Antisocial personality disorder is a mental illness that causes a long-term pattern of ignoring and violating the rights of other people without a display of remorse. Otherwise known as sociopathy, people with the condition have little to no conscience and empathy.
The symptoms of antisocial personality disorder include acting without regard to right or wrong, using lies to manipulate others, failing to think about the consequences of their actions, showing arrogance, and feeling hostile toward other people. The dominant signs of sociopathy often result in negative consequences.
The effects of antisocial personality disorder include legal problems, use of illegal drugs, alcohol dependence, co-occurring mental health problems, and poor life outcomes. This personality disorder also has distinct features that aid in giving a diagnosis of the condition. The characteristics of antisocial personality disorder include a refusal to adhere to social norms, a lack of concern about other people’s feelings, an inability to form long-lasting relationships, and a tendency to blame others for their misbehavior.
Treatments for antisocial personality disorder mainly include behavioral therapy and the use of psychiatric medications. However, the condition is difficult to treat, so treatment options focus on managing or dealing with the symptoms and behaviors involved in ASPD.
Antisocial personality disorder (ASPD) is a mental disorder in which an individual shows no empathy or regard for other people’s rights or feelings. Someone with sociopathy may use their wit or charm to deceive others and manipulate them for personal benefit, all the while showing no remorse for the consequences of their hurtful actions.
Due to the destructive and reckless behaviors involved in antisocial disorder, someone with the condition may also completely disregard the law and, therefore, is more likely to participate in criminal acts.
The symptoms of antisocial personality disorder include a lack of empathy, acting without regard to right or wrong, impulsiveness or failing to think about the consequences of their actions, showing arrogance, and feeling hostile toward other people.
Although the symptoms of ASPD vary from person to person, the most notable signs of the condition tend to occur in both adult men and women. However, research on sex differences in antisocial personality disorder suggests that men with ASPD are more likely than women to engage in illegal and violent actions.
On the other hand, women with the disorder have an increased risk of committing nonviolent antisocial behaviors, such as failing to fulfill work obligations or missing school.
Adults with antisocial personality disorder often show signs and symptoms of conduct disorder in childhood or teenage years. Furthermore, a diagnosis of ASPD may only be given if a person has shown conduct disorder symptoms before the age of 15, although a formal diagnosis can only be made at age 18.
The most common symptoms of antisocial personality disorder in teens include serious violation of rules, frequent fighting, firesetting, animal cruelty, irritability, aggressiveness, deceitful behavior, as well as an alarming lack of empathy and conscience.
Although some patterns of behavior seen in ASPD may occur in children as a part of their childhood from time to time, it is imperative to seek a formal diagnosis at the earliest possible moment to have prompt treatment.
The causes of antisocial personality disorder include genetics, structural abnormalities in the brain, childhood abuse or trauma, and a chemical imbalance in the brain.
The single, exact cause of the disorder is not known. However, experts believe that a complex interplay of factors influence the development of the disorder, just like how each individual’s personality is molded by a variety of forces that interact in a wide variety of ways.
Being born with a genetic vulnerability to antisocial personality disorder may cause someone to develop the condition, and environmental factors may exacerbate its development. Structural abnormalities in the brain are also associated with ASPD. Evidence exists that people with the disorder have reduced gray matter volume in the frontal lobe, which is the region of the brain responsible for impulse control, emotions, and social interaction.
Experiencing abuse or trauma as a child also puts a person at an increased risk of developing antisocial personality disorder. Behavior patterns learned from abusive parents as a child may also be passed on to their own kids.
People with ASPD may experience a chemical imbalance in the brain as well, with the serotonin system believed to play a role in the development of antisocial and aggressive behavior in both adults and children.
Certain factors raise a person’s risk of developing antisocial behavior. The risk factors for antisocial personality disorder are listed below.
Other risk factors for antisocial personality disorder include:
Antisocial personality disorder is diagnosed by conducting a thorough psychological evaluation after the possibility of other health conditions have been ruled out through a medical evaluation.
A mental health specialist may evaluate an individual’s behavior by looking for patterns of disregard for the rights of other people or impulsive behavior with no remorse for hurtful actions.
Finally, a formal diagnosis may be given after the symptoms of the patient with suspected sociopathy were found to have met the diagnostic criteria for antisocial personality disorder listed in the Diagnostic and Statistical Manual of Mental Disorders or DSM-5.
Antisocial personality disorder (ASPD) usually begins during childhood, at the age of eight. Onset of antisocial personality disorder symptoms at this age or before age 18 will most likely result in a diagnosis of conduct disorder.
However, if antisocial behaviors have persisted after age 18, the diagnosis will be converted into ASPD. Although considered as a lifelong condition for most people, antisocial personality disorder tends to get better with age in certain cases.
Individuals who are at an increased risk of developing antisocial personality disorder include men, those who have a genetic vulnerability to sociopathy, people who received a conduct disorder diagnosis during childhood, as well as individuals who experienced childhood abuse and neglect.
Antisocial personality disorder appears to be more common in men than in women. Men are also more likely to develop substance abuse that could lead to aggressive or impulsive behaviors. Moreover, research suggests that substance abuse is strongly associated with a diagnosis of ASPD.
Having a first-degree relative with sociopathy or other mental disorders also puts a person at an increased chance of developing antisocial behavior. Environmental factors such as traumatic life experiences can exacerbate its development.
Evidence also suggests that most adults who were diagnosed with antisocial personality disorder have displayed signs of conduct disorder during childhood. Finally, experiencing adverse childhood experiences such as abuse and neglect increases the risk of developing ASPD. Individuals diagnosed with the condition were found to have high rates of physical and sexual abuse during childhood.
There is no FDA-approved drug specifically intended to treat ASPD. However, some medications and other forms of therapy may help manage its symptoms. The treatment options for antisocial personality disorder are listed below.
No, it is not possible to prevent antisocial personality disorder (ASPD). But early interventions may be beneficial for those who are diagnosed with conduct disorder during childhood.
Prompt treatment with therapy may help prevent persistence of symptoms and possible escalation of the condition into antisocial personality disorder in adolescence. Involvement of parents in these interventions can also improve academic performance in children with severe antisocial behavior.
No, there is no test that can be used to diagnose antisocial personality disorder. Not even conducting physical tests, including blood tests and imaging, can diagnose the condition.
Several websites offer online ASPD tests, which include questions that aim to identify any ASPD symptoms a person may be exhibiting. These tests, however, are not official diagnostic tools and are not meant to be a substitute for a formal diagnosis.
Yes, having an antisocial personality disorder diagnosis is the same as being a sociopath. Sociopath is a term used to refer to someone living with ASPD. However, while antisocial personality disorder is an official diagnosis in the DSM-5, sociopathy is not an officially recognized condition in the psychiatry text.
Another term that is sometimes used interchangeably with sociopath is psychopath. And although psychopathy does not also represent an official diagnosis, a few studies have explored the topic of antisocial personality disorder vs. psychopathy and have suggested some differences between the two.
For instance, people with ASPD or sociopaths often have little empathy and resort to justifying their actions, but they can distinguish what is right from what is wrong. Psychopathy, on the other hand, is characterized by the absence of empathy and a lack of moral sense.
With that said, even though the word sociopathy has been used by mental health specialists for decades now, since it is not an official diagnosis, a lot of stigma is attached to the term, especially for people with antisocial personality disorder.
Therefore, it is best to be careful of the language we use to describe mental health matters, as the meanings we attach to these words can contribute to stigma and discrimination.