Classification Error: Help?

If one has a substantial amount of critical traits from three different mental illnesses; but, never exhibits all crucial traits in one particular category, how can one classify them?

Particular Example:

1) Obsessive Compulsive Disorder <Clinically Diagnosed>

- Obsessive Compulsive handwashing
- Abnormal anxiety issues
- Avoids human contact
- Things must be just "right"
- Emotional detachment

2) Psychosis

- Auditory hallucinations
- Delusional beliefs
- Thought disorder

3) Anti-social Personality Disorder

- Lack of remorse or shame
- Fantastic and uninviting behaviour
- Pathological lying

* May exhibit a factitious disorder.

In this scenario, the patient exhibits an anxiety disorder; however, any of the other cannot be categorized in this group.

How can one categorize such a case?

Is this strictly for a DSM class? Just do a primary diagnosis on axis one, a "rule out" secondary if needed on axis one, then indicate axis two features but needs more longitudinal data. It is just a preliminary diagnosis anyway, right?

If not for a class but for a practice question then just know that diagnosis is good for something, and it is to know what to do in terms of treatment. "Symptom clusters" are more helpful than diagnoses really anyway. Look at what is most prominent and treat it.

If this is for yourself or someone you know, don't try to do this yourself as it is just confusing to go through the DSM on your own, it just isn't really helpful. Connect with a good psychotherapist you think is a decent fit. You are having a tough time with worry and some associated things and that is all you really need to know. Heck, that is all a clinician needs to know to get things going too...specific technical diagnostic info is not all that helpful anyway unless you need to be aware of something like trauma (tough stuff from the past that still bugs you).

One rule out given this info might be Aspergers too...developmental thing with anxiety that is significant. I am not getting anti social diagnosis here...these people are creepy like criminals, take advantage of other to not feel vulnerable. Doesn't fit. This is more anxiety and social development.

The Anti-social Personality Disorder is a diagnosis by it self. That is the diagnosis. The other two things are just symptoms of the anti-social personality disorder. The other listings could be to a number of different diagnosis, but the #3, is a diagnosis. OCD can be a symptom in many different diagnosis, #'s 1 & 2 can also be symptoms of schziphrenia, where as the #3 is not just a symptom. Since you list all three of them together, yet seperately, then that makes me think that all three make up one diagnosis, which could be schziphrenia with audio hallucinations. But only a professional can really say!