A. Adult Antisocial Behavior. This diagnosis is limited to the presence of illegal behavior only. Patients with adult antisocial behavior do not show the pervasive, long-term patterns required for a personality disorder.
B. Substance-Related Disorder. Substance abuse is common in antisocial personality disorder, and crimes may be committed to obtain drugs or to obtain money for drugs. Many patients will meet criteria for both diagnoses.
C. Narcissistic Personality Disorder. Narcissistic patients also lack empathy and are exploitative, but they are not as aggressive or deceitful as antisocial patients.
D. Borderline Personality Disorder. These patients are also impulsive and manipulative, but they are more emotionally unstable and they are less aggressive. The manipulativeness of borderline patients is aimed at getting emotional gratification rather than aimed at financial or power motivations.
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