How Is Antisocial Personality Disorder Diagnosed?

A diagnosis of ASPD cannot be made in people younger than 18. Symptoms that resemble ASPD in those people may be diagnosed as a conduct disorder. People older than 18 can be diagnosed with ASPD only if there’s a history of conduct disorder before the age of 15.

A mental health provider can question individuals who are over 18 years about past and current behaviors. This will help detect signs and symptoms that could support a diagnosis of ASPD.

You must meet certain criteria to be diagnosed with the condition. This includes:

  • a diagnosis of conduct disorder before the age of 15

  • documentation or observation of at least three symptoms of ASPD since the age of 15

  • documentation or observation of symptoms of ASPD that don’t occur only during schizophrenic or manic episodes (if you have schizophrenia or bipolar disorder)


Antisocial Personality disorder

Antisocial Personality Disorder (ASPD) is a mental health condition characterized by a pervasive, long-term pattern of disregard for, and violation of, the rights of others. Individuals with ASPD often manipulate, exploit, and deceive others for personal gain and typically show no guilt or remorse for their actions.

Key Characteristics and Symptoms

Individuals with ASPD often display the following traits [1]:

  • Lack of Remorse: Indifference or rationalization after having hurt, mistreated, or stolen from others.

  • Deceitfulness: Repeated lying, use of aliases, or manipulation of others for personal gain or pleasure.

  • Impulsivity: Difficulty planning ahead and often acting on the spur of the moment.

  • Irritability and Aggression: Frequent physical fights or assaults.

  • Reckless Disregard: Disregard for the safety of self or others.

  • Irresponsibility: Consistent failure to sustain consistent work behavior or honor financial obligations.

  • Disregard for Laws: Repeated problems with law enforcement, often resulting in arrest.

  • Arrogance: A sense of superiority and an inflated self-image.

Causes and Risk Factors

The exact cause of ASPD is a complex interaction of factors [1]:

  • Genetics: A family history of ASPD or other personality disorders increases risk.

  • Brain Structure and Function: Potential abnormalities in brain function related to impulse control and emotional regulation.

  • Environment: Childhood trauma, abuse, neglect, or a chaotic family life are significant risk factors.

  • Childhood Conduct Disorder: A diagnosis of ASPD in adulthood requires a history of conduct disorder symptoms before the age of 15.

Treatment and Management

Treating ASPD can be challenging, as individuals often do not believe they have a problem and rarely seek help on their own [1]:

  • Psychotherapy: Types like cognitive behavioral therapy (CBT) may help in managing anger, aggression, and impulsive behaviors.

  • Medication: There are no specific medications for ASPD, but psychiatric medications may be used to address co-occurring conditions (like depression or anxiety) or related symptoms.

  • Treatment Settings: Therapy often occurs in forensic settings, prisons, or as part of court-mandated programs.

  • Long-Term Condition: ASPD is generally a chronic condition, although some symptoms, particularly criminal behavior, may decrease in intensity with age.

Asking Someone with ASPD to Seek Help

It’s hard to watch someone you care about exhibit destructive behaviors. It’s especially hard when those behaviors may directly affect you. Asking the person to seek help is even more difficult. This is because most people with ASPD don’t acknowledge that they have a problem.

You cannot force a person with ASPD to get treatment. Taking care of yourself is the best thing you can do. A counselor may help you learn to cope with the pain of having a loved one with ASPD.

What are the symptoms of Panic Disorder?

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Symptoms of Panic Disorder in children

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Complications of Panic Disorder

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What causes Panic Disorder?

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