rejection but desiring relationships has Avoidant PD. The highly dramatic, attention-seeking patient has Histrionic PD.
Each patient's clinical presentation aligns with the DSM-5 diagnostic criteria for a specific personality disorder. The man with magical thinking has schizotypal PD; the man stealing without remorse has antisocial PD; the woman avoiding promotions due to fear of criticism has avoidant PD; and the overly dramatic woman has histrionic PD.
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Anahtar Kavram
Differential diagnosis of personality disorders across Clusters A, B, and C based on predominant behavioral and interpersonal patterns.
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