Question 20 (part 2) · LEK · Personality disorders

A 23-year-old male presents to the doctor with a pain in the right arm. The nurse present during the examination reports that the patient was irritated and unwilling to answer most preliminary questions. He also refused to put on the hospital gown that he was given. On examination he is initially charming and talkative. When he is assured that the information he is giving will not be passed on to his probation officer, he admits to having taken part in a fistfight. He is proud to announce that the other participant of the fight is in a much worse condition. Which of the following conditions is the patient most likely to suffer from:

  1. A. antisocial personality disorder.
  2. B. bipolar disorder with a previous hypomanic episode.
  3. C. behavioural disorder.
  4. D. oppositional defiant disorder.
  5. E. paranoid personality disorder.
Hint

An adult on probation with violence, superficial charm and pride in harming others — which diagnosis is reserved for those aged 18 or over?

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