If a medical evaluation rules out physical causes for your behavior, your primary care doctor may make a referral to a psychiatrist.
Take a family member or friend along to your appointment, if possible. With your permission, someone who has known you for a long time may be able to answer questions or share information with the doctor that you don't think to bring up.
What you can do
Before your appointment, make a list of:
- Any symptoms you or your family noticed, and for how long
- Key personal and medical information, including current physical or mental health conditions, personal or family history of mental illness, traumatic experiences or major stressors
- All medications you take, including the names and doses of any medications, herbs, vitamins or other supplements
- Questions you want to ask your doctor to make the most of your appointment
Some basic questions to ask your doctor include:
- What is likely causing my symptoms?
- What are other possible causes?
- What treatments are most likely to be effective for me?
- How much can I expect my symptoms to improve with treatment?
- How often will I need treatment, and for how long?
- Are there medications that can help? Is so, what are the possible side effects?
- Is there a generic alternative to the medication you're prescribing?
- Are there any printed materials I can have? What websites do you recommend?
Don't hesitate to ask any other questions during your appointment.
What to expect from your doctor
Your doctor is likely to ask you a number of questions, such as:
- What are your symptoms?
- When did you or your family first notice these symptoms?
- How are your symptoms affecting your life?
- Have relatives or friends expressed concern about your behavior?
- Do you have any close relationships?
- If you're not satisfied with work, school or relationships, what do you think is causing your problems?
- Have you ever thought about harming yourself or others? Have you ever actually done so?
- Have any of your close relatives been diagnosed or treated for mental illness?
Be ready to answer these questions to reserve time to go over points you want to spend more time on.
Aug. 04, 2017
- Antisocial personality disorder. In: Diagnostic and Statistical Manual of Mental Disorders DSM-5. 5th ed. Arlington, Va.: American Psychiatric Association; 2013. http://www.psychiatryonline.org. Accessed March 21, 2016.
- Meloy JR, et al. Antisocial personality disorder. In: Gabbard's Treatment of Psychiatric Disorders. 5th ed. Arlington, Va.: American Psychiatric Association; 2014. http://psychiatryonline.org/doi/full/10.5555/appi.books.9781585625048.gg00pre. Accessed March 21, 2016.
- Antisocial personality disorder: Prevention and management. National Institute for Health and Care Excellence. https://www.nice.org.uk/guidance/cg77. Accessed March 21, 2016.
- Black DW. The natural history of antisocial personality disorder. Canadian Journal of Psychiatry. 2015;60:309.
- Black DW. Antisocial personality disorder: Epidemiology, clinical manifestations, course and diagnosis. http://www.uptodate.com/home. Accessed March 21, 2016.
- Black DW. Treatment of antisocial personality disorder. http://www.uptodate.com/home. Accessed March 21, 2016.
- Werner KB, et al. Epidemiology, comorbidity, and behavioral genetics of antisocial personality disorder and psychopathy. Psychiatric Annals. 2015;45:195.
- Velotti P, et al. Mindfulness moderates the relationship between aggression and antisocial personality disorder traits: Preliminary investigation with an offender sample. Comprehensive Psychiatry. 2016;64:38.
- Palmer BA (expert opinion). Mayo Clinic, Rochester, Minn. March 24, 2016.
Antisocial personality disorder