A 35-Year-Old Woman Comes to the Office for Evaluation of Anxiety

question 150

Multiple Choice

A 35-year-old woman comes to the office for evaluation of anxiety.  The patient works as a mechanical engineer and recently declined a promotion to be a project manager.  Although her salary would have increased significantly, she felt that overseeing other employees and leading team meetings would be too stressful.  She says, "If something were to go wrong, everyone would blame me.  I don't even know why they offered me this position."  The patient enjoys her job but tends to eat lunch by herself because she feels that her coworkers do not like her appearance or sense of humor.  She has never had a long-term romantic partner but fantasizes about getting married someday.  The patient lives alone, rarely socializes with friends, and is close with her mother, whom she describes as "the person I can always rely on no matter what."  Which of the following is the most likely diagnosis?

• A)Acute stress disorder
• B)Adjustment disorder with anxiety
• C)Antisocial personality disorder
• D)Avoidant personality disorder
• E)Generalized anxiety disorder
• F)Paranoid personality disorder
• G)Schizoid personality disorder

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Definitions:

Performance Intention

The determination or resolve of an individual or organization to achieve specific performance outcomes or goals.

Entrepreneurial Behavior

Actions and attitudes characteristic of entrepreneurs, such as innovation, risk-taking, and proactiveness, in pursuing new business ventures.

Profit

The financial gain made in a transaction or operation, calculated as the difference between revenue and costs.

Innovation Development

The process of designing, creating, and implementing new products, services, or technologies that offer new value to customers or improve operating processes.