psychiatric disorders
Antisocial Personality Disorder (ASPD)
Introduction
Antisocial personality disorder is characterized by a pervasive pattern of disregard for consequences and for the rights of others. Diagnosis is by clinical criteria. Treatment may include cognitive-behavioral therapy, antipsychotic medications, and antidepressants. (See also Overview of Personality Disorders .) People with antisocial personality disorder commit unlawful, deceitful, exploitative, reckless acts for personal profit or pleasure and without remorse; they may do the following: Justify or rationalize their behavior (eg, thinking losers deserve to lose, looking out for number one) Blame the victim for being foolish or helpless Be indifferent to the exploitative and harmful effects of their actions on others Estimates of the lifetime prevalence of antisocial personality disorder range from 2 to 5% based on several large epidemiologic surveys from the United States and the United Kingdom ( General references ). Antisocial personality disorder is more common among males than among females (3:1) ( are common. Most patients also have a Substance Use Disorders (and about half of those with a substance use disorder meet criteria for antisocial personality disorder) ( 