ASPD vs. BPD: Definition, symptoms, and treatments

Antisocial personality disorder (ASPD) and borderline personality disorder (BPD) share some similarities but are distinct personality disorders.

ASPD involves a pattern of disregard for and violation of the rights of others. Actions due to ASPD range in severity from things such as lying to more serious actions such as committing crimes or physically harming others.

BPD involves a pattern of impulsive behaviors and instability of emotions, self-image, and interpersonal relationships. BPD symptoms and their effects on quality of life can also vary from person to person.

Both ASPD and BPD can lead to impulsive behaviors that may harm others. The table below outlines some other key symptoms that characterize these disorders:

If you’re calling on behalf of someone else, stay with them until help arrives. You may remove weapons or substances that can cause harm if you can do so safely.

If you’re not in the same household, stay on the phone with them until help arrives.

Both ASPD and BPD may start to show during a person’s teenage years, with symptoms persisting or progressing as someone ages.

During the diagnostic procedure, healthcare professionals will typically assess whether a person matches the criteria for a personality disorder in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5).

Both ASPD and BPD are lifelong conditions. If people do not believe their symptoms are a cause for concern, they may not seek a diagnosis themselves. Instead, people may seek help for comorbid conditions, such as mood disorders.

Psychotherapy is a first-line treatment for BPD, and may be helpful for some people with ASPD.

Other treatments may focus on managing co-occurring conditions or effects, such as depression and self-harm.

Anyone who believes they, or someone close to them, may have a personality disorder affecting their quality of life can speak with a healthcare professional for a diagnosis and to learn more about the treatment options available.