According to DSM-5 criteria, which of the following is mandatory before a diagnosis of antisocial personality disorder can be made?

• A Evidence of conduct disorder with onset before 15 years of age ✓
• B A documented criminal conviction
• C Absence of remorse confirmed on structured interview
• D Onset of symptoms after 18 years of age

Explanation

DSM-5 requires that the individual be at least 18 years old AND have evidence of conduct disorder with onset before age 15. This developmental requirement distinguishes ASPD from adult-onset criminality. A conviction is not required since many antisocial individuals evade legal detection, and lack of remorse is a psychopathy construct rather than a mandatory DSM criterion for ASPD.

Reference: DSM-5, American Psychiatric Association, 2013 ed.

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