However, assault and other violent crimes are the most common charges. This disorder is also prominent among prisoner populations. Alongside other conduct problems, many people with ASPD had conduct disorder in youth, a disorder characterized by a pervasive pattern of violent, criminal, defiant, and anti-social behavior. Fire-setting and the destruction of others property is also a behavior commonly associated with ASPD and impulsivity. Fire starters with ASPD tend to have a history of robbery, harassment, threatening, blackmail, and difficulty fulfilling promises. Limited Empathy or Remorse
People with ASPD may experience a limited capacity for empathy and can be more interested in benefiting themselves regardless of the expense it has on others. They may have no regard for morals, social norms, and the rights and feelings of others. People with Antisocial personality disorder may have difficulties in sustaining and maintaining relationships, and some have difficulty entering them. Interpersonal relationships often revolve around the exploitation and abuse of others. People with ASPD may display arrogance, think lowly and negatively of others, and have limited remorse for their harmful actions and have a callous attitude towards those they have harmed. Although behaviors vary in degree, individuals with this personality disorder will typically have limited compunction in exploiting others in harmful ways for their own gain or pleasure, and frequently manipulate and deceive other people. While some do so through a façade of superficial charm, others do so through intimidation and violence. It is possible that people with ASPD may have intact cognitive empathy, but with a deficient theory of mind.
Middle-of-the-night insomnia (MOTN) is characterized by having difficulty returning to sleep after waking up during the night or very early in the morning. This kind of insomnia (sleeplessness) is different from initial or sleep-onset insomnia, which consists of having difficulty falling asleep at the beginning of sleep. The disrupted sleep patterns caused by middle-of-the-night insomnia make many sufferers of the condition complain of fatigue the following day. Excessive daytime sleepiness is reported nearly two times higher by individuals with nocturnal awakenings than by people who sleep through the night.Sleep research conducted in the 1990s showed that such waking up during the night may be a natural sleep pattern, rather than a form of insomnia. If interrupted sleep (called "biphasic sleeping" or "bimodal sleep") is perceived as normal and not referred to as "insomnia", less distress is caused and a return to sleep usually occurs after about one hour. Causes
Pain
Pregnancy
Anxiety
Difficulty breathing / sleep apnea
Urge to urinate or defecate
Hunger or thirst
Illness
Shift work
Erratic sleep scheduleNocturnal awakenings are more common in older patients and have been associated with depressive disorders, chronic pain, obstructive sleep apnea, obesity, alcohol consumption, hypertension, gastroesophageal reflux disease, heart disease, menopause, prostate problems, and bipolar disorders. Gastro-intestinal discomfort arising from food that has not been fully cooked, is also a contributor to middle of the night insomnia. Nocturnal awakenings can be mistaken as shift work disorder. Treatment
Middle-of-the-night insomnia is often treated with medication, although currently Intermezzo (zolpidem tartrate sublingual tablets) is the only Food and Drug Administration-approved medication specifically for treating MOTN awakening.