What Are The Early Signs Of Antisocial Personality Disorder In Children

Medically reviewed by Melissa Guarnaccia, LCSW
Updated November 25, 2024by BetterHelp Editorial Team

Personality disorders are complex conditions impacting one’s personality, social behavior, and functioning. These conditions are most commonly diagnosed in adulthood. However, for diagnosis, they must often start showing signs in childhood or adolescence. Antisocial personality disorder (ASPD) is one of these conditions. Although children may not be directly diagnosed with ASPD, parents may benefit from informing themselves on the condition’s most common presentations to ensure they get their child early intervention and support. 

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What is antisocial personality disorder?

Antisocial personality disorder is a serious and often misunderstood condition that can affect how a person respects others and tells right from wrong. Typically diagnosed after the age of 18, early signs of ASPD can sometimes appear in children and may be diagnosed as conduct disorder.

Although only about 2% to 3% of the general population may develop antisocial personality disorder, it can severely affect development and future relationships. Children with conduct disorder may struggle academically and socially. Parents who notice these symptoms may need to seek early treatment options to offer the necessary support for their child's growth and well-being.

People with ASPD may show certain traits, such as being manipulative, lacking empathy, and having a sense of superiority. Symptoms of antisocial personality disorder might include:

  • Ignoring right and wrong
  • Telling lies or being deceitful to exploit others
  • Using charm or wit to manipulate
  • Being insensitive or disrespectful

Risk factors for ASPD

Several risk factors may increase the likelihood of developing early signs of ASPD in children:

  • Genetic predisposition: A family history of personality disorders or other mental health conditions
  • Child abuse: Physical, emotional, or sexual abuse during formative years
  • Behavioral problems in early childhood: Having conduct disorder, which can cause aggressive or disobedient behaviors, substance misuse, lying, stealing, manipulating others for personal gain, and bullying

If you or a loved one is experiencing abuse, contact the Domestic Violence Hotline at 1-800-799-SAFE (7233). Support is available 24/7.

Conduct disorder typically precedes ASPD. Children with conduct disorder may show patterns such as aggression and a tendency to break rules. Children with conduct disorder may also exhibit behavior that leads to conflicts with authority and peers. However, early intervention can sometimes prevent the development of ASPD. 

What are the early signs of antisocial personality disorder in children?

Children with early signs of ASPD may show specific behaviors that set them apart from their peers. These behaviors may indicate that evaluation and possible treatments could be beneficial. 

Frequent lying

Children with conduct disorder or early signs of ASPD often lie. They may tell occasional white lies and consistently deceive others to get what they want. These children may also lie to avoid punishment or to make themselves seem more trustworthy than they are. Their lying can appear effortless and convincing, making it difficult for others to tell when they're not being truthful.

Parents might notice that these children lie even when the truth would serve them better. Lying patterns can start as early as preschool and become more apparent over time. Frequent lying can strain relationships with family, friends, teachers, and counselors.

Stealing

Stealing is another common sign in children with conduct disorder. These children might take items that don't belong to them, whether from classmates, family members, or stores. At times, the items taken may not even have much value, suggesting the act of stealing itself fulfills a need.

Children with conduct disorder might justify their actions by thinking that others owe them or that they deserve what they take. The continuous pattern of theft can start with minor behaviors but worsen and lead to more serious legal issues as they age. Parents might find missing items at home or receive complaints from the child’s school about stolen items.

Aggressive behavior

Aggression may be noticeable in children with conduct disorder. These children may have physical fights with peers or siblings. They might hit, shove, or hurt others and show little remorse afterward. Aggressive behavior may not necessarily be provoked; In some cases, the behavior may appear to be a random act of violence.

Preschool and school-age children who show aggression might also be quick to anger. They can become easily frustrated and lash out, especially when others don't overreact. This aggression can make it challenging for them to keep friendships and can lead to disciplinary actions at school.

Lack of empathy

Another sign of conduct disorder is a lack of empathy. Children with this disorder may not understand or care about the feelings of others. They might not experience guilt or remorse when they hurt someone, either emotionally or physically. A lack of empathy can make social interactions difficult and can differ from how other children typically respond to others' emotions.

Parents may notice that their child doesn't apologize sincerely or doesn't seem to understand why their actions were wrong. This lack of empathy can lead to more harmful behaviors, as the child might not see the emotional consequences of their actions.

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Disregard for rules

Children with early signs of antisocial personality disorder may ignore rules and authority. They might break household rules, disobey teachers, or violate school policies. This behavior often goes beyond typical childhood rebellion; it's persistent and severe.

Children with this condition might refuse to follow instructions or blatantly do the opposite of what is asked. This disregard for rules can result in multiple disciplinary actions at school and cause problems in family relationships. Parents might find it exhausting to constantly manage defiant behavior.

Destruction of property

Destructive behavior is another warning sign of conduct disorder. Children with this disorder might destroy their own belongings or someone else's property. They might break toys, damage furniture, or vandalize school property.

Such actions are not only physically damaging but also emotionally troubling for those around them. The child might not provide a reasonable explanation for their destructive actions, or they might act this way out of boredom or anger. This behavior can cause heavy financial and emotional pressure for families.

Cruelty to animals

Cruel behavior toward animals is a serious concern. Children with antisocial personality disorder might hurt pets or other animals intentionally. Cruelty can range from teasing and tormenting animals to more severe acts of violence.

Witnessing or discovering signs of this behavior can be deeply alarming for parents and caregivers. This behavior also signals a severe lack of empathy and a potential for more violent behaviors as the child grows older. Families with pets can be particularly watchful if they notice their child showing these behaviors.

Impulsivity

Children with conduct disorder or ASPD signs may act without thinking about the consequences. They may make rash decisions and seem unable to plan ahead or foresee the results of their actions. This impulsivity can lead to accidents, injuries, or trouble with peers and adults. For example, a child might abruptly run into the street without looking or blurt out inappropriate comments without considering the social repercussions. Managing impulsive behavior can be particularly challenging for parents and teachers.

Manipulative behavior

Manipulation is often seen in children with conduct disorder. They might use others to get what they want, showing remarkable skill in influencing people. This manipulation is often self-serving and can involve deceit, charm, or pressure.

Parents might notice their child trying to play people against each other or using guilt trips to get their way. As they grow older, these manipulative behaviors can become more sophisticated and harmful to others. 

Frequent temper outbursts

Frequent temper outbursts are another sign of conduct disorder. These children can have intense and frequent fits of anger, which may occur over minor frustrations and seem disproportionate to the situation. The child might scream, cry, and become physically aggressive during these episodes. These outbursts can disrupt family life and lead to social isolation, as peers might avoid a child who frequently loses their temper. Parents and teachers may find it difficult to calm the child down or predict what might incite such reactions.

Treatment options for children

Treating antisocial personality disorder and conduct disorder in children can be challenging but may prevent antisocial personality disorder as an adult and improve their long-term well-being. A combination of therapy and other interventions are often recommended.

Therapy

Also known as psychotherapy, talk therapy may help children manage anger, violence, and other problematic behaviors. Therapy allows clients to discuss their feelings and behaviors with a therapist. Cognitive-behavioral therapy (CBT), in particular, may help children recognize and change negative thought patterns. Family therapy involves family members and focuses on improving communication and family dynamics.

Medications

In some cases, medications are used to manage symptoms, especially if a child has other mental health conditions like ADHD or depression. A medical healthcare professional, such as a psychiatrist, prescribes and monitors these medications. 

The BetterHelp platform is not intended to provide any information regarding which drugs, medication, or medical treatment may be appropriate for you. The content provides generalized information that is not specific to one individual. You should not take any action without consulting a qualified medical professional.

Support systems and other interventions

Community programs or support groups may provide additional resources and assistance. Structured programs can help children learn appropriate social skills and behaviors. These interventions focus on reinforcing positive behavior and reducing negative actions.

Treatment for antisocial personality disorder in children often involves a combination of interventions. Early support and consistent efforts from family, schools, and healthcare providers may help make a difference. 

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Support options for parents and caregivers 

Parents facing the challenges of raising a child with conduct disorder or early signs of ASPD may find online therapy a beneficial resource. One study suggests that individual factors like lower empathy and greater impulsivity can predict antisocial behavior in children. 

Online therapy may provide targeted support for these specific problems, benefiting children and their stressed parents. Sessions can be scheduled from the comfort of home, eliminating travel barriers. In addition, finding experts in ASPD may be easier online, even if they are not locally available. Studies show that online therapy is often effective for parents, reducing stress and increasing emotional regulation skills. 

An online platform like BetterHelp can help match parents with licensed therapists who can provide parenting guidance when managing children with ASPD. Parents can browse profiles, read reviews, and connect with a professional who understands their unique situation. 

Takeaway

Antisocial personality disorder affects various aspects of personality and is a serious condition that can often show early signs in children and adolescents. As ASPD is typically diagnosed after age 18, early signs may indicate conduct disorder in children. Children may show a strong disregard for the rights and feelings of others, with early signs of ASPD, including lying, stealing, and harming pets or other animals. Interventions like behavioral therapies and support groups may help parents manage problematic behaviors in their children.
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