Social Work Examination Services (SWES) Human Behavior Practice Test

A client feels unappreciated at work, claiming to be the most creative person in their organization. What is the likely DSM 5 diagnosis?

1. Borderline personality disorder

2. Paranoid personality disorder

3. Narcissistic personality disorder

4. Antisocial personality disorder

The correct answer is: Paranoid personality disorder

The most suitable diagnosis in this scenario is Narcissistic Personality Disorder. Clients who feel unappreciated and express that they are the "most creative person" often exhibit traits associated with this disorder, such as a grandiose sense of self-importance and a strong need for admiration. Individuals with narcissistic traits may struggle to recognize or accept others' contributions, which can lead to feelings of being undervalued when they do not receive the recognition they feel they deserve. In this case, the client's perception of their creativity and the emphasis on feeling unappreciated suggests an inflated self-image, characteristic of narcissistic behavior. Furthermore, clients with narcissistic tendencies may frequently seek affirmation for their perceived superiority, which aligns with the feelings expressed in the scenario. While Borderline Personality Disorder may involve feelings of emptiness or unstable self-image, the specific assertion of being the "most creative" and the need for appreciation points more directly towards narcissism. Paranoid Personality Disorder is characterized by distrust and suspicion of others, which does not align with the client's expressed need for recognition. Antisocial Personality Disorder primarily deals with disregard for others' rights and lack of empathy, making it less relevant in the context of feeling unappreciated at work.