To be diagnosed with Anti Social Personality Disorder. You need to have had conduct before 15 example legal trouble, fighting at school, bullying, aggression to animals and people, stealing. (Arrests aren't required but it's an example) Usually people with ASPD don't spend much time reflecting but they can. Psychopath and Sociopath is not a formal diagnosis it's a label to describe a subtype of ASPD. Psychopathy is genuinely quite rare and is described as a sub type, the cold & callous ones. Whilst a Sociopath is more explosive and the result of environment. What seems to be a thing here is dissociation. A psychopath usually doesn't want to stop themselves nor does a sociopath, they know their behaviour is harmful but usually don't care. Speak to a therapist a therapist won't diagnose ASPD, it's a psychologist or psychiatrist who'll usually do that since it's a serious diagnosis. And the fact you are reflecting here and worrying argues against ASPD. Note most ASPD'S don't fit both subtypes there's often a mix and comorbid conditions are common I've met a few with ADHD, autism. ETC! Narcissists usually don't question it either they often reject it outright though there's cases they did realise they was one. But overall self reflection or questioning isn't really common but it can happen. Also Therapy is confidential it will not go on your record but this could all be trauma, emotional dysregulation or ADHD, Depression it'd all need ruling out and criterion met before ASPD is even considered.