A teacher comes to the mental health clinic saying a co-worker recently confronted her about behaviors that are annoying to other co-workers. She is now experiencing moderate to severe levels of anxiety
The co-worker told the patient that others find her very difficult because she is a perfectionist and micromanages the tasks of others on the teaching team, always demanding that things should be done according to her plans. The co-worker mentioned that the patient made everyone feel as though everything they tried was inadequate, and they feel frustrated and angry. The patient states she likes her co-workers and only wanted to help them be successful. The nurse realizes the patient's behaviors are most consistent with: a. obsessive-compulsive personality disorder.
b. narcissistic personality disorder.
c. histrionic personality disorder.
d. schizoid personality disorder.
A
The need to control at the expense of flexibility and openness, along with a preoccupation with orderliness and perfectionism, is consistent with obsessive-compulsive personality disorder. Narcissistic personality disorder involves grandiosity, the need for admiration, and lack of empathy. Histrionic personality disorder involves excessive emotionality and attention seeking. Schizoid personality disorder involves detachment from social relationships and a restricted range of expression in interpersonal settings.
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