08-04-2006, 03:23 AM
A 27 year old plumber has an 8 yr h/o distrust and suspiciousness of others. He finds threatening meanings in what others say, even if the remark was a compliment. He feels people deceive him and is reluctant to confide in others lest they use that info to hurt him. He lacks close freinds, shows emotional coldness and chooses solitary activities. At age 23, after losing a job, he was treated with an antipsychotic for 1 week. At that time, he believed people were looking at him in such a way as to indicate that they were about to kill him, and he heard voices telling him to flee home. Which of the following is the most likely Dx?
A) Delusional disorder, persecutory type
B) Paranoid personality disorder
C) Schizoid personality disorder
D) Schizophrenia, paranoid type.
A) Delusional disorder, persecutory type
B) Paranoid personality disorder
C) Schizoid personality disorder
D) Schizophrenia, paranoid type.