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Antisocial Personality Disorder

William G. Elder, PhD Reviewed 05/2023
 


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 dishonest...

DIAGNOSIS

HISTORY

  • Clinic visits for problems without biologic findings

  • Unexplained anger and conflicts with medical team

  • History of interpersonal difficulties, affective instability, and impulsivity

  • Drug ...

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 ego-synton...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Monitor for criminal and manipulative behaviors.

  • Expect adherence issues.

PROGNOSIS

Debate remains whether any treatment other than incarceration c...

REFERENCES

1
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Publishing; 2013. [View Abstrac...

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: ...

CODES

ICD10

  • F60.2 Antisocial personality disorder

SNOMED

  • 113164004 Childhood or adolescent antisocial behavior

  • 11635001 Adult antisocial behavior

  • 26665006 Antisocial personality disorder

  • 698699000 Antisocia...

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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