A 13-Year-Old Girl Is Brought to the Office for a Routine

A 13-year-old girl is brought to the office for a routine visit.  Although the patient is doing well in school and has friends, her mother is concerned about a change in her behavior over the past several months.  They had previously enjoyed spending time together, but now the patient is frequently moody and spends most of her time on the computer in her locked bedroom.  The mother also observes that her daughter gets upset for no reason and has used swear words on occasion.  When the mother recently complimented her party outfit, the girl screamed, "I look hideous and I'm not going," and stormed out of the room.  Later that day, she seemed fine and went to the party.  On examination, the patient is pleasant and cooperative but makes little eye contact and asks if she can keep her tank top on during the examination.  Which of the following is the most likely explanation for this girl's behavior?

A) Body dysmorphic disorder
B) Borderline personality disorder
C) Cyclothymic disorder
D) Disruptive mood dysregulation disorder
E) Normal adolescent behavior
F) Oppositional defiant disorder

Correct Answer:

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