Although the diagnosis is limited to those over 18 years of age, there is always a history of antisocial behavior before age 15 demonstrated by repetitive lying, truancy, delinquency, and substance abuse . As an adult, there is a pattern of unlawful behavior, failure of job and family responsibility, reckless personal behavior, promiscuity, failure to sustain long-term relationships, and aggressive behavior. There is a lack of anxiety or emotion in situations that warrant such emotions. Superficial charm and wit can be highly developed and skillfully used for their own ends. This disorder tends to occur more often in men and in people whose predominant role model had antisocial features.
Specific prevention is unknown.
Awareness of risk, such as a parent with antisocial personality, can make early detection and intervention possible. Group psychotherapy can be helpful. If the person can develop a sense of trust, individual psychotherapy or cognitive behavioral therapy can also be beneficial. The outcome is likely to be poor. The information provided herein should not be used for diagnosis or treatment of any medical condition.