Which factor is a common consequence if a client with cluster A personality disorder does not receive proper care?

The correct choice reflects an important aspect of cluster A personality disorders, which include paranoid, schizoid, and schizotypal personality disorders. Individuals with these disorders are often characterized by social withdrawal, an eccentric or odd way of thinking, and may display paranoia or introversion. Without appropriate treatment, these individuals are at risk for worsening symptoms, including potential psychotic features.

When a client with a cluster A personality disorder does not receive proper care, they may become increasingly isolated, leading to a decline in their functioning and an exacerbation of their symptoms. For instance, untreated paranoid beliefs can intensify, and odd or eccentric behaviors may become more pronounced, leading to greater distress and disruption in their lives. This can manifest as a deterioration of their mental health, potentially resulting in more severe forms of psychotic symptoms, such as hallucinations or delusions, especially in situations of stress.

In contrast, the other options would typically not occur in the absence of care for individuals with cluster A personality disorders. Increased social engagement, improvement in interpersonal relationships, and greater emotional stability are unlikely outcomes without intervention. Instead, these individuals would likely continue to struggle with their inherent difficulties as their psychological state worsens. Thus, the risk of exacerbating psychotic symptoms without treatment emphasizes