Antisocial personality disorder signs and symptoms may include:
- Disregard for right and wrong
- Persistent lying or deceit to exploit others
- Using charm or wit to manipulate others for personal gain or for sheer personal pleasure
- Intense egocentrism, sense of superiority and exhibitionism
- Recurring difficulties with the law
- Repeatedly violating the rights of others by the use of intimidation, dishonesty and misrepresentation
- Child abuse or neglect
- Hostility, significant irritability, agitation, impulsiveness, aggression or violence
- Lack of empathy for others and lack of remorse about harming others
- Unnecessary risk-taking or dangerous behaviors
- Poor or abusive relationships
- Irresponsible work behavior
- Failure to learn from the negative consequences of behavior
Antisocial personality disorder symptoms may begin in childhood and are fully evident for most people during their 20s and 30s. In children, cruelty to animals, bullying behavior, impulsivity or explosions of anger, social isolation, and poor school performance may be, in some cases, early signs of the disorder.
Although considered a lifelong disorder, some symptoms — particularly destructive and criminal behavior and the use of alcohol or drugs — may decrease over time, but it's not clear whether this decrease is a result of aging or an increased awareness of the consequences of antisocial behavior.
Apr. 12, 2013
- Antisocial personality disorder. In: Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR. 4th ed. Arlington, Va.: American Psychiatric Association; 2000. http://www.psychiatryonline.com. Accessed March 1, 2013.
- Paris J, et al. Antisocial and borderline personality disorders revisited. Comprehensive Psychiatry. In press. Accessed March 1, 2013.
- Black DW. Antisocial personality disorder: Epidemiology, clinical manifestations, course and diagnosis. http://www.uptodate.com/home. Accessed March 1, 2013.
- Black DW. Treatment of antisocial personality disorder. http://www.uptodate.com/home. Accessed March 1, 2013.
- Shi Z, et al. Childhood maltreatment and prospectively observed quality of early care as predictors of antisocial personality disorder features. Infant Mental Health Journal. 2012;33:55.
- Kendall T, et al. Borderline and antisocial personality disorders: Summary of NICE guidance. British Medical Journal. 2009;338:293.
- Alarcon RD (expert opinion). Mayo Clinic, Rochester, Minn. March 21, 1013.
- Palmer BA (expert opinion). Mayo Clinic, Rochester, Minn. April 1, 2013.