What is the hardest type of personality disorder to treat?

Treating antisocial personality disorder But antisocial personality disorder is one of the most difficult types of personality disorders to treat. A person with antisocial personality disorder may also be reluctant to seek treatment and may only start therapy when ordered to do so by a court.

nhs.uk - Antisocial personality disorder - NHS

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Personality disorders are mental health conditions that affect how someone thinks, perceives, feels or relates to others. Antisocial personality disorder is a particularly challenging type of personality disorder characterised by impulsive, irresponsible and often criminal behaviour. Someone with antisocial personality disorder will typically be manipulative, deceitful and reckless, and will not care for other people's feelings. Like other types of personality disorder, antisocial personality disorder is on a spectrum, which means it can range in severity from occasional bad behaviour to repeatedly breaking the law and committing serious crimes. Psychopaths are considered to have a severe form of antisocial personality disorder. The Mind website has more information about signs of antisocial personality disorder Find out more about personality disorders Signs of antisocial personality disorder A person with antisocial personality disorder may: exploit, manipulate or violate the rights of others

lack concern, regret or remorse about other people's distress

behave irresponsibly and show disregard for normal social behaviour

have difficulty sustaining long-term relationships

be unable to control their anger

lack guilt, or not learn from their mistakes

blame others for problems in their lives

repeatedly break the law A person with antisocial personality disorder will have a history of conduct disorder during childhood, such as truancy (not going to school), delinquency (for example, committing crimes or substance misuse), and other disruptive and aggressive behaviours. Who develops antisocial personality disorder? Antisocial personality disorder affects more men than women. It's not known why some people develop antisocial personality disorder, but both genetics and traumatic childhood experiences, such as child abuse or neglect, are thought to play a role. A person with antisocial personality disorder will have often grown up in difficult family circumstances. One or both parents may misuse alcohol, and parental conflict and harsh, inconsistent parenting are common. As a result of these problems, social services may become involved with the child's care. These types of difficulties in childhood will often lead to behavioural problems during adolescence and adulthood. Effects of antisocial personality disorder Criminal behaviour is a key feature of antisocial personality disorder, and there's a high risk that someone with the disorder will commit crimes and be imprisoned at some point in their life. Men with antisocial personality disorder have been found to be 3 to 5 times more likely than women to misuse alcohol and drugs than those without the disorder. They also have an increased risk of dying prematurely as a result of reckless behaviour or attempting suicide. People with antisocial personality disorder are also more likely to have relationship problems during adulthood and be unemployed and homeless. Diagnosing antisocial personality disorder To be diagnosed with antisocial personality disorder, a person will usually have a history of conduct personality disorder before the age of 15. Antisocial personality disorder is diagnosed after rigorous detailed psychological assessment. A diagnosis can only be made if the person is aged 18 years or older and at least 3 of the following criteria behaviours apply: repeatedly breaking the law

repeatedly being deceitful

being impulsive or incapable of planning ahead

being irritable and aggressive

having a reckless disregard for their safety or the safety of others

being consistently irresponsible

lack of remorse These signs are not part of a schizophrenic or manic episode – they're part of a person's everyday personality and behaviour. This behaviour usually becomes most extreme and challenging during the late teens and early 20s. It may improve by the time the person reaches their 40s.

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