A middle aged housewife complains that her husband has become more and more detached from her and her family and has become obsessed with his work as a medical laboratory worker.

Question Number 0722

Question:
A middle aged housewife complains that her husband has become more and more detached from her and her family and has become obsessed with his work as a medical laboratory worker. He tells her 'I'm more important than you and so is my work.' and when she complains of lack of attention he says 'I'm an unrecognized genius. You just don't see it how special I am' . He seems to lack empathy with their children and neglects them. A possible diagnosis is

a) Mania
b) Narcissistic Personality Disorder
c) Delirium tremens
d) Toxic confusional state
e) Psychotic depression


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