What are the recommended management strategies for patients with Antisocial Personality Disorder in primary care?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 22 August 2025Updated: 22 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

In primary care, management strategies for patients with antisocial personality disorder include actively engaging the individual in treatment and avoiding exclusion from services due to their diagnosis or behaviour .

Healthcare professionals should work to minimise disruptions to treatment, such as ensuring continuity during transfers between settings and avoiding unnecessary care transfers .

Language or literacy barriers should be addressed by providing interventions in the patient's preferred language to facilitate engagement .

Additionally, it is important to assess for and treat any comorbid mental health conditions, such as depression or substance misuse, in line with relevant NICE guidelines .

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