Differential Diagnosis for "Obsessed with Rejection"
- Single most likely diagnosis:
- Paranoid Personality Disorder: This condition is characterized by a pervasive distrust and suspiciousness of others, such that their motives are interpreted as malevolent. The obsession with rejection can be a manifestation of the deep-seated fear of being rejected or betrayed, which is central to paranoid personality disorder.
- Other Likely diagnoses:
- Borderline Personality Disorder: Individuals with borderline personality disorder often have a profound fear of abandonment and rejection, which can lead to obsessive thoughts and behaviors related to rejection.
- Social Anxiety Disorder: While not typically classified as a psychotic issue, social anxiety disorder can lead to obsessive thoughts about rejection in social situations, which might be perceived as an obsession with rejection.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.):
- Delusional Disorder (Persecutory Type): Although less common, delusional disorder with persecutory delusions could manifest as an obsession with rejection, where the individual has a fixed, false belief that they are being rejected or conspired against.
- Rare diagnoses:
- Erotomanic Delusional Disorder: A rare condition where the individual has a delusional belief that another person, often of higher status, is in love with them. This could sometimes be misinterpreted as an obsession with rejection if the delusional belief involves a perceived rejection by the loved person.
- Capgras Syndrome: Another rare condition where the individual believes a friend, spouse, parent, or other close family member has been replaced by an identical impostor. While not directly related to rejection, the obsessive nature of the delusion could be confused with an obsession over rejection in certain contexts.