A 38-year-old individual presents to your clinic reporting l…
A 38-year-old individual presents to your clinic reporting lifelong difficulties forming close relationships due to intense social anxiety and discomfort in social settings. They describe persistent odd beliefs such as feeling that they have a sixth sense to detect others’ intentions and report occasional ideas of reference without true delusions. Their speech is sometimes vague and circumstantial, and their appearance is eccentric, with unusual clothing and mannerisms. There is no evidence of hallucinations or formal psychosis. Which DSM-5 personality disorder diagnosis best fits this presentation?