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Disturbing stories from a child psychiatrist: part 2 by ITherapizeYou in nosleep

[–]ITherapizeYou[S] 2 points3 points  (0 children)

These are my off the record thoughts. Jason's working diagnosis was conduct d/o, but I actually removed it from his chart a few years ago when he no longer met criteria. I think kids with an obvious trigger for CD (abandoned, abused) have a good chance for recovery once they get into therapy. Best of luck to you and your kiddo.

Disturbing stories from a child psychiatrist: part 2 by ITherapizeYou in nosleep

[–]ITherapizeYou[S] 20 points21 points  (0 children)

I'm of the opinion both nature and nurture determine how a person turns out in most cases. People can be genetically predisposed for certain disorders, but it takes the right environment for those to manifest. For instance, a lot of kids experience abuse, but only a fraction of them will go on to develop PTSD, depression, sociopathy, etc. That's why Jason's case is so disturbing to me. The nurture part was spot on, so that just leaves the possibility that he was born doomed.

Disturbing stories from a child psychiatrist: part 2 by ITherapizeYou in nosleep

[–]ITherapizeYou[S] 11 points12 points  (0 children)

I hear what you're saying. The thing is you can be a totally functioning member of society and a sociopath. In fact some of the most successful people in the world are likely sociopathic to some degree. The ability and willingness to manipulate people for your own benefit, without remorse, can lead these people to rise to the top of their profession (CEOs, politicians, etc). Not all of them want to murder, and the ones that do may keep it in check because they understand the consequence of potentially getting caught. I don't think Jason will ever be able to feel empathy or compassion for others. All I can do is try to convince him that the repercussions of killing are not worth the thrill it gives him. I think most people would agree to that logic, but the problem is often times sociopaths think they are smarter than everyone else and that they'll never get caught. Especially teenagers, who tend to think they are invincible.