Question

If I’ve met someone for a long time who has antisocial behaviour but scores WAY to high on neuroticism and low on extraversion but has been born that way what should I call him? Is he still a psychopath or is he a narcissist?

Answer 1

It's important to be cautious when attempting to diagnose or label someone based on limited information or personal observations. Diagnosing a mental health condition, such as Antisocial Personality Disorder (ASPD) or Narcissistic Personality Disorder (NPD), requires a comprehensive assessment by a qualified mental health professional.

The traits you mentioned - high neuroticism and low extraversion - can be part of an individual's personality, and they may not necessarily indicate a specific mental health disorder. People vary widely in their personalities, and it's normal to have different personality traits across the population.

Here's a brief overview of the two personality disorders you mentioned:

1. Antisocial Personality Disorder (ASPD):

   • Individuals with ASPD often exhibit a pattern of disregard for the rights of others and a lack of empathy or remorse for their actions.
   • They may engage in impulsive and irresponsible behaviors, manipulate others for personal gain, and have a history of legal and social problems.
   • The diagnosis of ASPD requires a professional evaluation, and the behaviors should be present since early adulthood.

2. Narcissistic Personality Disorder (NPD):

   • Individuals with NPD often have an inflated sense of self-importance and a strong need for admiration and validation.
   • They may lack empathy, exploit others to achieve their goals, and have difficulty handling criticism or rejection.
   • Like ASPD, diagnosing NPD requires a comprehensive assessment by a qualified mental health professional.

Remember, personality traits and mental health disorders exist on a spectrum, and it's essential to avoid making assumptions or labels based on limited information. Additionally, it's crucial to be respectful and understanding when discussing mental health, as stigmatizing or labeling someone without proper evaluation can be harmful.

If you have concerns about someone's well-being or behavior, it's best to encourage them to seek professional help from a mental health specialist. A qualified professional can provide a proper assessment and diagnosis, if necessary, and develop a suitable treatment plan based on the individual's unique needs.