A 35-Year-Old Man Comes to the Office Due to Problems

A 35-year-old man comes to the office due to problems with irritability, anxiety, and low self-esteem.  He was recently fired due to poor work performance at his data entry job and worries about finding a new job and supporting himself.  The patient is currently in a relationship but mentions that his girlfriend is upset by his frequent lateness and forgetfulness and has threatened to leave him.  Further history indicates that his problems are long-standing and date back to childhood when he had behavioral problems in school.  The patient frequently feels overwhelmed due to being disorganized.  He frequently procrastinates, is bored easily at work, and jumps to another project before completing what he is working on.  The patient drinks 3 or 4 beers a week and smokes marijuana twice a month.  On mental status examination, he is cooperative and talkative but appears tense, restless, and easily distracted.  Which of the following is the most likely diagnosis in this patient?

A) Adjustment disorder
B) Attention-deficit hyperactivity disorder
C) Bipolar disorder
D) Borderline personality disorder
E) Generalized anxiety disorder
F) Persistent depressive disorder
G) Substance-induced mood disorder

Correct Answer:

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