Antisocial personality disorder (aspd)

[Vania]

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 drugs, 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

For antisocial personality disorder, estimated 12-month prevalence rates in the US (based on older Diagnostic and Statistical Manual of Mental Disorders [DSM] criteria) range from about 0.2 to 3.3%. Antisocial personality disorder is more common among men than among women (6:1), and there is a strong heritable component. Prevalence decreases with age, suggesting that patients can learn over time to change their maladaptive behavior and try to build a life.
Comorbidities are common. Most patients also have a substance use disorder (and about half of those with a substance use disorder meet criteria for antisocial personality disorder). Patients with antisocial personality disorder often also have an impulse control disorder, attention-deficit/hyperactivity disorder, or borderline personality disorder.