Antisocial personality disorder

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Target exams

Red flags

• Imminent violence, weapons access, or identifiable victim threat — prioritise safety, multi-agency response, and jurisdiction-specific duty-to-protect principles
• Severe intoxication or withdrawal with agitation — medical stabilisation before personality formulation
• New late-onset antisocial change without childhood conduct history — investigate organic disease (TBI, frontotemporal syndromes, epilepsy, substance-induced states)
• Intimate partner violence or child safeguarding concerns — act on statutory duties; do not treat ASPD label as a reason to delay protection
• Therapeutic nihilism that withholds treatment of depression, psychosis, ADHD, or substance use disorder because 'they are ASPD'
• Collusion, boundary violations, or uncritical acceptance of minimisation in medico-legal contexts