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Brain trauma and ASPD/NPD

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Hello,

 

i have a question in relation to ptsd and personality disorders.

 

Is it possible for aspd/npd to co-exist with ptsd? On the face of it, it would appear to be unlikely given that ptsd sufferers generally experience guilt/fear and deep emotional response to tragedy and so forth.

 

If a PD such as NPD and/or ASPD is suspected (following diagnosis tests and observation) does that indicate the pre-existence of the personality disorder prior to the brain trauma (that manifests as triggers/stress reaction and so on) Or, can ptsd (in particular combat ptsd) create personality disorders?

 

Any thoughts on this would be greatly appreciated.

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