Find Therapy for Antisocial Personality Disorder

Antisocial Personality Disorder is more than just being rebellious, distant, or rule-breaking. It involves a persistent pattern of disregard for others, difficulty following social norms, and a tendency to manipulate or violate boundaries. Many people with ASPD don’t seek help unless legal issues, relationship breakdowns, or other serious problems arise.

You may wonder if you have ASPD if you:

• Regularly disregard rules, laws, or the rights of others
• Lie or manipulate for personal gain
• Lack guilt or remorse after hurting others
• Are frequently aggressive or impulsive
• Struggle to maintain long-term jobs or relationships

These traits don’t make someone “bad” or “evil”—but they can cause real harm and lead to isolation or legal trouble. Treatment for antisocial personality disorder can help you understand your behavior and choose a different path.

Recognizing the symptoms

Symptoms of ASPD often appear in late adolescence or early adulthood and continue through adulthood. They can vary in intensity and may overlap with other conditions like substance use or trauma-related disorders.

Common symptoms include:

• Disregard for social rules and laws
• Repeated lying, deception, or conning others
• Impulsivity or failure to plan ahead
• Irritability, aggression, or repeated fights/assaults
• Reckless disregard for the safety of self or others
• Consistent irresponsibility (e.g., work, finances)
• Lack of remorse after harming others

If these traits sound familiar or have caused problems in your life, a provider who offers antisocial personality disorder therapy can help you assess your situation and consider your options.

What do the diagnostic criteria mean?

According to the DSM-5, Antisocial Personality Disorder is diagnosed when someone shows a consistent pattern of violating others’ rights, beginning in childhood or adolescence. The person must be at least 18 years old and have evidence of conduct disorder before age 15.

The diagnosis requires at least three of the following:

• Repeated unlawful behaviors
• Deceitfulness (lying, conning)
• Impulsivity or failure to plan
• Irritability and aggressiveness
• Reckless disregard for safety
• Consistent irresponsibility
• Lack of remorse

Diagnosis must also account for context, history, and rule out other mental health conditions. An experienced clinician providing ASPD treatment can make a thorough assessment and explain what the criteria mean for you.

Getting diagnosed

Diagnosis typically starts with a detailed interview with a licensed mental health provider. They’ll ask about:

• The types of thoughts and behaviors you experience
• When symptoms began and how they’ve progressed
• How much time these thoughts/rituals take up
• Whether other conditions like anxiety, depression, or ADHD are also present

Sometimes, OCD is misdiagnosed or mistaken for general anxiety or perfectionism. That’s why it’s important to work with an OCD specialist who understands the nuances of the disorder.

ASPD doesn’t have one single cause—it develops from a mix of early experiences, environment, and genetics.

Possible contributing factors include:

• Childhood trauma: Physical, emotional, or sexual abuse, neglect, or early abandonment
• Family environment: Growing up around violence, criminal behavior, or inconsistent parenting
• Neurological factors: Differences in brain regions involved in decision-making and impulse control
• Conduct disorder: Many people with ASPD were diagnosed with conduct disorder in childhood
• Genetics: Family history of personality disorders, substance use, or criminal behavior

Understanding what led to your behavior isn’t about making excuses—it’s about building insight. Therapy for ASPD often includes examining these roots to help reduce future harm and improve functioning.

While ASPD is considered challenging to treat, recovery and change are possible—especially when someone is willing to engage honestly in therapy.

Talk Therapy Long-term therapy helps build self-awareness, emotional regulation, and behavioral control. Common approaches include:

• Cognitive Behavioral Therapy (CBT): Focuses on changing harmful thought patterns and behaviors. Teaches accountability, impulse control, and empathy.
• Schema Therapy: Targets deep-seated beliefs formed in childhood that influence behavior. Helps with emotional growth and trust-building.
• Mentalization-Based Therapy (MBT): Helps individuals better understand their own emotions and those of others—key in improving empathy and reducing aggression.

Medications There’s no specific medication for ASPD, but doctors may prescribe medications to manage related issues like:

• Irritability or aggression
• Depression or anxiety
• Impulsivity
• Substance use Medication is most effective when combined with therapy and lifestyle support.

Behavioral Strategies Therapists often use real-life situations to build new habits, such as:

• Setting and keeping commitments (work, family)
• Practicing delayed gratification
• Identifying triggers for risky or harmful behavior
• Learning to manage frustration and anger constructively

Environmental Supports A supportive structure is key. This might include:

• Stable housing or financial planning assistance
• Employment coaching or job skills training
• Court-ordered programs that include therapy and supervision
• Family or partner counseling when appropriate

Psychoeducation Education is central to treatment. You’ll learn about:

• How ASPD develops
• The impact of behaviors on others and yourself
• Strategies for building trust and emotional resilience
• How to navigate legal or interpersonal consequences

Treatment for antisocial personality disorder isn’t about punishment—it’s about learning how to live a more stable and fulfilling life.