View source for Antisocial personality disorder

==Background==
*A pervasive pattern of disregard for and violation of the rights of others

==Clinical Features==
*Three (or more) of the following criteria, occurring since age 15 years:<ref>American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.</ref>
**Failure to conform to social norms with respect to lawful behaviors, as indicated by repeatedly performing acts that are grounds for arrest.
**Deceitfulness,  as indicated by repeated  lying,  use of aliases,  or conning others for personal  profit or pleasure.
**Impulsivity or failure to plan ahead.
**Irritability and aggressiveness, as indicated by repeated physical fights or assaults.
**Reckless disregard for safety of self or others.
**Consistent  irresponsibility,  as  indicated  by  repeated  failure  to  sustain  consistent work behavior or honor financial obligations.
**Lack  of  remorse,  as  indicated  by  being  indifferent  to  or  rationalizing  having  hurt, mistreated,  or stolen from another.
*The individual  is at least age 18 years
*There is evidence of conduct disorder with onset before age 15 years
*The  occurrence  of antisocial  behavior is not exclusively during the course of schizophrenia or bipolar disorder

==Differential Diagnosis==
*[[substance abuse|Substance use disorders]]
*[[Schizophrenia]] and [[bipolar disorder]]
*Other [[personality disorders]] and personality traits
*Criminal  behavior not associated with a personality disorder

==Evaluation==
*A clinical diagnosis; however if entertaining other organic causes may initiate workup below

{{General ED Psychiatric Workup}}

==Management==
*Set clear boundaries and expectations
*Referral for outpatient psychiatric treatment, although difficult to treat with psychotherapy. Antipsychotics, antidepressants and mood stabilizers can be used to control symptoms such as aggression and impulsivity

==Disposition==
*Discharge

==See Also==
*[[Personality disorders]]

==External Links==


==References==
<references/>

[[Category:Psychiatry]]