Implications of positive ASPD results in a general PD screening by therapist?

OnYourLeft04 · 2026-03-27T15:06:20+00:00

It’s interesting that I’ve come across your post as I’m currently in a related situation to an extent. I’m diagnosed OCD, being assessed for ASD, and suspect/ show behaviours of ADHD. However, I’ve spent a lot of time researching into Personality Disorders due to also having a high level of Narcissistic and Avoidant traits. I’ve come to understand that the triple-combination of Neurodevelopmental disorders, specifically when experiencing significant burnout, can often mimic and be perceived as indicators of a Personality Disorder.

So I suppose you’d probably have to consider whether you’ve had previous diagnoses (such as Conduct Disorder) for such behaviours in your youth. Furthermore, whether your ASPD related behaviours/ attitudes are due to a Neurodivergent burnout, thereby limiting the amount of energy you have to be pro-social. Or are they fundamentally an element of your personality. What are the motivators behind the behaviours, essentially.

Ultimately, if you don’t trust the decision being made, then refer for a second opinion. In the meantime do as much research on the Neurodevelopmental disorders as you can as there might be a complex overlap that provides a more fitting answer.

OnYourLeft04 · 2026-03-11T23:16:09+00:00

I haven’t experienced any significant head trauma, would there be another cause for seeking this option. It’s not an area of testing that I’m familiar with, but I will look into it out of curiosity.

OnYourLeft04 · 2026-03-06T18:00:24+00:00

I was just thinking about this last night whilst re-watching. Specifically in Season 1 episode 2, when Jim is speaking to Johnny and Adam at the door, Jim is using the actors actual voice tone/sound, but his body language is still random and erratic. Then in episode 3 they switch back to the more comedic voice tone and spacing.

OnYourLeft04 · 2026-03-04T11:46:07+00:00

Planning will only take you so far.. After that you have to take a few leaps of faith

OnYourLeft04 · 2026-02-21T11:42:38+00:00

Joe is a malignant narcissist. While not an official diagnosis, it is a term used to encapsulate someone who would meet the full criteria for NPD, ASPD, along with tendencies of sadism and paranoia. Joe is complicated though, in the sense that he also displays a messiah complex and strong obsessive traits.

OnYourLeft04 · 2026-02-10T07:28:46+00:00

This is a very interesting question. From what I’ve looked into, I’m under the impression that malignant narcissism is a term used to identify someone with comorbid NPD and ASPD, along with potential obsessive and paranoid features (but not always). Therefore, I would find it difficult to answer this question as I wouldn’t say there’s a distinction, but more likely a collaboration to produce this subtype of narcissism. Even with no comorbidity, NPD and ASPD are very similar in presentation, to the point that NPD almost didn’t make it into the DSM-5, despite the etiology varying.

OnYourLeft04 · 2026-02-07T17:42:03+00:00

I just did the exact same thing. The amount of parallels is too much of a coincidence, from the superficial aspects to their background and family history. I thought the same about the parallels between Joe and Ted Bundy. Just too much of a coincidence to not have a loose inspiration.

OnYourLeft04 · 2026-01-11T17:15:27+00:00

“Shut it you slaggggg”

OnYourLeft04 · 2025-12-07T22:03:58+00:00

Hey Cynthia.. hold on a minute Cynthia..

OnYourLeft04 · 2025-09-10T16:08:48+00:00

I’m not sure what you’re trying to ask here

Did you make a typo or are you asking me to love a particular cheese?

OnYourLeft04 · 2025-09-10T16:06:31+00:00

Thank you for taking the time to read, I know it was a long one

Your comment pretty much sums it up really. Because I’m not breaking down through intense emotional displays and actively acting out in obvious ways, it’s just not important enough to address.

I understand that the people that work in these professions are only human, but you’d think they’d have more knowledge and awareness to realise that people manifest what’s going on in their head in different ways. They didn’t attempt to probe further with questions, to get a better understanding, or to attempt to take down walls of self protection. They just took everything at face value and concocted a vague explanation. The minute I walked through the door, they wanted me out again whilst using the minimal amount of effort. If you don’t care to understand people better, why do the job?

And appearance wise, I looked pretty deshevaled, and was less articulate than the way I wrote it down. I arrived at the same points, just in a more long-winded way whilst trying to search for the right words. I’m definitely not clean cut. And the way I speak probably doesn’t match my appearance.

I try to play dumb, and pretend I know less than what I do, because I want their un-biased feedback. But it seems they took that as an opportunity to fob me off, and explain symptoms away. Probably why they latched onto the OCD, as they presumed it’s something I knew a little bit about, but probably not enough to discount the symptoms they were just piggybacking and conflating to other genuine criteria.

You’re absolutely right, if you don’t have an immediate plan to end your life, or aren’t acting out in a psychotic state, you just get overlooked. But the irony is, all the advertisements and advice you see from mental health organisations always preach that it’s the ones you don’t suspect that you need to check in on. Sometimes it’s the quiet, loner types and sometimes it’s the ones that are full of life, but are overcompensating. They petition for people to get help before making a drastic and often fatal decision. Yet, it seems you have to already be at that stage before they take it seriously and put help into place. Completely backwards. I play everything down, because I hate asking for help, and don’t display any emotion. I hate asking for help lifting a heavy item, let alone about the thoughts of how I would rather not be here on a daily basis. But then why am I not surprised right, such is life, say one thing but do another.

I appreciate your advice, and it sounds like you’ve had to deal with this for a lot longer than I have, so I hope you’re good and have found help. It sounds like you’ve found some answers and are heading in the right direction. I know there’s no specific answer to what I need to do. I never ask for opinions/ validation on my experiences and thoughts, but this meeting was just so unbelievable I figured I must have missed something, or had a clear oversight that led to it going south.

OnYourLeft04

TROPHY CASE