Posted in Alienated children, Alienation, Antisocial Personality Disorder, Parental Alienation PA

Diagnosis for APSD

  • Clinical criteria (Diagnostic and Statistical Manual of Mental DisordersFifth Edition [DSM-5])

For a diagnosis of antisocial personality disorder, patients must have

  • A persistent disregard for the rights of others

This disregard is shown by the presence of ≥ 3 of the following:

  • Disregarding the law, indicated by repeatedly committing acts that are grounds for arrest

  • Being deceitful, indicated by lying repeatedly, using aliases, or conning others for personal gain or pleasure

  • Acting impulsively or not planning ahead

  • Being easily provoked or aggressive, indicated by constantly getting into physical fights or assaulting others

  • Recklessly disregarding their safety or the safety of others

  • Consistently acting irresponsibly, indicated by quitting a job with no plans for another one or not paying bills

  • Not feeling remorse, indicated by indifference to or rationalization of hurting or mistreating others

Also, patients must have evidence that a conduct disorder has been present before age 15 years. Antisocial personality disorder is diagnosed only in people ≥ 18 years.

Differential diagnosis

Antisocial personality disorder should be distinguished from the following:

  • Substance use disorder: Determining whether impulsivity and irresponsibility result from substance use disorder or from antisocial personality disorder can be difficult but is possible based on a review of the patient’s history, including early history, to check for periods of sobriety. Sometimes antisocial personality disorder can be diagnosed more easily after a coexisting substance use disorder is treated, but antisocial personality disorders can be diagnosed even when substance use disorder is present.

  • Conduct disorder: Conduct disorder has a similar pervasive pattern of violating social norms and laws, but conduct disorder must be present before age 15.

  • Narcissistic personality disorder: Patients are similarly exploitative and lacking in empathy, but they tend not to be aggressive and deceitful as occurs in antisocial personality disorder.

  • Borderline personality disorder: Patients are similarly manipulative but do so to be nurtured rather than to get what they want (eg, money, power) as occurs in antisocial personality disorder.

https://www.merckmanuals.com/professional/psychiatric-disorders/personality-disorders/antisocial-personality-disorder-aspd?

Author:

Currently studying Psychotherapy , Cognitive psychology, Hypnotherapy. Qualified NLP practitioner and CBT therapist. REIKI Master. I believe in truth, honesty and integrity! ≧◔◡◔≦ https://www.linkedin.com/in/linda-turner-retreat/

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