15th February 2025

A 35-year-old gentleman sees you in clinic.

A 35-year-old gentleman sees you in clinic. He describes struggling with a repeated tendency to act rashly without thinking about the consequences, which has caused conflicts and problems in most of his relationships with family and friends. He finds it difficult to focus or to plan ahead and becomes bored easily. He is often late and rarely follows through on his commitments. As a result, he has been unemployed for the last five years. He has significant debt, including some from gambling. He has never self-harmed, although, at times, he has placed himself in danger by overestimating his abilities, especially through reckless driving. He tells you he has been diagnosed with a personality disorder. What is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.