 Welcome back to our med smarter question of the week where we're taking a smarter approach to preparing future physicians Before we get started if you'll click that like button and also Subscribe and turn the bell on so that you'll be notified when we post new videos. All right, let's jump right into that question As always we begin with the last sentence of the vignette So that we can understand what this question is asking before we read the full information Which of the following personality disorders best describes this patient? A 45-year-old woman presents to a psychiatrist after referral from her physician due to the fact that she feels anxious all of the time Her primary care physician diagnosed her with generalized anxiety disorder and prescribed Buse-Burone However, the patient does not report feeling any better. She works as an accountant and spends most of her day in a single private cubicle She has no close friends and lives by herself She says that occasionally people from work invite her out at night, but she never goes even though she would like to She's not dating currently and is worried that people don't like her So which of the following personality disorders is best described in this patient? So we have a avoidant be dependent see histrionic D narcissistic e schizoid or F schizotypal take a minute Read the question and answer choices again come up with your answer and write it in the comment box below So it appears based on what we're seeing here There's this this patient has anxiety as well as some fearfulness of being Rejected or unlike so she's worried people don't like her so she has some sensitivity to rejection she's somewhat socially inhibited and Might have some inadequate feelings based upon what we're seeing here. So this seems to be a cluster C personality disorder So avoidant obsessive-compulsive independent. So we have avoidant independent and A and B Histrionic is not narcissistic schizoid and schizotypal are not Therefore we have narrowed our answer choices down to A and B. We know that and B are both a cluster C personality disorder So knowing just that information does not get us the full answer So we need to break this down a little further Are we dealing with an avoidant personality disorder or a dependent personality disorder? well, if you can look at the Vignette again as we mentioned anxious worried people won't like her So she's actually going to be pulling back and withdrawing from some of those social Situations because she's socially inhibited therefore that she's going to be avoiding these situations So we're gonna go with avoidant a as our final answer and a is the correct answer as I mentioned This is a cluster C personality disorder and we're seeing anxiety and Fearfulness or worry about relationships separation and control There is a genetic association with anxiety disorders with patients that have avoidant personality disorders So she's fitting the mold perfectly for this that she is sensitive to rejection She's socially inhibited and she's timid or she feels inadequate If you found this material helpful for your studying Please like and consider subscribing to the channel Also share this video so that more people can benefit from it like you have