Fast Five Quiz: Antisocial Personality Disorder

Stephen Soreff, MD


May 22, 2023

Before performing a comprehensive psychiatric assessment of the patient, a careful history and physical examination is necessary. The criteria of the DSM-5 require the person to be age 18 years or older, have exhibited evidence of conduct disorder (typically with onset younger than age 15 years), and not have the antisocial behavior caused exclusively by schizophrenia or bipolar disorder. In addition, the person must show a "pervasive pattern of disregard for and violation of the rights of others," which can be demonstrated by acting impulsively, failing to plan, or:

  • 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

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

  • Recklessly disregarding their own 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

Learn more about personality disorder diagnosis.


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