|Home | About Bipolar Disorder | About David Oliver | Bipolar Articles/Stories | Bipolar Success Stories | Blogs and Podcast | Catalog | Contact | Current Bipolar News David Oliver In the News | Donate | Events | FAQ's | FREE Resources | Health Directory | Other Illnesses | Recommended Sites | Site Map | Speaking | Testimonials|
Antisocial Personality Disorder (APD)
Before 1980, the research and medical community usually referred to patients with this condition as ‘psychopathic’. These patients were typically egocentric, deceitful, manipulative, selfish and showed no remorse or guilt for harm done to others, nor did they exhibit signs of guilt for violent or cruel behavior. After 1980, the disorder was named Antisocial Personality Disorder and doctors looked for characteristics like violation of social norms, lying, stealing, arrests and erratic work and school behavior. In 1987, doctors attempted to define the symptoms more clinically so that Antisocial Personality Disorder (APD) patients could be more objectively identified and treated. APD is the most common of these disorders. Patients with more severe symptoms are often classified as sociopathic or psychopathic. Patients with antisocial personality disorder act out conflict and ignore the rules that most people follow in society. They are impulsive, irresponsible, and seem to be callous toward the feelings and well-being of others. APD patients often have a history of legal problems, are known for their belligerent, aggressive behavior, and often have violent relationships, and they are at a higher risk for substance abuse, and alcoholism. Patients can be charming, but relationships are typically self-serving and manipulative in nature. They are expert at finding and exploiting weaknesses in others through deceit and intimidation. Patients are quick to anger, but do not hold grudges, and no matter what emotion they express, it does not seem to influence their future thought or action. APD patients rarely hold long-term jobs, they become bored and need constant change and stimulation. They are focused on immediate reward and instant gratification. The cause of antisocial personality disorder isn't known. Research seems to indicate that genetic factors and a history of child abuse may play a role.
What are the symptoms?
Symptoms usually appear before age 15, but are usually not diagnosed until age 18. Symptoms can include:
How is it diagnosed and treated?
Patients with antisocial personality disorder, are typically diagnosed with Conduct Disorder during childhood. Since those with APD usually have poor insight into their own behavior, they will often reject the diagnosis. In the early 1980s a diagnostic tool was developed, in an attempt to distinguish between the various forms of this personality disorder (antisocial personality disorder, sociopathic disorder, psychopathic disorder). The Hare Psychopathy Checklist is a 20-item scale using interview, case history and specific diagnostic criteria. In 1994, The MacArthur Foundation used a 12-item version. In 1995, The Diagnostic and Statistical Manual for Mental Health Disorders introduced a 10-item version of this diagnostic tool. Most psychopaths meet the criteria for APD, but most patients with APD are not psychopaths. Because of this diagnostic gap, it is sometimes difficult for doctors to predict treatment response and validity. To diagnose APD, doctors typically require that the patient be at least 18 years of age and exhibit at least 3 of the following diagnostic criteria:
Treatment depends on the severity of the condition. Patients who exhibit long-term symptoms and are over 40 years of age are less likely to respond to therapy and treatment. Treatment(s) can include:
This Week's Bipolar News
Allegations of abuse at Augusta State Medical Prison grow
Rash of inmate suicides raise concerns over mental health services
Click here for all Bipolar News.
The Warning Signs Of An Impending Bipolar Disorder Manic Episode
Bipolar disorder - as the name implies - involves two distinct set of symptoms. One set throws the individual down into the depths of a massive depression. The other places the individual who suffers with bipolar disorder at the top of a peak manic episode.
Most everyone can eventually recognize the warning signs of an impending depressive episode related to bipolar disorder. More likely than not, individuals with bipolar disorder try very hard to avoid it.
However, for many individuals with bipolar disorder, it's more difficult to recognize the signs of an impending manic episode. After all, a manic episode of bipolar disorder can be mistaken in some cases - especially in the very early formation -- for the lifting of the corresponding mood swing of the depression.
Home | About
Bipolar Disorder |
About David Oliver | Bipolar
Articles/Stories | Bipolar
Success Stories | Blogs
and Podcast | Catalog |
| Current Bipolar
David Oliver In the News | Donate | Events | FAQ's | FREE Resources | Health Directory | Other Illnesses | Recommended Sites | Site Map | Speaking | Testimonials
| The information contained
on this web page is not meant to provide medical advice.
Specific medical advice should be obtained from a qualified and licensed health-care practitioner.
There is no warranty that the information is free from all errors and omissions or that it meets any particular standard.
Copyright 2004- 2017 , BipolarCentral.com