Musk doesn't fit the usual clinical picture of someone with ASPD. ASPD is usually encountered in a forensic setting – someone in prison, currently going through a criminal trial, child welfare cases.

I really doubt any actual psychiatrist or psychologist would diagnose Musk with ASPD in a clinical setting. Psychiatric diagnoses aren't just about reading a list of symptoms and matching them – you need to understand how professionals interpret that list in practice (the "clinical gestalt", as it is sometimes called). If you actually study the literature on ASPD, you'll find people like Musk are not the targets of the diagnosis. Indeed, the DSM-5 says (p. 662):

> Antisocial personality disorder appears to be associated with low socioeconomic status and urban settings

Musk is not now and has never been a person of "low socioeconomic status", which is the group of people in which ASPD is usually diagnosed.

Here's some more traits of ASPD, according to the DSM-5 (p. 661):

> They may be irresponsible as parents, as evidenced by malnutrition of a child, an illness in the child resulting from a lack of minimal hygiene, a child's dependence on neighbors or nonresident relatives for food or shelter, a failure to arrange for a caretaker for a young child when the individual is away from home, or repeated squandering of money required for household necessities

Musk is no candidate for "Father of the Year", but there is zero evidence his children are malnourished, extremely unhygienic, lack appropriate adult supervision, lack sufficient financial support, etc. That is describing the behaviour of low socioeconomic status bad parents, high socioeconomic status individuals may often be bad parents, but rarely in such a grossly physical way.

> These individuals may receive dishonorable discharges from the armed services, may fail to be self-supporting, may become impoverished or even homeless, or may spend many years in penal institutions

That doesn't sound like Musk either.

Some other common traits of ASPD (back to page 660):

> Irresponsible work behavior may be indicated by significant periods of unemployment despite available job opportunities, or by abandonment of several jobs without a realistic plan for getting another job. There may also be a pattern of repeated absences from work that are not explained by illness either in themselves or in their family. Financial irresponsibility is indicated by acts such as defaulting on debts, failing to provide child support, or failing to support other dependents on a regular basis

When they said "financial irresponsibility", a centibillionaire wasting $44 billion on a whim is not what they had in mind. They mean the parent who can't afford food for their children because they spent all their money on some inessential goods. None of Musk's children are going to starve, even if he stupidly loses $100 billion more.

> Individuals with antisocial personality disorder tend to be irritable and aggressive and may repeatedly get into
physical fights or commit acts of physical assault (including spouse beating or child beating)

Haven't heard about Musk getting in to physical fights or committing physical assault.