Licensed Clinical Social Worker (LCSW) Practice Exam

Which diagnosis may best describe a 19-year-old exhibiting a pattern of truancy, vandalism, lying, and stealing?

1. Major depressive disorder

2. Generalized anxiety disorder

3. Antisocial personality disorder

4. Substance use disorder

The correct answer is: Antisocial personality disorder

The pattern of behaviors described—truancy, vandalism, lying, and stealing—strongly aligns with the characteristics of antisocial personality disorder. This disorder is defined by a pervasive pattern of disregard for and violation of the rights of others, often starting in childhood or adolescence. Individuals may engage in behaviors that are impulsive, deceitful, or violate societal norms and laws. In this case, the 19-year-old’s behaviors indicate a troubling disregard for authority and the feelings of others, which are hallmark traits of antisocial personality disorder. These actions typically originate in late childhood or early adolescence, and these behaviors can lead to various negative outcomes, including legal issues and difficulties in personal relationships. Recognizing these signs is crucial in identifying the disorder and addressing it appropriately through intervention and treatment. While major depressive disorder, generalized anxiety disorder, and substance use disorder can exacerbate or contribute to problematic behaviors, the specific actions of truancy, vandalism, lying, and stealing more distinctly point toward a diagnosis of antisocial personality disorder, indicating a deeper pattern of problematic and harmful behavior rather than symptoms primarily stemming from mood or anxiety disorders.