Antisocial Personality Disorder Treatment in India

John Shah, 42, is a successful...

John Shah, 42, is a successful but isolated tech entrepreneur. His background is marked by childhood neglect and frequent school expulsions for fighting. He built his company through ruthless tactics, burning through employees and partners. Symptoms leading to the assessment included a lifelong pattern of deceit for personal gain, a complete lack of remorse after ruining a competitor's business, superficial charm masking profound emotional coldness, and persistent irritability. His wife insisted he seek help during divorce proceedings. The psychiatrist recommended a comprehensive diagnostic evaluation for Antisocial Personality Disorder (ASPD). The treatment experience involved structured clinical interviews, psychological testing (like the PCL-R), and gathering collateral history. John was initially contemptuous but engaged superficially. Post-procedure, the diagnosis of ASPD was confirmed. The outcome was not a 'recovery' but a clarification: the psychiatrist recommended a specific management plan focusing on harm reduction, cognitive-behavioral therapy for anger, and strict behavioral contracts, as John lacked motivation for change. Emotionally, John's journey was flat; he felt the diagnosis was a label that proved his superiority in manipulating social rules. After, he used the clinical terminology to cynically reframe his behavior, showing no genuine insight or emotional shift.