Psychotherapy is the primary treatment for this disorder. Medicines may also help reduce specific symptoms such as mood swings and anger. But medicines are used only to help with psychotherapy.
People who have APD rarely seek treatment. Instead, family members or employers often pressure them into treatment. Treatment may even be ordered by the court. Because the person who has APD does not understand his or her problem, effective treatment is very hard. But behavioral approaches can help the person make a connection between feelings and actions. Many who have this disorder have not made emotional connection in a relationship. So, it is critical that they form a therapeutic relationship with the healthcare provider.
Medicine side effects depend on the drug prescribed. Drugs that cause psychological and physical addiction should be used with care.
Many people with APD can improve with proper care. Often, medicine is given for a long time. With therapy, people with APD may better recognize the effects of their behaviors on others. And it may help them live healthier, more fulfilling lives.
The person should keep track of symptoms and report any that are new or worsening to the healthcare provider. He or she may need to adjust the medicine so that it works better or so there are fewer side effects.