Tulane University

Currently, there are no accepted methods used to diagnose ASPD. However, the DSM-5 has a list of four essential characteristics found in people with ASPD that can be used during a comprehensive psychiatric assessment of the person. In addition to that, the physician must also examine them physically and analyze their history. Only after combining those three pieces of information the physician can reach a conclusion. Even then it can be hard to be completely certain.

Diagnosing ASPD

Fisher, K. A., &amp; Hany, M. (2023, May 8). Antisocial Personality Disorder. National Library of Medicine. https://www.ncbi.nlm.nih.gov/books/NBK546673/ 

National Library of Medicine: Antisocial Personality Disorder

Other disorders have behaviors in common with those associated with ASPD, making it crucial to examine them carefully before making a diagnosis. These include:
- Cluster B Personality Disorders:
   - Narcissistic Personality Disorder: due to patients lacking empathy and being exploitive as well.
   - Borderline Personality Disorder: due to patients being manipulative.
- Substance use disorder: it is crucial for physicians to make sure that impulsive behaviors do not stem from substance use before diagnosing a patient with ASPD.

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