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Antisocial Behavior :Treatment, Procedure, Cost And Side Effects

What is Antisocial Behavior ? How is the treatment done ? Who is eligible for the treatment of Antisocial Behavior? Who is not eligible for the treatment? Are there any side effects? What are the post-treatment guidelines? How long does it take to recover? What is the price of the treatment in India? Are the results of the treatment permanent? What are the alternatives to the treatment?

What is Antisocial Behavior ?

Antisocial personality disorder often called sociopathy is a condition in which a person tends to ignore the feelings and rights of others and shows a disregard for the same. Those who are prone to this behavior tend to manipulate and treat others harshly or sometimes with an indifference. They never feel guilty of being harsh or rude. In some situations, they violate laws and often become criminals. They may be addicted to alcohol and drug and may lie, behave violent and impulsive. They fail in coming up with family, work or school-related responsibilities.

The signs and symptoms of such behavior include:

  1. The tendency to exploit others by lying and deceit.
  2. Being disrespectful to others.
  3. Gaining personal pleasure by manipulating others.
  4. No feelings of regard to right and wrong.
  5. Arrogant feeling, superiority complex
  6. A sense of irritation, aggression, violence, and agitation prevails
  7. Violating rules and rights and dishonest behavior
  8. A sense of failure and impulsiveness.
  9. No guilty feeling even after hurting or harming others
  10. Abusive relationships
  11. Failing to learn or regret about negative consequences.
  12. Failing to fulfill responsibilities and financial obligations.

These behavior problems can cause incidents like

  1. Destruction of property
  2. Theft
  3. Violation of rules
  4. Aggression towards animals and people
  5. Deceitfulness

Most of the symptoms persist for the lifetime but sometimes criminal and destructive behavior tends to decrease with age or can also decrease because of realizing consequences of behavior. If any of your dear ones are affected, you can urge them with love and politeness to consult a doctor. For the first time, one can seek the medical attention of primary care physician or either mental care professional.

For an accurate diagnosis, a doctor must understand how the affected person relates to others. Family members and friends can provide information which might be useful in examination and diagnosis. Once primary care physician evaluates medical symptoms and rules out medical conditions, he will suggest whether further evaluation is necessary by a mental care physician.

The diagnosis comprises of following:

  1. A psychological examination which figures out about feelings, relationships, thoughts, behavior and family history
  2. Medical and personal history
  3. Evaluation of symptoms as listed by the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), published by the American Psychiatric Association.

How is the treatment done ?

These disorders are difficult to treat. Long-term treatment and follow up seems to be beneficial. It is difficult to get completely cured of these symptoms. It is advisable to take treatment from experienced and qualified surgeons who have handled antisocial personality disorders over the past.

One must be willing to participate in the treatment and related activities. Recovery depends on the situation and severity of the symptoms.

  • Psychotherapy: It is basically a talk therapy where the doctor engages the person through a set of interaction to treat the disorder. This includes treating anger and violence, substance abuse and other mental health disorders. This is less effective if the symptoms are severe and if the patient is not able to accept the fact that she is prone to serious disorders.
  • Behavior therapies:There are different kinds of behavior therapies. One who is addicted to drugs and cocaine was treated using cognitive behavioral therapy. Contingency management proved to be effective in improving social functioning. It involves positive reinforcement to recreate desired behavior. Substance use disorders can be treated effectively using cognitive management. Therapy may be effective or may not be. It depends upon the interest of the person and his attitude. If he is willing to participate and really want to get out of it, then these therapies can be made effective. If one can use empathy and decrease the aggressiveness, behavioral therapy works best for them. Though these disorders are common after the age of 18, some cases are detected among teens. Behavioral therapy is used to treat them as well. Teens who underwent this therapy tend to show less aggressiveness and reduced criminal behavior.
  • Medications: There are no particular medications for antisocial personality disorder. Often medications are given to treat anxiety, depression, and aggression. Drugs need to be given with care as some will have a tendency to misuse. Anti-depressant drug Pamelor (nortriptyline) is used to treat alcohol-related problems associated with antisocial behavior. Anti-epileptic drugs are used to treat aggression in antisocial behavior affected people. They can control seizures and can treat mood disorders. Dilantin (phenytoin) when users tend to decrease the impulsive aggressive acts in such affected people. Anti-epileptic drugs Depacon (valproate) or Depakote (divalproex sodium or valproic acid), Tegretol (carbamazepine), and Trileptal (oxcarbazepine) also proved in reducing aggression among patients.

Apart from these psychiatric conditions and mental health problems are also treated. These people are at high risk of anxiety and depression. selective serotonin reuptake inhibitors (SSRIs) are used to treat anxiety and depression.

Who is eligible for the treatment of Antisocial Behavior?

Personality development is an outcome of the interaction of environmental factors with inherited qualities and thoughts. Though actual cause behind such behavior remains s unknown, it is believed that when life situations worsen genes become vulnerable leading to antisocial personality disorder. The arrogant and harsh behavior is due changes in the way one’s brain functions. If a person is having symptoms of such disorder for a prolonged time, leading to substance, relation, and alcohol misuse, then he or she is eligible for diagnosis and treatment.

Who is not eligible for the treatment?

There are no as such specific restrictions for treatment. Those who are having symptoms can undergo treatment. Early detection and prevention can save you from undertaking medications for depression and drowsiness.

Are there any side effects?

If you are prescribed with depression medications, you may have some side effects like nausea, vomiting, weight gain, lower sex drive, sleeping problems, and vision problems. There are no risks associated with therapies and other medications.

What are the post-treatment guidelines?

Follow up and multiple sessions might be required in case of behavior therapy.

  1. Any symptoms of depression and anxiety must be reported to a doctor and treated properly.
  2. Support from family members and friends are important to create awareness and recover the patient from such behavior.
  3. Medications if any must be followed properly.
  4. You must drink plenty of water.
  5. Engaging in activities like meditation and yoga would be an added advantage.
  6. Follow a healthy diet.

How long does it take to recover?

Since the root cause of the disorder is unknown, recovery is dependent on the severity of symptoms, and situations.

What is the price of the treatment in India?

The treatment cost depends on the experience of the health care professional and hospital you are choosing. Consultation would cost you around Rs 500- Rs 800 on an average. Each session of therapy may be charged around Rs 1000-Rs 1500. You may have to undergo multiple sessions. Medications are not that much costly. On an average, it can cost you somewhere around Rs 1000-Rs 1500.

Are the results of the treatment permanent?

The tendency of abuse and misbehavior tend to decrease with increasing awareness. The results can be effective and beneficial if the person is willing to participate and recover from the disorder. The results can be for a long-term if the person has a self-motivation to come out of it.

What are the alternatives to the treatment?

  1. Yoga and meditation can help in preventing the symptoms and behavior from worsening.
  2. Research and studies are on the way to find the exact cause and prevention of this disorder.

Popular Questions & Answers

She is not getting her periods around more then one nd half month. May be because she have took 14 capsules together in tension and anxiety before. Nd we don't know which capsules were those. Our doctors suggested us to took 3 days course of regestrone and she completed that course but still she did not get her periods yet.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
One gets withdrawal bleeding 3 to 8 days after stopping regesterone. If one does not get means requires reports and change in treatment.

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Reparenting Technique, BA, BEd, Transactional Analysis
Psychologist, Bangalore
More than considering your dosage and lowering it, I suggest that you seek the help of a counselor and develop some skills and tools to tackle life under your condition. The medication is very suitable for you but you are not developing any life s...

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M.Sc - Biotechnology , B.Sc Biochemistry, B.Sc (Microbiology), PhD
Psychologist, Pune
Inderal 10 tablet helps decrease anxiety and relieve tremors. It is also used to help prevent migraine, heart-related chest pain (angina), and bleeding in the stomach caused by high blood pressure in the liver (portal hypertension). Work to resolv...
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