What is the mainstay of treatment for antisocial personality disorder?

Cognitive Behavioral Therapy (CBT) is indeed an effective approach utilized in managing antisocial personality disorder (ASPD). The mainstay of treatment for individuals with ASPD focuses on addressing maladaptive thought patterns and behaviors that are characteristic of the disorder. CBT helps patients to develop insight into their actions, understand the consequences of those actions on others, and cultivate skills for better interaction with society.

This therapeutic approach encourages the development of empathy, impulse control, and other social skills that are often lacking in individuals with ASPD. While medications may be used to treat specific symptoms associated with the disorder, such as irritability or impulsivity, they do not address the core issues of ASPD. Similarly, group therapy and psychoanalysis are generally less effective for this population due to the inherent interpersonal difficulties and resistance to traditional therapeutic processes.

Thus, CBT stands out as the primary intervention aimed at improving the overall functioning and treatment outcomes for those with antisocial personality disorder.