View Full Version : Antisocial Personality Disorder Symptoms


Andrew
03-09-03, 08:58 PM
Symptoms - Antisocial Personality Disorder

This disorder is characterized by a long-standing pattern of a disregard for other people's rights, often crossing the line and violating those rights. This pattern of behavior has occurred since age 15 (although only adults 18 years or older can be diagnosed with this disorder) and consists by the presence of the majority of these symptoms:

*failure to conform to social norms with respect to lawful behaviors as indicated by repeatedly performing acts that are grounds for arrest
*deceitfulness, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure
*impulsivity or failure to plan ahead
i*rritability and aggressiveness, as indicated by repeated physical fights or assaults
*reckless disregard for safety of self or others
*consistent irresponsibility, as indicated by repeated failure to sustain consistent work behavior or honor financial obligations
*lack of remorse, as indicated by being indifferent to or rationalizing having hurt, mistreated, or stolen from another

Criteria summarized from:
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders, fourth edition. Washington, DC: American Psychiatric Association.

From Mental Help Net

capri
02-28-04, 07:38 PM
I dont know how to say this or even if i really want to, but i need to put it down somewhere.
I have come about my ADHD diagnoses and treatment in a wierd sort of way. My childrens psychiatrist also has a special interest in the lifelong effects of ADHD. She has been treating myself and two of my children as a sort of familly job lot. She and my GP are in agreance that ADHD is definatly a huge part of my continued problems in life. So my GP has agreed to prescribe Concerta while my childrens psych will, unoffically, monitor me.

I am at the same time persueing a referal to an Adult ADHD clinic, though this is, and is going to continue to be, a lengthy drawn out procedure.
I asked for an assesment, from adult services, for ADHD, this is where i discovered the local clinics veiw on ADHD. For those who are unfamilier with the UKs health system. You do not get to pick and choose your psych, you get whoever is the local clinic and they, on recieving your GPs referal note, assign you whichever member of the team they deem most appropriate.

I knew right from the get go, that the psych i was seeing had some idea about me that i was puzzled by. I discovered there was a diagnoses of Bi-polar on my notes from several years ago (i had post natal depression and was finding parenting next to impossible). The psych seemed deffencive with me and almost hostile at times. We met 4 times and each time i pressed for more info on the progress of my request for out of area assesment in an ADHD clinic. My requests were met with evasive answers and constant referals that the actual power lay with her Consultant.

I knew from our first meeting that any headway towards a diagnoses of ADHD would not come from this person, thats when i started working round the system. My GP agreed to prescribe the Concerta and when i made this known, to the Psych i was seeing, her attitude was extremly negative. She began to imply very clearly that i was more concerned with getting hold of the stimulants than the actual ADHD diagnoses. When i tried to explain the possitive effects, i had from the stims, she refered to the "huge placebo" effect of these things. I didnt think someone addicted to stims would take a days break from time to time without worrying too much, just vaguely aware of how hard it is to stay on-topic and finish things as well as losing everything, the very second i put it down.
She did agree that through the 3 months we were meeting i showed no signs of Bi-polar though.

In our second to last meeting she made mention of my "personality disorder". She made it clear, yet again, that the diagnoses hadnt come from her (her consultant again, the one i saw 3 years ago). She refused to give me any info on the type of personality disorder either on paper or face to face.

So in frustration and anger i requested copies of my notes. This again is somthing that is pretty convoluted in the UK. You have to phone the department of medical records and they send a request form, and so on and so on.

Well eventually my notes arrived. They start at age 20, when i left the forces environment.

I was called "psycho" in school and apparently now i am officially one. There is several mentions of Antisocial Behavoural Disorder in my files.
I dont have a criminal record, for violence or otherwise.
I have one ticket for speeding on my licence, one accident (not caused by me) and thats it for driving.
I dont drink or smoke, infact my only addiction is possibly tea.

For 3 years i was a crap, out of control, parent. I asked for help and was encouraged to socialise and return to work or study, to get a break from the kids. When i didnt go out more and refused to socialise (somthing i am crap at) no more help was forthcoming.
I ended up believeing the 2 children we had then would be better off being adopted. My In-laws stepped in and took the children for over 2 months. Durring this time i slept and rested and came to realised how much i loved the kids and wanted them back. We made i work and even when number 3 came along things never went back to the bad old days.

I geuss i thought it was postnatal depression, nothing more.
I know i dont deal well with frustration and have a pretty impateint temprement, but i abhore violence am not violent to anyone or anything.
Clearly people see me as comepletly self centred and manipulative, makes me want to stay home and never go out again. Can the person in my notes really be me? or am i tragically missunderstood?

The Psychs attitude makes a whole lot more sence to me now. She was wary of my reactions, possibly fearing violence. She followed the guidlines and souht to portray herself as the authority and tried to remain detached. Unfortunatly her obvious disbelief in adult ADHD and my interest in stims, made for a non-starter of a relationship.
When i questioned her knowledge of ADHD she took it to mean i was questioning her entire proffessional credentials and ability, rather than specifically her ADHD experience. Which must have looked like classic APD to her.

I will admit, she made me angry. I felt she was "handling" me in a pretty patronising and clumsy manor, and reacted with sarcasm and disdaim. I dont need "handling" and though i may not like the facts i am not ever going to react with violence, beyond verbal sarcasm and walking away. But apparently this isnt how it looks from the outside. This worries me conciderably, do i really act and talk like a sociopath?

No replies required, i just had to put it down in black and white.

Gregster
02-28-04, 10:34 PM
Boy, I sure don't like the sounds of the UK medicare system! I'm gaining added appreciation for the Canadian system, which seems to be a cross between the American and UK systems. It's free (mostly) and overcrowded (always) but it doesn't pin you down to one Dr - if you disagree, you can find another.