Antisocial personality disorder

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Symptoms

By Mayo Clinic staff

Antisocial personality disorder symptoms may include:

  • Disregard for right and wrong
  • Persistent lying or deceit
  • Using charm or wit to manipulate others
  • Recurring difficulties with the law
  • Repeatedly violating the rights of others
  • Child abuse or neglect
  • Intimidation of others
  • Aggressive or violent behavior
  • Lack of remorse about harming others
  • Impulsive behavior
  • Agitation
  • Poor or abusive relationships
  • Irresponsible work behavior

The intensity of antisocial symptoms tends to peak during the 20s and then may decrease over time. It's not clear whether this is a result of aging or an increased awareness of the consequences of antisocial behavior. But while people with this disorder might be less likely to commit crimes against others later in life, they may still have trouble functioning in relationships, work or school.

If a loved one has antisocial personality disorder
It's unlikely you'll be able to convince a person with antisocial personality disorder that he or she has a problem — much less convince him or her to seek care. Make your own well-being your priority. Ask your doctor to refer you to a mental health provider who has experience helping families affected by antisocial personality disorder. A therapist familiar with this condition can help you learn how to cope — and stay safe.

References
  1. Antisocial Personality Disorder. In: Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR. 4th ed. Arlington, Va.: American Psychiatric Association; 2000. http://www.psychiatryonline.com. Accessed July 13, 2010.
  2. Antisocial Personality Disorder. In: Hales RE, et al., eds. The American Psychiatric Publishing Textbook of Psychiatry. 5th ed. Arlington, Va.: American Psychiatric Association; 2008. http://www.psychiatryonline.com. Accessed July 13, 2010.
  3. Blais MA, et al. Personality and personality disorders. In: Stern TA, et al. Massachusetts General Hospital Comprehensive Clinical Psychiatry. Philadelphia, Pa.: Mosby; 2008. http://www.mdconsult.com/das/book/body/208922830-3/1022719999/1657/387.html#4-u1.0-B978-0-323-04743-2..50041-X--cesec11_990. Accessed July 13, 2010.
  4. Silk KR. Personality disorders. http://www.uptodate.com/home/index.html. Accessed July 13, 2010.
  5. Cohen P. Child development and personality disorder. Psychiatric Clinics of North America. 2008;31:477.
  6. Staying well when you have a mental health condition. Mental Health America. http://www.nmha.org/go/mental-health-month/staying-well-when-you-have-a-mental-illness. Accessed July 13, 2010.
  7. Koegl CJ, et al. Clinician perceptions of childhood risk factors for future antisocial behavior. Journal of Clinical Child & Adolescent Psychology. 2009;38:564.
  8. Hall-Flavin DK (expert opinion). Mayo Clinic, Rochester, Minn. July 26, 2010.
  9. Bostwick MJ (expert opinion). Mayo Clinic, Rochester, Minn. Aug. 21, 2010.
  10. Kendall T, et al. Borderline and antisocial personality disorders: Summary of NICE guidance. British Medical Journal. 2009;338:293.
DS00829 Oct. 8, 2010

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