WBR0588
| Author | [[PageAuthor::Rim Halaby, M.D. [1]]] |
|---|---|
| Exam Type | ExamType::USMLE Step 1 |
| Main Category | MainCategory::Behavioral Science/Psychiatry |
| Sub Category | SubCategory::General Principles |
| Prompt | [[Prompt::A 35 year old woman has lived alone most of her adult life. She has no friends and does not like leaving the house much. She has never had an intimate relationship and prefers being alone. She spends her days drawing and collecting random objects which she fashions into dolls. What is the most likely personality disorder present in this patient?]] |
| Answer A | AnswerA::Schizotypal |
| Answer A Explanation | AnswerAExp:: |
| Answer B | AnswerB::Schizoid |
| Answer B Explanation | AnswerBExp:: |
| Answer C | AnswerC::Avoidant |
| Answer C Explanation | AnswerCExp:: |
| Answer D | AnswerD::Dependent |
| Answer D Explanation | AnswerDExp:: |
| Answer E | AnswerE::Borderline |
| Answer E Explanation | AnswerEExp:: |
| Right Answer | RightAnswer::C |
| Explanation | [[Explanation::Schizoid personality disorder is characterized by voluntary social withdrawal and indifference. Patients with schizoid personality disorder express little emotion and are content with being socially isolated and not having relationships. They usually feel little if any desire for sexual relationships. Patients typically have hobbies and daily work activities that require as little social contact as possible. On the other hand, avoidant personality disorder describes a pattern of hypersensitivity and social inhibition in patients who are usually very shy. These patients desire social relationships but are very timid, often feel inadequate, and are afraid of rejection.
Educational objective: Schizoid personality disorder is characterized by voluntary social withdrawal with no desire for social contact or relationships. References: American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA:American Psychiatric Publishing. |
| Approved | Approved::No |
| Keyword | WBRKeyword::Schizoid personality disorder, WBRKeyword::Avoidant personality disorder |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |