American Board of Psychiatry and Neurology (ABPN) Practice Exam 2025 - Free ABPN Practice Questions and Study Guide

The young woman's description of social anxiety combined with her eccentric dressing style aligns well with schizotypal personality disorder. This disorder is characterized by significant social and interpersonal deficits, often resulting in discomfort in close relationships, as well as cognitive or perceptual distortions and eccentricities in behavior.

Individuals with schizotypal personality disorder often exhibit unusual beliefs or magical thinking, odd thinking and speech, and peculiarities in appearance or behavior. The eccentric dressing style mentioned in the scenario suggests a deviation from cultural norms, which can be a trait seen in those with this disorder. Additionally, social anxiety is a common symptom that can manifest in these individuals, further supporting this diagnosis.

In contrast, the other options listed are less aligned with the symptoms described. Borderline personality disorder typically involves instability in relationships, self-image, and emotions, along with impulsive behaviors. Dependent personality disorder is characterized by an excessive need to be taken care of, leading to submissive and clinging behaviors, which do not reflect social anxiety or eccentricity. Histrionic personality disorder is defined by a pattern of excessive emotionality and attention-seeking, which may not necessarily correlate with social anxiety or unconventional dressing. Thus, the combination of social anxiety and an eccentric style indicates schizotypal personality