u/BugExpress2711

I've been seeing a psychiatrist and therapist for a while to treat depression and social anxiety. They both seem to be of the opinion I have ASPD, but I'm not too sure.

During my first few visits, I mentioned that my last therapist noticed some narcissistic traits. I was told prolonged depression can cause difficulties with empathy, getting along with others, etc. And that my SSRI's could help. However, they didn't, and in some ways the narcissistic traits got worse.

Because of this, they briefly considered NPD, but ruled it out because a person with NPD doesn't see their symptoms as a problem and wouldn't seek help. Then they thought it could be BPD or a form of Bipolar. After ruling those out and doing the PID assignment, they seem to think ASPD is most likely.

I agree that I have some antisocial traits, but after reviewing the diagnosis criteria, I just barely fit the minimum symptoms needed to get diagnosed and I don't really relate to most pwASPD's experiences. I think NPD is probably more likely as I have way more NPD symptoms and am usually motivated by ego and maintaining a self image as opposed to resistance to authority and being controlled. I asked about getting a more thorough evaluation, and they said it's not necessary if I don't have a problem with the way I am.

My depression and social anxiety are almost non-existent now, and my therapist has noted a lack of wanting to really change my behaviors, so she wonders what I'm getting out of therapy at this point. I asked her how treatment for ASPD usually goes, but she doesn't really have experience with the disorder so she doesn't know. And honestly, it feels like they aren't very knowledgeable about personality disorders to begin with so I don't think I trust their judgment. I have been considering quitting therapy but I wanted to review my options and get input.

Should I seek a second opinion? Would a psychological evaluation be worth my time and money? Have any of you seen any benefits from therapy? Would getting an official diagnosis put in my medical records be helpful?

I've been seeing a psychiatrist and therapist for a while to treat depression and social anxiety. They both seem to be of the opinion I have ASPD, but I'm not too sure.

During my first few visits, I mentioned that my last therapist noticed some narcissistic traits. I was told prolonged depression can cause difficulties with empathy, getting along with others, etc. And that my SSRI's could help. However, they didn't, and in some ways the narcissistic traits got worse.

Because of this, they briefly considered NPD, but ruled it out because a person with NPD doesn't see their symptoms as a problem and wouldn't seek help. Then they thought it could be BPD or a form of Bipolar. After ruling those out and doing the PID assignment, they seem to think ASPD is most likely.

I agree that I have some antisocial traits, but after reviewing the diagnosis criteria, I just barely fit the minimum symptoms needed to get diagnosed and I don't really relate to most pwASPD's experiences. I think NPD is probably more likely as I have way more NPD symptoms and am usually motivated by ego and maintaining a self image as opposed to resistance to authority and being controlled. I asked about getting a more thorough evaluation, and they said it's not necessary if I don't have a problem with the way I am.

My depression and social anxiety are almost non-existent now, and my therapist has noted a lack of wanting to really change my behaviors, so she wonders what I'm getting out of therapy at this point. I asked her how treatment for ASPD usually goes, but she doesn't really have experience with the disorder so she doesn't know. And honestly, it feels like they aren't very knowledgeable about personality disorders to begin with so I don't think I trust their judgment. I have been considering quitting therapy but I wanted to review my options and get input.

Should I seek a second opinion? Would a psychological evaluation be worth my time and money? Have any of you seen any benefits from therapy? Would getting an official diagnosis put in my medical chart be helpful?