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Antisocial Personality Disorder

William G. Elder, PhD Reviewed 06/2018
 


BASICS

DESCRIPTION

Antisocial personality disorder (APD) is a consistent and pervasive pattern of disregard for, and violation of, the rights of others (1). 
  • Manipulativeness, antagonism, and dishonesty...

DIAGNOSIS

HISTORY

  • Clinic visits for problems without biologic findings

  • Unexplained anger at physician and conflicts with medical staff members

  • History of interpersonal difficulties, affective instability...

TREATMENT

  • Acceptance of treatment will be extremely difficult.

  • Symptomatically, patients with APD will externalize blame for their problems. In addition, their behavioral patterns tend to be egosyntoni...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Monitor for criminal and manipulative behaviors.

  • Expect adherence issues.

PROGNOSIS

Debate remains as to whether any treatment other than incarcera...

REFERENCES

1
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Publishing; 2013.
2
Scott S, Briskman J, O'Connor TG. Ear...

ADDITIONAL READING

  • Elder W. Personality disorders. In: South-Paul J, Matheny S, Lewis E, eds. Current Diagnosis & Treatment: Family Medicine. 4th ed. New York, NY: McGraw-Hill; 2015.

  • Livesely WJ....

CODES

ICD10

F60.2 Antisocial personality disorder 

ICD9

301.7 Antisocial personality disorder 

SNOMED

26665006 Antisocial personality disorder 

CLINICAL PEARLS

  • Consider patients to have a blind spot as to their role in the difficulties they cause for themselves and others.

  • APD may be discerned by the impropriety of reactions to situations othe...

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