Cluster C personality disorders Quiz: Ace Your Exams

A 21-year-old woman comes to her physician’s office for an annual examination and is accompanied by her parent. The patient is doing well in college and has a part-time job stocking shelves at a clothing store. She was offered a higher-paying job as a sales associate at a store, but she declined it because she prefers to work alone and would rather continue doing her job that requires less interaction with customers, which she feels she wouldn’t be very good at. The patient’s parent describes the patient as extremely shy and the “silent one” since childhood. The patient has few friends and does not date, stating, “I mean, I’d love to be in a relationship, but no one would ever want to be with someone ugly and stupid like me.” The patient describes her mood as “unhappy” but does not report changes in mood, appetite, or feelings of suicidal ideation. Vitals are within normal limits. Physical examination is unremarkable. This patient’s presentation is consistent with which of the following?