The pattern of anti-social behavior disorder begins in childhood, with conduct disorders, and continues to later life.  It’s resistant to change, and about 80% of ASPD clients suffer from substance abuse/dependency problems.  We frequently see ASPD clients in programs that provide court-mandated treatment, in pre-release corrections and corrections-related settings.  That’s because the symptoms of ASPD include criminal behaviors, as well as deception, aggressiveness, and irresponsibility.

It’s a tough combination.  ASPD is resistant to change, and clients with ASPD can be difficult, manipulative, demanding, and even intimidating.  But it’s not impossible.  With a little leverage and some understanding of effective therapeutic technique, you can increase the chances of successful outcomes with these clients.

The article also includes a copy of the “ASB Quick Assessment” tool:

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