Which of the following best describes thought withdrawal delusions?

A. Needs to be taken care of. Individuals with dependent personality disorder (DPD) have an excessive need for care and reassurance. They rely heavily on others to make decisions and take responsibility for their daily life.

B. Conflict avoidance. People with DPD avoid conflict and disagreement out of fear of losing support or approval from others. They may go to great lengths to maintain relationships, even if they are unhealthy.

C. Lacks remorse. Lack of remorse is more characteristic of antisocial personality disorder (ASPD), where individuals show little concern for the rights or feelings of others. In contrast, those with DPD tend to feel excessive guilt and anxiety rather than a lack of remorse.

D. Afraid to be alone. A strong fear of being alone is a core feature of DPD. Individuals may feel helpless or unable to function independently, leading them to tolerate mistreatment or stay in dependent relationships.

A. Clozapine (Clozaril) is a second-generation (atypical) antipsychotic known for its strong dopamine (D2) and serotonin (5-HT2A) blockade. It is primarily used for treatment-resistant schizophrenia but has a high risk of agranulocytosis, metabolic syndrome, and sedation, requiring regular blood monitoring.

B. Haloperidol (Haldol) is a first-generation (typical) antipsychotic that strongly blocks dopamine (D2) receptors, leading to a high risk of extrapyramidal symptoms (EPS) such as dystonia, tardive dyskinesia, and akathisia. It is commonly used for acute psychosis and agitation.

C. Fluphenazine (Prolixin is a first-generation antipsychotic that also strongly antagonizes D2 receptors, making it effective for chronic schizophrenia but highly associated with EPS. It is available in long-acting injectable (LAI) form for maintenance therapy.

D. Chlorpromazine (Thorazine) is a first-generation, low-potency antipsychotic with strong sedative, anticholinergic, and hypotensive effects. While it has a lower risk of EPS compared to high-potency FGAs like haloperidol, it causes more sedation, orthostatic hypotension, and weight gain due to histamine and muscarinic receptor blockade.