Antisocial Personality Disorder in Entrepreneurs / founders

Key things to know What the evidence shows
How common is it? NE
Is it more common among entrepreneurs / founders? No evidence founders have elevated ASPD
Are entrepreneurs / founders at higher risk? #N/A
How much higher is the risk? NE
How often can it be missed? High
Does it show up differently among entrepreneurs / founders? Strong Yes contextually
How might it look different? Risk-taking, confidence and rule-challenging are not ASPD; key distinction is pervasive deceit/exploitation/disregard for rights plus developmental history
What commonly occurs alongside it? ADHD; substance use; NPD; bipolar disorder
What can it be confused with? Entrepreneurial risk-taking; ADHD; NPD; bipolar hypomania/mania
Common screening tool PDQ-4 ASPD scale → structured interview
Separate screening tool for entrepreneurs / founders None
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