Quick reference
- When to use
- Use F60.2 when the client demonstrates a pervasive, inflexible, and enduring pattern consistent with Antisocial Personality Disorder that deviates from cultural expectations, causes distress or impairment, and is stable over time. Do not assign based on a single clinical encounter.
- Duration
- Personality disorders are enduring patterns — symptoms should be traceable to adolescence or early adulthood. Minimum of several sessions recommended before diagnosing. Reassess periodically as treatment may modify traits.
- Session codes
- Pair with CPT 90834/90837 for individual therapy. DBT programs: 90853 (group), 90834 (individual), plus phone coaching. 90791 for comprehensive evaluation. Long-term treatment is typical.
- Key indicators
- Enduring pattern of inner experience and behavior • Deviates from cultural expectations • Pervasive across situations • Onset in adolescence/early adulthood • Stable and long-standing • Distress or impairment
What F60.2 represents
ASPD involves a pervasive pattern of disregard for and violation of the rights of others. The individual must be at least 18 years old with evidence of conduct disorder before age 15.
Key diagnostic criteria
3+ of 7 criteria (age 18+, evidence of conduct disorder before 15):
- Failure to conform to social norms/laws
- Deceitfulness
- Impulsivity
- Irritability and aggressiveness
- Reckless disregard for safety
- Consistent irresponsibility
- Lack of remorse
Documentation essentials
Document conduct disorder history. Record specific behavioral patterns. Note legal history if relevant.
Differential diagnosis
Distinguish from substance-induced behavior, narcissistic PD, and conduct disorder (under 18).
Treatment planning
Limited evidence-based treatments. MBT shows some promise. Anger management, substance abuse treatment for co-occurring conditions.
Insurance & billing
May face treatment authorization challenges. Document specific treatment targets.
Updates & changes
Retained in alternative DSM-5 model.
Documentation pitfalls
Requires conduct disorder history before age 15. Don't diagnose under age 18.
References
- American Psychiatric Association. (2022). Diagnostic and Statistical Manual of Mental Disorders (5th ed., text rev.).