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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Cite this: Stephen Soreff. Fast Five Quiz: Antisocial Personality Disorder - Medscape - May 22, 2023.
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