A 22-year-old man is evaluated in the office due to behavior…
A 22-year-old man is evaluated in the office due to behavioral concerns. The patient’s mother is concerned about the patient’s level of social interaction. He has never had any close friends, and spends little time outside outside of the house. He works from home as a software engineer. The patient speaks very little during the visit, but states that he prefers to be alone and does not have any desire to have more social interaction in his life. He has never had any significant romantic relationships. His temperature is 98.6°F (37.0°C), pulse is 60/min, blood pressure is 120/75 mmHg, and respirations are 15/min. Exam reveals an alert and oriented man who appears well groomed and is appropriately dressed. His answers to questions are brief, but goal-directed and appropriate. Which of the following is the most likely diagnosis?
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