Diagnosis information

Antisocial personality disorder

Core diagnostic criteria, specifiers, differential considerations, and documentation support in one open, scan-friendly view.

F60.2Personality DisordersLocal clinical reference

Criteria: 4 criteria, A–D
Specifiers: 4 specifiers
Differentials: 5 considerations
Severity specifier: Supported

Core diagnostic criteria

All criteria are shown. No expand controls or hidden sections.

A
Core criterion A
Pervasive pattern of disregard for/violation of rights of others since age 15: ≥3 of 7: failure to conform to lawful behaviours; deceitfulness; impulsivity; irritability/aggressiveness; reckless disregard for safety; consistent irresponsibility; lack of remorse
B
Core criterion B
Age ≥18
C
Core criterion C
Evidence of conduct disorder with onset before age 15
D
Core criterion D
Not occurring exclusively during schizophrenia or bipolar disorder

Specifiers

With limited prosocial emotions (callous-unemotional traits): Persistent lack of remorse or guilt; callous indifference; unconcerned about performance; shallow or deficient affect.
Mild: Minimum threshold of excess antisocial traits with clear but limited functional impairment.
Moderate: Definite and recurrent adverse impact on others.
Severe: Many pronounced antisocial traits with pervasive impairment and significant harm to others.

Documentation support

Consistent with [Antisocial Personality Disorder] [specifier(s)]. Since at least age 15 years, there has been a pervasive pattern of disregard for and violation of the rights of others, including failure to conform to lawful behaviours; repeated acts that are grounds for arrest; deceitfulness; repeated lying; use of aliases; conning others for personal profit or pleasure; impulsivity; failure to plan ahead; irritability; aggressiveness; repeated physical fights or assaults; reckless disregard for safety of self or others; consistent irresponsibility; failure to sustain work behaviour; failure to honour financial obligations; lack of remorse; indifference to or rationalisation of having hurt, mistreated, or stolen from others, forming a stable pattern meeting the threshold for an antisocial personality presentation. The presentation is further characterised by a pervasive and enduring trait pattern not confined to discrete mood or psychotic episodes. These features have resulted in clinically significant impairment in interpersonal, occupational, and social functioning, and there is evidence of conduct disorder with onset before age 15 years. The antisocial behaviour does not occur exclusively during schizophrenia or bipolar disorder.

Adapt this supplied template to the assessment. It is not a substitute for diagnostic reasoning or local documentation requirements.

DSM-5 DiagnosisDSM-per-antisocial-personality-disorderSupplied local catalogue