Cluster C personality disorders Quiz: Ace Your Exams

A 26-year-old person comes to the office after being referred by their employer for evaluation. The patient is a blog writer and was assigned a new project three months ago. The patient became annoyed when their employer asked to transfer the assignment to another employee because they did not complete it on time despite being granted several extensions. They usually refuse to let others take on their tasks because they think that only they can complete them satisfactorily. They say, “My colleagues never understand how important it is to do things the right way.” The patient states that they have trouble falling asleep at night because they think about assignments, and they sometimes go through their rough drafts multiple times to “make sure the blog looks flawless.” When asked why they revise their drafts multiple times, the patient laughs nervously and states, "I always repeat things." They live alone and do not regularly participate in social activities, stating, “It’s a waste of time.” Which of the following is the most likely explanation for this patient’s presentation?