Chapter·PsychiatryPersonality disorders

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1

A 21-year-old female was brought to the emergency room after losing large amounts of blood from slicing her wrists longitudinally. A few days later, she was interviewed by the psychiatrist and discussed with him why she had tried to kill herself. "My evil boyfriend of 2 months left me because I never let him leave my side for fear that he would cheat on me and leave me...now I feel so empty without him." Which of the following personality disorders does this female most likely have?

AAvoidant

BDependent

CBorderline

DParanoid

EHistrionic

2

A 24-year-old male comes into the psychiatric clinic complaining of consistent sadness. He endorses feelings of worthlessness, anxiety, and anhedonia for the past couple months but denies feeling suicidal. He further denies any past episodes of feeling overly energetic with racing thoughts. Confident of the diagnosis, you recommend frequent talk therapy along with a long-term prescription of a known first-line medication for this disorder. What is the drug and what are some of the most frequently encountered side effects?

ASelective serotonin reuptake inhibitor; hypomania, suicidal thoughts

BTricyclic antidepressants; hypomania, suicidal thoughts

CSelective serotonin reuptake inhibitor; anorgasmia, insomnia

DMonoamine oxidase inhibitors; Orthostatic hypotension, weight gain

ETricyclic antidepressants; Orthostatic hypotension, anticholinergic effects

3

A 28-year-old woman is brought to a counselor by her father after he found out that she is being physically abused by her husband. The father reports that she refuses to end the relationship with her husband despite the physical abuse. She says that she feels uneasy when her husband is not around. She adds, “I'm worried that if I leave him, my life will only get worse.” She has never been employed since they got married because she is convinced that nobody would hire her. Her husband takes care of most household errands and pays all of the bills. Physical examination shows several bruises on the thighs and back. Which of the following is the most likely diagnosis?

ASchizoid personality disorder

BSeparation anxiety disorder

CAvoidant personality disorder

DDependent personality disorder

EBorderline personality disorder

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