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It's notable that there was a story roughly 15 years ago about a psychology researcher who put people into MRIs to scan their brains. He found out that psychopaths have different development than the general public. He put himself in for funsies and found that he has the same structural issues. When he asked his family about it, they confirmed that they had always known he was a psychopath.
To your point, you can absolutely be a functional member of society with one of these disorders, but the likelihood that you can't be is also heavily increased.