Since you've been going to therapy, have any therapy styles/types particularly helped you more?
What helped me most sofar is unironically the virtual diary I made! It helped me to connect different stages of my life and integrate me into a whole. Before, I haven't really perceived my life as a coherent person, but more as little snippets of events, leading from one moment to another.
I also severly downplayed problematic incidents. Everytime something bad happens to me, I thought it was just a little slip, I had a bad day, everyone gets into that situation at some point in life, nothing to worry about just don't do it again. But with the diary I was able to detect a reoccuring pattern. That it is not just occasional slips, but integrates into a whole personality profile.
Sure, it is not the case that it happens every day - else I would not be here writing this post - but there are certain circumstances which consistently will trigger unwanted reactions, moods, or behaviors. Most people have bad days, but most people do not react to them like that.
I began with stuff I perceived as traumatic, then proceeded with what I know to be legal transgressions. This is a good method to detect core events, because this is where my disorders shines through most obviously. I do know what is legally right and wrong. It is much more clear than just looking for events in my life, which might be odd or not.
Because for me, my behavior did not appear to be particularly unreasonable or strange. Little fights in Middle Schools? Is this not normal? I mean, I did not stabbed anyone, right? But then comparing it to my peers, I recall 2 fights in my entire school career I was not involved. Oops! And although I was not send to detention - the school had a very inconsequent way of dealing with things and I was already too good at slipping away at this point - I know that it was "technically a misdemeanor", so I began to include that too.
As a result, I was able to observe a pattern of resorting to violence as means of keeping people in check. In my opinion, I never proactively sought violence or a fight, so I was never thinking about it too much. My therapist back then - currently needing for one who can keep me for longer - explained it is instrumental aggresion. This was actually a key detail, I never realized. Before, I thought I was just reacting and punishing people as means of defense, but her explanation made sense - I do use it as a method to get things I want, even though there is not much I want.
And as said, a lot of these things are recurring patterns, even reaching into adulthood. So I could reflect upon that, considering alternative approaches, and also double checking if violence is even necessary. Not saying that I became some sort of Samoyed, but it helped me to consider better strategies before jumping to action. It showed me, I am in control, I always have been, and in a certain sense, helped me to accept responsibility. It is not "well I did it because person x did that" but "yeh person x did that and I reacted by doing this then".
It also helped me to discover potential socialization flaws and discerning the differences between my biography and those of most others. Even though this is not relevant for the diagnosis itself, people with such diagnosis often have a different biographical pathway than those without and working out the difference also helped me considering the distinct childhood and early teenagehood experience.
Later, I also began to add some fun stories, such as the boat-tour. Nothing particularly ASPD-related, but I wanted to go through some good memories too. Ironically, I began to see my flaws even where. Number 1 on a school trip? You know you have to wait where then, right? My planning skills have never been the best huh? Right now I was working on an episode for the third season after the summer break.
I realized that against my previous memories, I had friends. I reflected upon why I said something else in earlier episodes and figured out that I project my struggle to love others as a lack of love towards me. I am not sure if this is precisely ASPD, as I have no chances right now to ask, but it definately helped me with depressive symptomatics and also made me actually wonder, how said friend is today. We see? Different connections are made and integrating various emotional stages throughout life even helped me to build some sort of emotional connections and reflect upon my heedlessness.
I also picked up on so much more manipulation instances and headlessness, and even though I will never be able to willing to show all of them, I can see that it is part of my overall personal development. I genuinely thought by age 20 I got good, like "normal" type of good with some slips here and then. But now I see that they remained stable. But now I feel like I am aware of them and can tackle them.
But before my diary, what I think was most helpful were motivational approaches. One might be surprised to read it, but I have been fairly religious throughout my life. I could say I tried out all sorts of religions, even though I dropped most of them after a while again. I found the idea of heavenly reward, paradisical bliss, or simply superiority attractive. Just, rewards in the afterlife are not keeping me engaged for long.
Other motivations included better job opportunities, status, money, a mother who genuinely bonded with me, even though it eventually broke. I blame my mute cousin over this, because he sucked out the attention at some point. He had his own parents, why did he had to take mine? I just lost a mother before. But the afterlives are not fair, so why should life be fair?
I think also notable - even if unrelated to therapy itself - is my transition from elementary school to the next school. I have no idea how it is called in English and I am too lazy to check right now. Weekly feedback on my behavior, a feeling of superiority, a mother who taught me strategies to handle problems in a way I get out better. Rewards for good behavior. It helped me to set foot at school and getting good grades for a year. Afterwards, it declined again, got boring and I just could not force myself anymore. But we could use my previous grades and behavior as leverage for switching me to a higher school.
I liked the idea that I could get better payment with good grades. And beign able to decide which job I perform. Always hoped I could once become a Game Designer at Nintendo, even though I never prepared for it. For example, I never learned Japanese to work at Nintendo. I just expected things to magically turn out in my favor. But nonetheless, it kept me at school at least and away from drugs. I kinda admired the nerds who got good grades without much time or effort. So I learned how to navigate the education system with investing as less time as possible. Sure school got boring at some point either way, but then my school career became part of my everyday life and it was just normal. I tried to keep balancing my moods by socializing and playing sports (Also skipped loooooots of school days but psst).
From all therapeutic methods, what helped me the least was a form of autism therapy I once tried, because of the shared struggles in navigating emotions and appropriate behavior. This was the best way to learn first hand that ASPD and autism misbehavior do not intersect. Not saying they cannot co-occur, but they are not the same. I see why some people dissuade against teaching emotional insights for pwASPD. If anything it helped me to predict emotional reactions even better and using it to get out of trouble, trouble some might want me to be in, perhaps.
But I already was a great actor, so it really was just me complaining about my parents, and thats it. It teaches how you should behave, but I already know that. It does not motivate me to care, the thing I struggle much more. And my anger is not the result of some sort of overload. Autism behavioral therapy was probably the most useless thing I ever tried out. Too bad, that therapy places taking in pwASPD are rare, and even more rare are places which keep us permanently. Until then I am stuck with my beloved diary series.
This response would not be complete without also listening the downside of my diary therapy method: As stated before, it connects different aspects of my life to a coherent overall presonal profile. While it is designed to capture the relevant traits of my disorder, it also runs danger at constructing a personality picture overly emphasizing my worse traits and giving them more space than they actually deserve.
They might shed a bad light on past events otherwise already overcome mentally and slicing up closed wounds. This can lead to depressive symptoms and also resentment of people within the diary if I look too much at the bad outcomes. Thus, I always need to remind myself, this is just a small chunk of my life, and the symptoms - even though taking up much space in my diary - are not defining me as a person or who I am and just a small part of my overall life.