Licensed Clinical Social Worker (LCSW) Therapist Development Center Practice Exam

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What personality disorder is suggested by a client's odd appearance and belief in their ability to see the future?

  1. Borderline Personality Disorder

  2. Schizotypal Personality Disorder

  3. Narcissistic Personality Disorder

  4. Antisocial Personality Disorder

The correct answer is: Schizotypal Personality Disorder

The presence of an odd appearance and a belief in the ability to see the future aligns closely with the characteristics of Schizotypal Personality Disorder. This disorder is marked by eccentric behavior, unusual beliefs, and cognitive or perceptual distortions, which can include magical thinking or beliefs in the paranormal, such as seeing the future. Individuals with schizotypal personality disorder often display oddities in their dressing, thinking, and social interactions, making them appear peculiar or eccentric to others. These traits significantly influence their interpersonal relationships and social functioning. On the other hand, disorders like Borderline Personality Disorder are characterized by emotional instability and intense interpersonal relationships, while Narcissistic Personality Disorder generally involves a need for admiration and a sense of superiority. Antisocial Personality Disorder is marked by a disregard for others’ rights and often involves manipulative behaviors. None of these disorders specifically encompass the combination of odd appearance and prophetic beliefs as clearly as Schizotypal Personality Disorder does. Thus, the client's presentation is best explained by the features associated with this particular personality disorder.