Approach to avoidant, dependent, and obsessive-compulsive (cluster C) personality disorders Quiz: Ace Your Exams

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A 29-year-old woman comes to the psychiatry clinic because of difficulty developing close friendships for the past several years. The patient wants friends and a romantic partner but is fearful of being rejected or embarrassed during social outings. She has declined multiple work promotions due to anxiety about being judged to be a poor supervisor. Temperature is 37.0°C (98.6°F), pulse is 80/min, respirations are 15/min, and blood pressure is 115/75 mmHg. Cardiopulmonary examination is normal. Mental status exam shows an alert, cooperative adult who appears anxious and avoids eye contact. During the physical examination, the patient asks if the clinician is judging her negatively. Which of the following is the most likely diagnosis? 

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