Bipolar Central
Devoted to Helping Those Living
with Bipolar Disorder

Click Here for Your Free Bipolar DVD
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
Simple yet effective strategies to cope with your loved one.

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:

  • Repeated lying
  • Drug abuse, alcohol abuse
  • Does not conform to rules or norms
  • Always in trouble at work or school or home
  • Unconscionable behavior, no guilt
  • Cannot fulfill work or financial obligations
  • Stealing, breaking the law
  • Reckless behavior, unaware of consequences
  • Aggression, violence, often gets into fights
  • Unable to sustain long-term relationships, unconcerned about the feelings of others
  • Deceitful, manipulative, shows no remorse
  • Blames others for problems patient creates
  • Sense of entitlement, "it’s rightfully mine", "I deserve this" even when taking from others

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:

  • Patient has been diagnosed with a Conduct Disorder
  • Patient is impulsive, fails to plan ahead and does not look at the consequences of his behavior
  • Patient is consistently irritable and aggressive
  • Irresponsible, cannot keep a job or relationship, fails to meet financial obligations
  • Failure to conform to social norms and respect the law
  • Deceitful behavior, lying, using fake names, running ‘cons’ to cheat people out of belonging or money
  • Fighting and assault are common
  • Indifferent to the feelings of others, shows no remorse or guilt after hurting or mistreating someone

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:

  • Psychotherapy
  • Family and Marriage Counseling
  • Incarceration in Hospital or Prison (in severe cases)
  • Cognitive Behavioral Therapy
  • Self-Help and Group Therapy Groups
  • Medication as appropriate, lithium, dilantin, carbamazepine, valproate, propranolol, buspirone, trazodone.

Index of Articles


It is estimated that about 6% of men and 1% of women have Antisocial Personality Disorder (APD). There are 3 million possible variations of symptoms and at least 62 measurable symptoms.
APD is the most common kind of this type of personality disorder, Sociopaths are the second most common, estimated at 3% of all men in American society. Psychopaths are the rarest, occurring in about 1% of the population.
APD is often synonymous with criminal behavior. 65-75% of all convicted criminals suffer from APD.

If you are in a crisis please call:
1-800-SUICIDE (784-2433) or
1-800-273-TALK (8255)

Search Bipolar Central

FREE Bipolar News,
Tips, Tricks and Secrets
Please Select:
  Please describe your situation:

Loved One With Bipolar Disorder?
Discover How to Help Your Loved One Live with Bipolar Disorder

Do You Have Bipolar Disorder?
Learn the Secrets to Living with Bipolar Disorder

Child With Bipolar Disorder?
Learn How to REALLY Help

Dating Someone With Bipolar?
Secrets to a Successful Relationship

Marrying Someone With Bipolar?
Learn How to Support Your Spouse

Need Money Because of Bipolar Disorder?
Learn How to Be Successful

Drug Addiction and Bipolar Disorder
Secrets to Beating Drug Addiction

Need Affordable Health Insurance?
Information You Can't Live Without If You Have Bipolar Disorder

In Debt Because of Bipolar Disorder?
Get out of debt fast!

Improve Your Emotional Health
Reduce Your Stress Levels and Increase Your Brain Power

This Week's Bipolar News

Woman Who Embezzled $249,000 From Chattanooga Construction Firms Gets 65 Months In ...
Attorney Maio said her bipolar disorder may have driven her client's impulsivity, and now that she is being treated for it, that Ms. Morrison is ...

New law on mental health curriculum goes into effect with start of the new year | EdSource
Health classes will soon include lessons on depression, bipolar disorder and other serious conditions to help students cope with emotional ...

Auburn man accused of leaving voicemail threatening Seattle Mayor Jenny Durkan
He has been diagnosed with illnesses including schizoaffective disorder and bipolar disorder and has been arrested more than 70 times, resulting in ...

Click here for all Bipolar News.

RSS Feed

Featured Article:

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.

Click here to read the entire article

Stop Panic Attacks

Fat Burning Secret

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
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.

Terms of Service | Privacy Policy

Copyright 2004- 2022 ,