Antisocial personality disorder is a psychiatric condition where the patient ignores the emotions and rights of other people and does not consider right and wrong things. Individuals with this kind of behavior disappoint others, treat them harshly, and do not regret that kind of behavior. Patients have issues with drug and substance abuse and may behave brutally. They may also be irresponsible (Few et al., 2015). The DSM (5) diagnostic criteria that help diagnose this disorder involve the following: The first criterion states that the patient should have violated other rights from the age of 15 years. These rights include breaking the rules and regulations that call for an arrest, telling lies, irritability, irresponsibility, and the person having no regard for their safety and those around them. Criteria B states that the patient should be at least 18 years old. Next, Criteria C states that the misconduct behavior should have been present from age 15, and Criteria D states that the disorder should not be associated with other conditions such as bipolar or schizophrenia.
Cognitive Behavior Therapy (CBT) is a treatment option for antisocial personality disorder. It is effective in people exhibiting unpleasant behavior because it helps them discover and change the ideas, strategies, and beliefs contributing to their problematic behavior. The CBT programs encourage the affected to learn skills to overcome social problems. It also educates them about the long-term and short-term effects of antisocial behavior and how to deal with them. I prefer to use group modality for therapy because sharing experiences improves recovery and gives a sense of fulfillment. It also helps the person to get a voice and socialize to avoid isolation. I selected CBT as a treatment for antisocial personality disorder because it establishes a balance of different abilities taught (Smith, 2021). CBT involves four levels in this disorder. Accordingly, Level 1 involves activities preventing the patient from injuring themselves and others. Level 2 addresses the behavior that hinders the treatment therapy from becoming successful, like unfinished homework and missing classes. Level 3 aims to reduce drug and substance abuse and criminal behavior and improve patient literacy. CBT also involves conversing with the patient and avoiding conflicts between incompatible pairs, a significant problem and patient suffering from this. For example, the psychologist must show respect while attempting to change the patients’ antisocial behavior and attitude. It is a definition of the patient learning how to socialize with others from the psychologist.
The therapeutic relationship in psychiatry is the relationship between the patient and the medical personnel that is interactive and can sometimes involve the patient’s family, which involves all the parties working together to improve the patient’s condition. The relationship includes empathy, active listening, questioning, silence, and acceptance. To avoid damaging the relationship with the patient when sharing their diagnosis, I will assist the patient in gaining insight into their condition by educating them about the consequences of their actions (Anderson et al., 2022). I will also establish security in all interactions so the patient trusts the therapist and feels comfortable. A comparison between individual, family, and group sessions reveals that in individual therapy, the healthcare worker explains the condition to one person, the patient, and how to manage the condition. In family therapy, the trainer has to give insight to the family about the patient’s condition and talk to them about how to improve the patient’s condition and how they will relate with the affected. In group therapy, all the individuals are treated simultaneously, so the therapist must develop better language to explain the condition.
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Anderson, J. L., & Kelley, S. E. (2022). Antisocial personality disorder and psychopathy: The AMPD in review. Personality Disorders: Theory, Research, and Treatment, 13(4), 397.
Few, L. R., Lynam, D. R., Maples, J. L., MacKillop, J., & Miller, J. D. (2015). Comparing the utility of DSM-5 Section II and III antisocial personality disorder diagnostic approaches for capturing psychopathic traits. Personality Disord