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Antisocial Personality Disorder Case Study

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The following is a case study of a male client, Dexter, suffering from antisocial personality disorder (psychopath), a chronic mental condition in which a person's ways of thinking, perceiving situations and relating to others are dysfunctional — and destructive ("Antisocial personality disorder", 2015). One result of antisocial personality disorder is the person has no regard for right and wrong and they usually disregard the rights and feelings of others. The client was diagnosed and given an assessment with the goal of managing his symptoms. Through a process of discovery, the client's history finally revealed that the disorder was actually a result of Post-Traumatic Stress Disorder (PTSD) caused by a past experience. People with PTSD …show more content…

He then lost both of his adoptive parents while growing up. He has been surrounded by murder during most of his life. He received a 50 on the Global Assessment of Functioning Scale. He has few close friends, always lying, usually is out late at night, has had panic attacks, exhibits a strict ritual, is often on edge, and has had conflicts with coworkers - mostly ending in violence.
Dexter has the fallowing symptoms. He lies, steals, and feels no remorse. He has exhibited in the past animal cruelty. He has poor behavioral control, is violent, and has shallow feelings. He shows a failure to conform to social norms, is impulsive, and irritable. He is uncomfortable relying on others, and is often on the edge. He has problems recalling his early childhood and has episodes of delusions and hallucinations (usually of his father Harry Morgan).
He has an inner voice he calls his “dark passenger”. He has a code that he calls “Harrys code” this was taught to him by his father. He has exhibited poor attempts to fit in. There is no interest in romance or sex. He has persuasive patterns and is manipulative. He is deceitful and has a disregard/violation of rights of others. There is a lack of moral sense/conscience and a lack of …show more content…

Treatment is to include psychotherapy on an individual bases, family therapy with his sister (Debra), and also an antipsychotic medication such as Risperdal. The medication is to suppress his delusions and hallucinations. Psychotherapy will help with the emotions that arise from the trauma he suffered when he was younger. Family therapy will help his sister understand her brother’s symptoms and work toward strengthening their relationship.
The changes in the DSM-5 increase the specific criteria to being diagnosed with antisocial personality disorder. There were no changes in the treatment options for this diagnosis. While there is limited treatment for antisocial personality disorder, there is coping and behavioral therapy’s that may be

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