It is essential to distinguish between the terms "antisocial personality disorder" (ASPD) and "sociopath." While they are related, they are not entirely synonymous.
"Sociopath" and "psychopath" are informal terms often used in popular culture to refer to individuals who exhibit traits associated with ASPD. However, in clinical settings, the official diagnosis is "antisocial personality disorder" according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
To answer your question, whether individuals with ASPD want help or not varies from person to person. Some people with ASPD may recognize that their behaviors and tendencies cause difficulties in their lives and relationships, leading them to seek help or support voluntarily.
However, many individuals with ASPD may not perceive their behavior as problematic and may not see the need for help. They might lack insight into their condition and its impact on others, which can make them resistant to seeking treatment. They may also be unwilling to change their ways, as they might perceive their behaviors as advantageous or necessary for achieving their goals.
Furthermore, the manipulative and deceitful nature of ASPD can sometimes lead individuals to engage in therapy for ulterior motives, such as seeking validation, finding new ways to manipulate, or getting assistance in legal matters.
Getting people with ASPD to participate consistently in therapy can be challenging, and successful treatment outcomes can vary significantly. It often requires skilled and persistent efforts from mental health professionals to establish a therapeutic relationship and help individuals with ASPD develop healthier coping mechanisms and behaviors.
It's important to remember that even if someone with ASPD is initially reluctant to seek help, there is always a possibility for change and improvement with the right approach, support, and willingness to change on the part of the individual. However, as with any mental health condition, the best course of action is early intervention and treatment to prevent the development or worsening of destructive behaviors and patterns.