Cluster B personality disorders Quiz: Ace Your Exams

A 45-year-old woman comes to the office because of a 2-day history of difficulty sleeping. She recently moved into the area after quitting her old job as a newscaster on a local television station, stating “there was no room for me there.” She became extremely upset after she saw her photograph still featured on the television’s website last week. She recalls another job that she had to quit because her boss thought she was difficult to work with. Past medical history is unremarkable. The patient does not have a history of self-harm or suicidal ideation. Physical examination shows a young woman who is teary-eyed when discussing her situation and moves closer to the physician throughout the interview. She repeatedly attempts to touch the physician during the physical exam, making inappropriate comments. Which of the following is the most likely diagnosis?