DSM-IV-TR Casebook Diagnosis of "Agitated Businessman"
This agitated 42-year-old businessman was admitted
to the psychiatric service after a 2 1/2-month period in which he found himself becoming increasingly
distrustful of others and suspicious of his business associates.
He was taking their statements out of context, "twisting" their
words, and making inappropriately hostile and accusatory comments;
he had, in fact, lost several business deals that had been "virtually
sealed." Finally, the patient fired a shotgun into his
backyard late one night when he heard noises that convinced him
that intruders were about to break into his house and kill him.