History and Physical
Before performing a comprehensive psychiatric assessment of the patient, a careful history and physical examination is necessary. “The DSM-5 diagnostic criteria for Antisocial Personality Disorder
- A pervasive pattern of disregard for and violation of the rights of others, since age 15 years, as indicated by three (or more) of the following:
- Failure to conform to social norms concerning lawful behaviors, such as performing acts that are grounds for arrest.
- Deceitfulness, repeated lying, use of aliases, or conning others for pleasure or personal profit.
- Impulsivity or failure to plan.
- Irritability and aggressiveness, often with physical fights or assaults.
- Reckless disregard for the safety of self or others.
- Consistent irresponsibility, failure to sustain consistent work behavior, or honor monetary obligations.
- Lack of remorse, being indifferent to or rationalizing having hurt, mistreated, or stolen from another person.
- The individual is at least age 18 years.
- Evidence of conduct disorder typically with onset before age 15 years.
- The occurrence of antisocial behavior is not exclusively during schizophrenia or bipolar disorder.”