No, having a diagnosis of Narcissistic Personality Disorder (NPD) with Antisocial Personality traits (AS traits) does not automatically mean that the person is a sociopath. While there may be some overlapping characteristics between NPD and Antisocial Personality Disorder (ASPD), they are distinct and separate personality disorders with their own diagnostic criteria.
Narcissistic Personality Disorder (NPD) is characterized by a pervasive pattern of grandiosity, a need for admiration, and a lack of empathy for others. People with NPD often have an inflated sense of self-importance, a preoccupation with fantasies of success and power, and a sense of entitlement. They may also exploit others for personal gain and have difficulties with interpersonal relationships due to their self-centered and self-absorbed behaviors.
Antisocial Personality Disorder (ASPD) is characterized by a pattern of disregard for the rights of others, deceitfulness, impulsivity, and a lack of remorse or empathy. Individuals with ASPD may engage in illegal or harmful behaviors, have difficulties with authority, and show little concern for the consequences of their actions.
While some individuals may exhibit traits from both NPD and ASPD, the two disorders have distinct diagnostic criteria and are assessed differently. A diagnosis of NPD with AS traits would indicate that the person primarily meets the criteria for NPD, but they also display some traits commonly associated with Antisocial Personality Disorder.
It's important to remember that diagnosing personality disorders can be complex, and only qualified mental health professionals should make such diagnoses. People with personality disorders, including those with NPD or ASPD, can benefit from therapy and treatment to address their challenges and improve their quality of life.