ABSTRACT
This chapter presents a case of a 27-year-old unemployed man who has been referred by his general practitioner (GP) for help with managing his anger. He has recently moved to the area and no previous medical or psychiatric notes are available. He tells that he 'lives on his wits' but has just been released from prison 3 weeks ago. He initially presents as appropriate and cooperative. His mood is euthymic and there is no evidence of delusions or hallucinations. He becomes defensive when asked about his previous contact with psychiatric services saying that it is 'none of your business'. When psychiatrist decline to prescribe benzodiazepines he becomes angry and storms out of the room. Most people with this disorder do not seek psychiatric treatment. Patients with dissocial personality disorder are often challenging to manage and can evoke strong negative feelings in others. Any associated criminal offending is often best managed by the criminal justice system rather than mental health services.
