Rosh Psychiatry Board Practice Exam

What behavior exhibited by the man in the garage suggests an underlying issue?

1. A preoccupation with a vintage car

2. Failure to pay bills

3. Seeking happiness through hobbies

4. General disregard for responsibilities

The correct answer is: A preoccupation with a vintage car

Focusing on a preoccupation with a vintage car can suggest an underlying issue, particularly if this behavior is characterized by obsessive or excessive fixation. Such a preoccupation might indicate a form of escapism or even a potential obsessive-compulsive disorder, where the individual becomes consumed by the restoration or maintenance of the car at the expense of other important aspects of life. This can point to deeper psychological issues, such as avoidance of stressors or responsibilities, leading to or stemming from anxiety or depression. In many cases, an intense focus on a specific object or hobby can serve to distract a person from unresolved emotional issues or an inability to cope with daily life challenges. In contrast, while failure to pay bills and general disregard for responsibilities may also signal psychiatric distress, they indicate different types of issues, such as executive dysfunction or a lack of motivation. Seeking happiness through hobbies isn't inherently problematic and may represent an adaptive coping mechanism.