Case Lab · Type B · Transfer

F61

Actually, one pattern does stand out

A clinician initially describes a patient's presentation as "a mix of several personality features" because the write-up mentions some anxiety in social situations and occasional low mood. On closer review, however, the dominant and pervasive pattern — present across work, family, and romantic relationships since adolescence — is a marked, callous disregard for others' rights and a consistent pattern of deceit for personal profit, with the social anxiety and low mood appearing only as minor, secondary features.