Independent medical expert answers
on psychiatry and psychology

Sociopath Diagnosis

Written by: Gunborg Palme, Gunborg Palme, certified psychologist and certified psychotherapist, teacher and tutor in psychotherapy.
First version: 2008-07-22. Latest version: 2010-03-21.

Abstract:

People with an antisocial personality disorder, also called psychopaths, act according to their own interest without consideration of other people. They can cause great harm to society. It is difficult to treat them, but trying to convince them that they hurt themselves by their behaviour can sometimes help. It is difficult to protect yourself from psychopaths, since they are clever at manipulating themselves into positions of power.

Question:

My friend loves to date different guys, have sex with them and, after a few weeks or months, dump them. She is a great liar and her mood swings are terrible. She is also an expert in toying around with men's feelings, and she loves self-inflicted pain. She loves to read people's mind and play psycho. She is always on her guard against people. This has been going on since she was a teenager and now she is 27 years old. Is this kind classified as mental illness? Is it very serious and how can I help her?

Answer:

It could be an antisocial personality disorder (psychopath, sociopath) because of the following symptoms:

Treatment of anti-social personality disorder

You can help her by trying to make her aware of how her thoughts and behaviour, so normal for her, are so different from most other people. Point out that she will hurt herself in the long run, because her behaviour will result in her having many enemies.

People with anti-social personality disorder, also called psychopaths, can do much more harm than your friend. If they are in positions where they have power and authority, they may ruin the lives of lots of people. They are often very convincing and are very good at getting what they want. Sometimes the best way to deal with this kind of people, is to avoid all contact and cooperation with them.

In general, it is difficult to treat a person with anti-social personality disorder. To try to get them to understand that they are hurting other persons is often difficult, because they do not have any conscience, and it is hard to help them get one. It may have some effect to convince them that it is in their own interest to change, because their behaviour is hurting themselves in the long run.

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