Yes, therapy can help individuals with antisocial personality disorder (ASPD). However, early intervention is key, and a long-term commitment is needed to address behaviors and reduce symptoms.

There are two types of therapeutic approaches that are typically recommended for someone with ASPD. This includes:

  • Cognitive behavioral therapy (CBT): CBT can be used to help individuals identify distorted thinking patterns and reframe them.
  • Mentalization-based treatment (MBT): MBT can help individuals with ASPD understand different perspectives, their own feelings, and the feelings of others.

Long-term therapy can help individuals with ASPD unpack and learn how to manage negative behaviours and traits. It can also help to:

  • improve impulse control by teaching you how to identify and assess harmful actions and consider consequences
  • improve relationships by teaching you how to maintain effective communication and awareness about the emotions of others
  • encourage accountability through recognizing your own behavioral patterns and personal choices
  • enhance your ability to understand and empathise with different perspectives

  • Early intervention is vital. Beginning therapy early can lead to better outcomes and help address symptoms before they worsen.
  • Therapeutic relationships take time to build. It may take time to build trust and reliability between you and your therapist.
  • Long-term commitment is essential. It can often take months or years of therapy to see an improvement in behaviors. Consistency is important.
  • Setbacks are common. During treatment, it’s common to experience setbacks and relapses. Going into therapy with this in mind can help you stay engaged with treatment solutions.

While ASPD can be challenging to live with, it is a treatable condition. With the right treatment plan and support systems in place, you can live a healthy and well-balanced life.

If you are concerned that you or a loved one may be displaying signs of ASPD, connect with a mental health professional. They can work with you to create a treatment plan tailored to your needs.