One problem with estimating the prevalence rates for antisocial personality disorder is that

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People with antisocial personality disorder often do not voluntarily seek help for their problems, making it difficult to estimate the prevalence rates accurately. Unlike some other disorders, the issue isn't a lack of symptoms or symptoms that fluctuate significantly, but rather the nature of the disorder itself, which involves a disregard for and violation of the rights of others. This can lead to underreporting and challenges in diagnosis.

One Problem with Estimating the Prevalence Rates for Antisocial Personality