The purpose of this article is to present treatment guidelines for mental health counselors who work with clients diagnosed with Antisocial Personality Disorder (ASPD) or characterized as psychopathic. The guidelines use the criteria of both treatment efficacy and clinical utility as recommended by an APA taskforce on treatment guidelines (American Psychological Association, 2002). A review of the literature revealed that psychosocial interventions lack both treatment efficacy and clinical utility in remediating the core characteristics of antisociality or reducing criminal recidivism. However, a strong case can be made for a guideline in which substance abuse treatment is recommended for ASPD clients with comorbid substance use disorders. Not only have such interventions been shown to possess adequate treatment efficacy, but there is additional evidence that such interventions are cost-effective and feasible for real-world, clinical settings (= clinical utility).

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