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QUICK RECERTIFIC ATION SERIES Matthew Wright, MS, PA-C; Alyssa Carbajal, MS, PA-C middle-aged man presents to his primary care est in sexual activity, few close friends outside fi rst- provider (PCP) for his annual wellness visit. During degree relatives, indifference to praise or criticism, A the appointment, he repeatedly tells his PCP that emotional detachment, little pleasure in activities he is the top attorney at his law fi rm. He reports that he Schizotypal: discomfort and reduced capacity for makes a 7-fi gure salary and is friends with many celebrities relationships with cognitive and perceptual distor- and politicians who frequently call him for consultation. tions with fi ve or more characteristics: ideas of refer- When discussing lifestyle, he becomes quickly annoyed at ence without delusions, odd beliefs, odd perceptions, the suggestion of exercise and shouts that he is the fi ttest odd thought and speech, paranoid ideation, inap- person that comes to this offi ce. propriate affect, few friends, excessive social anxiety Cluster B: GENERAL FEATURES Antisocial: disregard and violation of rights of others • Personality disorders are behaviors divergent from soci- since age 15 years; must be age 18 years with three etal and cultural expectations that impair
Journal of the American Academy of Physician Assistants – Wolters Kluwer Health
Published: Oct 1, 2021
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