A 32-year-old man consistently suspects that coworkers are t…

A 32-year-old man consistently suspects that coworkers are trying to sabotage him despite no evidence. He refuses to confide in others, believing they will use the information against him. He interprets neutral comments as insults and holds grudges for years. What is the most likely diagnosis?

A 38-year-old man is preoccupied with rules, schedules, and…

A 38-year-old man is preoccupied with rules, schedules, and organization. He insists that coworkers follow his exact methods and becomes distressed when plans change. Despite high productivity, he struggles to complete projects due to perfectionism. He denies intrusive thoughts or compulsive rituals. Which of the following best distinguishes his condition from obsessive-compulsive disorder (OCD)?