Malcolm refuses to shake hands with strangers (or anyone else for that matter)because he is fearful that they will infect him with germs.Malcolm is displaying signs of

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Malcolm's behavior of avoiding physical contact with others out of fear of germs is a common symptom of obsessive-compulsive disorder (OCD). Individuals with OCD have intrusive unwanted thoughts and engage in repetitive behaviors or mental acts in an attempt to reduce anxiety or prevent perceived harm. Malcolm's fear of germs is likely causing him significant distress and interfering with his daily life. Panic attacks involve sudden and unexpected episodes of intense fear and physical symptoms, and agoraphobia is fear or avoidance of places or situations that could be difficult to escape or receive help in case of a panic attack. While social phobia is a possibility, Malcolm's fear appears to be more specific to physical contact and germs.

Malcolm Refuses to Shake Hands with Strangers (Or Anyone Else