How do you help someone have hope an believe in themselves when they have been wrote of with a Dx of Anti-Social Personality Disorder.
Anti- Social Personality Disorder is defined as sometimes been called Sociopathy, a mental condition in which a person consistently shows no regard for right or wrong, ignores the feelings of others, People with antisocial personality disorder tend to antagonise, manipulate, treat others harshly or with callous indifference. They show no remorse for their Behaviour.
(Taken from NHS Choices)
Doesn’t make nice reading,, Does not look like a. Dx that someone would get support an help for, Dose not inspire hope for a shot at recovery nor Does it ask the important why an individual may be this way, what factors have contributed to, what’s happened in certain situations, Does not take into consideration an individual may have an Alternative Personality or Part and what if it’s the part that’s the anti-social and not the individuals themselves is it then helpful to give that person a Dx of Anti-Social Personality Disorder. I’d go with a big fat no because you then exclude that person from the right help an support because the Dx gets people wrote off.,
My brother Timothy in his notes had this listed he did not have Anti-Social Personality Disorder he himself wasn’t the things highlighted above. Timothy until became Mentally unwell was hard-working, would help anybody out, do anything for anyone this was what sometimes got him then into trouble he’d accept responsibility for other people’s behaviour and actions that to me showed he understood right an wrong if he could do that, My brother Tim nor was manipulative or treat others harshly, Tim was a protector, a supporter, a friend and amazing big brother, when my son was first born he waited in Leeds city centre after finishing work 6 hours to see his nephew and god son for visiting hours to start because he so desperately wanted see him, my sister who has MS her 2nd child was born on the toilet he was their with my mum on hand to help my mum help look after both my sister an baby and get sorted the ambulance to have them rushed to be checked out doesn’t sound like a sociopath does it, In 2002 I lost a child the day after my little girls passing he was their by my side supporting me through my pain doesn’t sound like someone does he that doesn’t care for others or have no feelings for does it you could probably safely say Timothy did not have Anti-Social Personality Disorder.
Timothy wasn’t perfect nor was he bad he was at times easily manipulated himself and yes easily influenced and yes unfortunately did take drugs but Timothy did not grow up in a perfect background, perfect home, it was far from growing up his childhood was more survival based but that’s for another Time. Also growing up with a father as an Alcoholic probably played a factor in why turned to drugs but that too is a separate debate but also a factor consider, I hate saying too both my brother an I were susceptible to MH as was on our Fathers side of the family and traumas in our lives an how we dealt with led to us both be affected by.
In June/July 2013 my brother Tim went missing an in that time something happened we don’t know what an the Timothy that was found was not Timothy, Timothy had become Dennis, Dennis was not just a doll that he started carrying about, Dennis could be described as the above person the person with the Anti-Social Personality Disorder, Dennis made Tim a danger to himself, Dennis was never an issues Services addressed, took into consideration, Dennis was a part, the voice inside tims head, Dennis had took hold of the individual the person, Timothy. We tried to get services to get help regarding the Dennis part acknowledge it address the voices, address that Tim was Tim no more get him therapy but it was never addressed or acknowledge yet recorded in his notes. We as a family always told Services an his key worker did too when Tim mentions Dennis he’s a risk to himself not other’s not addressing Dennis enabled it to take over Tim so why he never stood a fighting chance.
Tim did try recover, regain control attended Hollybush, Lighthouse, George’s Crypt they describe Tim as Tim was but with a Doll in his man bag, they described him as friendly, helpful, loved getting involved in his art, doing jobs and too was quite liked at times just blend into the group or sit in the corner read his paper. Following his Facebook posts, seeing him at mums he was alive Tim again always tried getting us go down £1 dinner, Robynn would love the gardens were he’d been helping at the kids would enjoy too, This does not sound like someone who was manipulative, dangerous, did not know right from wrong, his worry though about moving from were he was to somewhere new he worried he’d fall through cracks an yes sadly it came true,
A diagnosis of Anti-Social Personality Disorder shut doors to Assessments for Psychological Therapy, Referal to see if he had a Dissociative Identity i.e Dennis, recommendations for Hearing Voices groups, recovery focused groups, shut the door to referral to a rehab and recovery unit to address all his needs, and why so many other assessments never got done, why plans became out dated and why became dependent on the few people who tried.
If you go back an look at how NHS Choices Defines Anti-Social Personality Disorder reflect on how it’s defined what stands out for me Sociopath, Manipulative, not knowing right from wrong sounds like they’re dangerous a risk to others and individuals do get made to feel that imagine if the Dx was wrong and the implications it then will have on a person surely then that has a detrimental impact an potential human right breach when impacts on their lives an sadly that does happen since losing Tim I’ve met people he met on his journey an seen how impacted them an too those people I would say did not have because they’ve carried me through my storm an been a support, a friend and I’m streetwise and an abuse survivour too and have a 6th sense who’s ok an who’s not.
Ask yourself if you saw Anti-Social Personality Disorder on someone’s notes how would you see them, treat them, what help you would give them, if they were at crisis would you realise that help them if they’re not ok, would you even help them but more importantly how you view the Dx and would that influence you.
Antisocial personality disorder potentially labels people off Antisocial personality Disorder should really only be used in extreme cases and as a last resort when gone through every other assessment an diagnosis an no interventions have an impact.
I’m only someone who’s lived experience, I’m someone who was someone’s sister an know am friends with people who have the Dx an if I can see is a harmful Dx one that does not in anyway inspire hope, recovery, regain an control then sureley you should too and turn your back on Dx Anti-Social Personality Disorder an try look for an Alternative too.
More lives will be saved as a result, More individuals will be better supported, No one will fall through the cracks an be turned away for help.