An Open Letter to Facebook:

An Open Letter to Facebook:


CONTENT ADVISORY

My name is Lillyth Quillan and I am the founder of the support group Parents of Children with Conduct Disorder (PCCD). For over six years PCCD has been helping parents with children who exhibit early signs of psychopathy. We don’t do trigger warnings in PCCD because our whole lives are trigger warnings. Consider yourself trigger warned. There will be nothing happy or safe about reading this letter, but read it you must.

You may remember me, Facebook. In 2018, you tweeted a quote from my piece in The Atlantic, The Isolating Life of Parenting a Potential Psychopath about how alone parents like me were before we found each other on Facebook, through PCCD.

Since you quoted me in your tweet back in 2018, things in PCCD have chugged along as usual. Families are abused and assaulted every day. Hardly anyone but the parents themselves are trying to stop these kids from harming others. We get endless judgement and blame from those around us who should be trying to help us the most; friends, the schools, neighbors. The only help we truly have is from each other, through your platform.

The COVID pandemic has been especially unkind to us. In-home assaults have increased approximately four-fold. Some treatment centers and other forms of alternative care have shut down and sent violent children home. Many in-person therapies have been cancelled. Now more than ever, we rely on each other for support.

I guess we will simply do as we have always done. Remain the only people in the world who try to hold our kids accountable while everyone else around blames us for the abuse and manipulation to which we are subjected. We will do this despite the dramatic rise in violence, and drastic decrease in support.

We’re used to it. Used to waking in the middle of the night with our children standing over us with knives. Used to locks on every door. But now, we have a new problem, a very big problem.

In a bid to keep everyone safe from people like our children, you have been removing posts and comments from the PCCD group. Most recently about a child sexually abusing a pet. There is no way for an Admin to review and correct this action. Admins can’t say the post or comment was acceptable, nor can we remove members from 30-day post approval once you have done this.

During the last week of December, a parent’s comment was removed. All it said was the parent’s child had had sex with a dog. Just one sentence. The parent did not advocate for this behavior, nor did they condone it. They simply reported what had happened.

What makes PCCD work, and other support groups like it, is that we can talk to each other. REAL talk. About the trauma, stress, abuse, violence, and assaults to which we are all subjected. What help is there for parents who are regularly hit, kicked, punched, attacked and otherwise assaulted by their children?

We can’t help parents help their kids to stop doing horrible things like this if we can’t talk about it. And we can’t talk about these things, if we can’t talk freely.

We cannot be the only support group going through this.

Look around you. What REAL help is there for victims of violence, of any kind? 50 minutes a week to talk to someone? Give me a break. We are subjected to abuse nearly every day. In some cases, nearly every hour. That’s not enough time for even the most savvy of professionals to untangle what happened in the last 24 hours, let alone the last week!

If you want to know who does the actual work of healing people subjected to abuse, it’s other people who have been subjected to the same kinds of shared trauma and experiences, and have been kind enough to pay it forward to help the next person going through what they have already gone through. We can’t help keep each other safe, let alone heal if we can’t talk openly about those experiences.

I am asking you to create a special group designation on your platform: Communities Subjected to Abuse.

Communities where the admins of those groups are able to monitor the posts and comments themselves, governed by rules that work for their communities. We don’t do trigger warnings in PCCD. Some groups might need that. But each community needs to make that call for themselves.

I am happy to have a process by which this takes place. Even an annual review to make sure the group is what we say it is. Whatever I need to do to prove to you we’re not allowing discussions that promote the harm of anyone, consider it done. I understand the necessity of community standards and making sure we’re not allowing discussions that promote the harm of anyone on your platform. But you cannot expect victims to heal if we must parse our words.

Case in point: I posted this very letter, minus this paragraph, in PCCD, asking for approval from my community before I published to social media. I was given a warning from Facebook for going against community standards and told if I had another violation I would be placed on probation. I used the function to appeal, and you apologized, but you are literally keeping me from communicating with my group about how best to help them. This must stop, and it must stop NOW.

PCCD group members MUST be free to share what their children do in their own homes if we ever hope to help them stop their children from repeating these crimes outside our homes. After our kids get done practicing on us… Well, I’m sure you don’t need me to spell that one out for you.

Help those of us engaged in the work of healing and supporting people and communities subjected to abuse do our work. Let us help each other heal. Let us help each other stop further violence. Let support groups support their members.

The world will be a better place for it.

The P Word and Why We Use It

The term psychopathy seems to have divided the psychiatric community. You are either in Camp Psychopathy, or you are in Camp Antisocial Personality Disorder.

The term psychopathy does not just divide the treatment community. Every few weeks we will hear from a parent or community member asking WHY we use the word psychopathy. Isn’t it too harsh? Isn’t it too scary? Shouldn’t we rethink the words we are using?

I thought about my choice of words long and hard. First and foremost, it is a scientific term. It doesn’t really make sense to use other terms when this is the one that is already used.

Aside from that, does the word psychopathy scare you? GOOD. It should do exactly that. I don’t know that there is much on this planet more terrifying than someone who will hurt you and feel no remorse about it.

We don’t minimize Ebola by labeling it “Mildly Inconvenient Blood Borne Viral Syndrome.” We should not minimize psychopathy in the same manner.

While we, of course, cannot label children as having psychopathy, I think it is important that we never lose sight of what could happen should we fail to properly treat Conduct Disorder (CD). Which is all but inevitable given that there is almost no treatment available for our kids.

We want the world to stand up and take notice. We are screaming. WE ARE ASKING YOU TO HELP US STOP OUR KIDS FROM DEVELOPING PSYCHOPATHY.

One of the hazards of parenting is that we are often blinded by our love for our children. Which is another reason I choose to use the word psychopathy. Because we, as parents, must never lose sight of what could happen should we, as a society, fail.

Should we fail as a society in this task, our children will grow up to hurt your children and be unmoved by your children’s suffering. Not all people with psychopathy are physically violent, but emotional violence or violence in any form is unacceptable to me. It should be unacceptable to you too.

Happy Mother’s Day, You Useless Bitch

Mother’s Day is one of the biggest days in the restaurant industry. Families take mom out so she doesn’t have to cook. Moms get cards, love, praise, and pampering.

But moms who have kids with Conduct Disorder (CD)? Most of us don’t go out. We have no idea how our kids might behave, and the last thing we want to do on our supposed “special day” is manage (or even have to worry about) our kid’s behavior.

It is less exhausting to stay home and deal with the violence and drama there than it is to go to a restaurant and worry about public judgment. At least at home we won’t get the angry glares from the other parents out there who were lucky enough to hit the “good child” lottery. We get condemnation about our parenting 364 other days a year. We don’t need it on Mother’s Day too.

Every year I watch the heartbroken posts pour into Parents of Children with Conduct Disorder (PCCDP), the support group I created back in 2014. Posts like this come every holiday. Sometimes with descriptions of behavior that, if executed by an adult, would end up in jail time and a restraining order.

Nikolas Cruz, the Parkland shooter, whose history reads like a case study of a child with CD, called his mother a “useless bitch” when she took away his Xbox for not going to school. For being a parent. He also threw numerous object as a result.

Sure, he did this in November and not on Mother’s Day, but this could literally be a day in any one of our houses. Enforce a consequence, child flies off the handle throwing things, destroying things, and hurling profanities at us. Yes, this can even happen on Mother’s Day. See why most of us don’t go out on Mother’s Day?

Yes, even on Mother’s Day our child might spew profanity at us, punch holes in the walls, set fire to the cat, try to kill our other child, or manipulate everyone around them by playing everyone in the household off each other to create family drama.

Of course, it’s always sucky when this happens on a holiday. Any holiday. But I think it’s worse on Mother’s Day. Because this is the day we are supposed to feel loved and appreciated for our roles as mothers; not the day we are to be called a useless bitch.

But for most moms like me, Mother’s Day is just another day to be abused. This year, countless mothers of children with CD will have insults (or possibly even furniture) thrown at them. This year for Mother’s Day moms will be visiting their children in residential treatment centers across the US. Many will spend the day visiting their child in jail. Some will spend the day praying their child will finally be arrested and put into the system.

This year I will do what I always do on Mother’s Day. Watch post after post pop up in the group about what a terrible day Mother’s Day was and offer hugs and empathy, using gifs of hugs to convey emotion and solidarity, trying to pick out a new gif for each person so they feel special, but running out of them anyway and having to recycle earlier images. Even that little gif can make all the difference in the day of a mom of a child with CD because we are all so terribly alone, us parents whose children have CD.

So please, this year on Mother’s Day, remember that it is not a day of celebration for everyone. If you know someone who has a child with CD, take a moment to send them a message. Not one of those generic e-cards, or a mass-tagging of all your mom friends.  Send them a real message. A personal message.

Tell them you know the road they walk is hard. Tell them you know they are doing the best they can in an impossible situation. Tell them that even though their child doesn’t see what a good job they are doing, you do, and you appreciate their work as a mother. Tell them you see what they are going through. Tell them you love them. Because Mother’s Day is not the day to feel like a useless bitch.

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The True Cost of Parenting a Child with Conduct Disorder

Today, along with several other mothers, I appeared on the Megyn Kelly Today show to speak about Conduct Disorder (CD). This show marked a number of firsts.

This was the first time parents of children like ours have spoken publicly, with our faces and real names, on national television.  This HUGE for us, to not only be seen on such a large scale but also to be so raw and vulnerable in so public a venue.

As I was walking onto the stage, Megyn greeted me with a warm hug, a smile on her face, and what I thought might be the beginnings of tears brimming in her eyes. As she hugged me, she thanked me for coming on the show to talk about this issue. It was clear from everything she said and did that she truly cared about us, our kids, and getting help for everyone involved.

As I sat down on the stage, under the bright lights under the watchful gaze of hundreds of strangers, I lost it. I started crying. (And then, of course, tried not to cry because I didn’t want to have my mascara run on national television!) I crying/trying not to cry. The show hadn’t even begun, and I was already crying.

One of the production assistants immediately ran over with Kleenex. After wiping my eyes, I had to ask them what to do with the used Kleenex, which was all kinds of embarrassing. I didn’t want to sit there on national television with wadded up used Kleenex in my hand!

It wasn’t until a little later I even realized why I had been crying in the first place.

I had been crying because Megyn had shown me empathy, and this was the first time anyone had ever show me any.

Sure, in my life, I have gotten some support and understanding from a few of my friends. But mostly this happened after many, many hours of me explaining things to them.

I had never before in my life experienced empathy from a stranger.

Not around this issue, anyway.  So, I started to bawl like a small child. (I think I probably managed to hold it together a little bit, but this was my experience of it anyway.)

I was explaining to my husband the other day that there is a thing that can sometimes happen between women. A woman will be going through something rough, her friend will go to hug her, and the first woman will say something like, “Don’t hug me. I’ll start crying.”

Sometimes, when things have been so overwhelmingly bad for so long, someone being suddenly nice to us can put us over the edge. We’ve been holding it together for so long on our own that if someone shows us kindness and empathy, we cannot hold ourselves so tightly anymore. Our wall melts. The dam breaks, and the water comes gushing out.

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This was the first time a stranger had shown me empathy and I did not know what to do with it.

I and every other parent I have ever talked to in PCCD over the last few years has lived a life of judgment, isolation, and victim blaming. We are ostracized, avoided, and watch as the people in our communities form strong bonds with one another while actively avoiding us.

We do not have real parent friends who live near us. They have all abandoned us long ago, because of our children, though they have told themselves it is because we are terrible parents.

Megyn has a segment on her show, Settle for More. It’s about not “settling.” Demanding more from life.

In that moment she showed us true empathy, I wasn’t sure I could go back. I wasn’t sure I could go back to not having that. I was suddenly afraid her audience would reject us. That the national audience would reject us. That everyone would do what they have always done. Blame us.

In that moment Megyn showed us what true empathy was like, I saw a glimpse of how it could be for parents like us and the stakes grew even higher. I knew we were going on Megyn’s show to make the world a better place for parents like us, and children like ours. But I hadn’t realized that world could actually include empathy for parents like us.  I figured the best we would get would be tolerance.

Megyn showed me how great people can be if they only take the time to understand us. She showed parents like me our first empathy.

My son just turned 18. On a realistic level, I would say I have been dealing with his behavior issues and judgment and derision from other parents for 16 years. 16 years is a long time to go without empathy.

The other first for us was another moment that changed everything. One of the other mothers was talking about her son with CD hurting her other, younger son. I reached over and took her hand as she sat on stage in front of hundreds of people, being vulnerable and showing a brief yet horrifying glimpse of her world.

It is a bit ironic that what I write to you now is all about empathy since this is essentially a trait of our children with CD. They either have none, or they have a reduced capacity for it.

It occurred to me later that as I took that other mother’s hand on the set as tears brimmed in her eyes and the pain she had experienced was so palpable it virtually came off her in waves, we had caught on camera the first time any parent of a child with CD has ever reached out to take another one’s hand to help her bear the pain.

While you will be able to see that moment on camera, what you won’t see is the moment during the commercial break when we talked about imagining what it would have been like to go through the worst of our moments with a friend who understood to just hold our hand and be there with us.

It was cathartic to imagine a world in which this happened, but it was also deeply painful to realize it didn’t, and we could have had and should have had that.

On an emotional level, the bare minimum a human being in pain needs is another human who isn’t living our exact pain in our exact house with us to hold our hand and just be with us in our pain. It’s nearly impossible to be emotionally healthy with no support system. We do our best, we parents of children with CD, but human beings are social creatures.

Love Tree

If you would like a tiny glimpse of what this is like, give me two days of your life for a social experiment. For one day, 24 hours, ask everyone in your house, everyone you interact with online, everyone you regularly communicate with, to act as though everything that goes wrong is your fault.  Have them criticize you. Have them make snide jokes about you and your ability to, well, do anything. How do you feel at the end of that one day?

Have a local buddy to do this exercise with.  Do not speak to them or interact with them at all on day one.

For the second day, repeat the exercise, but do it with your buddy – someone in your area with whom you can meet up and touch, showing empathy and reaching out for physical contact, sit with one another in understanding and talk about the similarities in your lives, and share your own personal stories of the derision and how it made you feel with each other. Be sure to make physical contact with one another. Tell me how you felt at the end of that day.

Now, imagine that first scenario is not a day, but years. That is what our lives are like.

I will repeat: On an emotional level, the bare minimum a human being in pain needs is another human who isn’t living our exact pain in our exact house with us to hold our hand and just be with us in our pain.

Yet, this was the first time this has happened for any of us parents of children with CD.  Parents of Children with Conduct Disorder currently has 446 members. Out of those 446 members, only three have ever met in person. We all met on the Megyn Kelly Today show.

While I will be forever grateful to Megyn for shining a much-deserved spotlight on the issue of CD – this is not right. It is not right that we are the only ones who have met. It is not right that we are the only ones who have been able to hug each other, smile with each other, laugh with each other, cry with each other.

It is not right that every single parent of a child like ours has had to live in isolation for so long. It is not right that it should have taken 17 people dying in Florida for us to be able to finally have this conversation.

It feels to me like something changed in the world after Nikolas Cruz walked into a school with a loaded gun and slaughtered so many people. It feels to me like the world has finally had enough and is finally willing to do something about this problem. Yes, many people are focusing on the guns.

But we are focusing on our part. Which is to get people to understand what the warning signs are. Which is to make people realize that CD is not a “mental health” issue. It is a public health issue.

When John Donne wrote No Man is an Island, he clearly had not met a parent of a child with CD – because the one thing we all have in common besides our pain, our abuse at the hands of our children, and our ignored cries for help is that until we found each other, we all felt like an island.

During another of the commercial breaks, something else you won’t see in the footage, is Megyn leaning over and telling us of an Elizabeth Kubler-Ross quote about beauty.  She said it reminded her of us.

Flower

“The most beautiful people we have known are those who have known defeat, known suffering, known struggle, known loss, and have found their way out of the depths. These persons have an appreciation, a sensitivity, and an understanding of life that fills them with compassion, gentleness, and a deep loving concern.”

Here was this beautiful, important, nationally recognized woman telling us we were beautiful. After over a decade of being treated like a pariah, like we were crazy – like we are the ones doing the terrible things our children are doing, hearing someone like Megyn say something like that about us felt like magic.

We were thanked by staff, some of whom came to us with stories of people they knew who could use our group. Everyone there seemed genuinely to care for us as people, and the importance of our message.

After being on Megyn’s show, I no longer feel alone. I feel like I am, once more, a part of a community. I no longer feel like an island.

 

No Man is an Island

No man is an island entire of itself; every man
is a piece of the continent, a part of the main;
if a clod be washed away by the sea, Europe
is the less, as well as if a promontory were, as
well as any Manor* of thy friends or of thine
own were; any man’s death diminishes me,
because I am involved in mankind.
And therefore never send to know for whom
the bell tolls; it tolls for thee.

*Translation note: this word is often written as “manner.” This is incorrect. The word Donne used was Manor. Which is what they used to call a house. So this poem could be read as including the “house” of your friends. In other words, look to your people and your people’s people. No man is an island.

It Takes a Village

Psychopathy is best addressed before adulthood when a child’s brain is still forming. The ultimate goal in the prevention and treatment of psychopathy is to mitigate, through early childhood intervention, community dialog, sorely needed respite for parents, and, in extreme cases, special residential treatment centers that have been trained specifically in Conduct Disorder (CD) treatment. You, the general public, should care because CD is sometimes referred to as the “juvenile form of psychopathy” – in essence, children with CD have the potential to develop psychopathy.

But seriously though. In plain English, what does any of that mean?

I want to bring up what I think is a huge issue within the already huge issue of CD and psychopathy. CD and psychopathy pretty much make zero sense unless you have been studying it for years. Even then, you have to really work to understand it.

I have been running a support group for parents of CD and only CD for nearly four years now. I read every book on the subject I can get my hands on, and in the end, though I understand it more than the average bear, I am still left with more questions than answers. Yes, the more you learn about something the more you see you need to learn, but the subject of CD/psychopathy is, in slang terms, redonkulous (more ridiculous than ridiculous).

There seems to be this weird divide in the community. The people who understand people with psychopathy don’t really treat them, and the people who treat them don’t really understand them. Meanwhile, everyone suffers and no one gets any better. This is something that takes years to treat.

But, kinda like a burst water main under your house, it’s also something we need fixed yesterday.

Because CD, left unchecked, can turn into psychopathy, it is important to halt that progression. But how the heck do we do that?

So, you want to understand psychopathy, huh?

In The Psychopath Whisperer: The Science of Those Without Conscience by Dr. Kent Kiehl, Dr. Kiehl does an amazing job of being an engaging storyteller, making the information in the book accessible to the general public, and still getting his science on.

But that’s pretty rare, in my experience. Without Conscience: the Disturbing World of the Psychopaths Among Us by Dr. Robert Hare, creator of the Psychopathy Checklist (PCL) was a little less accessible to the general public, but still digestible.

Beyond that, though? The science in some of these books is darn near impossible to follow for the average citizen.

And that’s not right.

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YOU already know someone with psychopathy – probably more than one person!

This issue affects every single person in the world one way or another. Most estimates say 1 in 100 people has psychopathy. Everyone knows 100 people. At least. This is not about if you know someone who is going to hurt people: this is about which person you know is going to hurt people.

This issue affects everyone and most of the information out there is overwhelming and intensely scientific. If you are ever going to understand it you have to have an insane drive and want to devote years of your life to figuring it out, as I have. Most people are not going to do this. I don’t blame them. This issue has become all-consuming to me. To the point where I literally wished the other day there was a “discover the person with psychopathy” video game so I could have fun, yet still be thinking about this stuff at the same time.

That is the level of commitment it takes to understand the information that is out there.

That’s just not right.

Because psychopathy affects everyone, everyone should be able to understand it without needing to spend years doing research and getting a degree in neuroscience to do it.

As I said, everyone knows 100 people. Which means everyone knows someone with psychopathy. You will likely be harmed by or be close to someone who is harmed by a person with psychopathy at some point in your life. My guess is it will be multiple times, not just once.

People with psychopathy are not slathering murderers, as Hollywood and most of the news would have you believe. Some do kill, yes, but that number is very, very small.

More than likely one will con you out of some money, screw you over by telling lies about you, steal from you, gaslight you (make you believe something different than what you saw with your own eyes), and unless you have read for years about people with psychopathy, you will likely never know what hit you. They are charming and seem normal at first. They will get people to take their side over yours. They will convince people they are the victim and turn people against you. They will likely do all of this easily, instinctively, like breathing.

Simply put, people with psychopathy are mean people who will hurt you or screw you over and not care. They are born with the predisposition to be this way and their brains are different than ours.

We want to stop the harm done by people with psychopathy. The only way to stop the harm done by people with psychopathy is to get it handled when these people are young children. But no one is doing that. These kids are considered “untreatable,” but that’s just because no one has been trained in how to treat them.

If you had a rare form of cancer, you would go to the place that treated that form or cancer. You wouldn’t go to your primary care physician and expect them to be able to treat this rare form of cancer. That would be dumb.

But that is the approach we take with CD, even though CD is more common than autism. Treating CD takes a specially trained staff. This can’t be fixed by your local therapist, school “psychologist” (who are almost never actual psychologists), nor by anyone employed by your local school district. It just can’t. I’m sure they mean well, but they don’t understand the condition and aren’t equipped to deal with it.

I love my primary care physician. But I wouldn’t ask her to perform open heart surgery on me!

CD needs people who know how to treat it. It needs residential treatment centers where all the staff is trained in treating CD.

We need all this more urgently than you think. There are tons of studies out there, all of which give conflicting information. I have seen many different studies citing that roughly 4-5% of children have CD, but one study I saw claims 6-16% of boys and 2-9% of girls have CD.

At the moment, the best model we have is Mendota Juvenile Treatment Center, which has amazing results. I don’t know if it’s the perfect answer, but it’s better than the nothing we’ve got now.

It will take years to develop these special centers. Which is why it is so urgent for us to act RIGHT NOW. In the span of time it would take to develop these special centers, children with CD will grow up to develop psychopathy. The earlier we can find these kids and get them treatment, the better it will be. For everyone.

At least one person with psychopathy in your life will hurt you or screw you over leaving you bewildered as to what happened. Or they will do it to someone you love. Or both. Again, this will happen at least once in your life. Probably multiple times.

Understanding psychopathy is hard. I don’t expect everyone to do it. But as I will do my best to explain the problems that individuals with psychopathy and children with CD pose, and the barriers they and their families face when trying to obtain treatment (mostly it is a lack thereof). I will do my best to explain everything you need to know in plain English.

The most important thing for you to know about CD and psychopathy is that parents cannot do it alone. We need your help in spreading awareness and advocating for the support and services our children need when they are YOUNG. This cannot be done by parents alone. It truly takes a village.

Enough is Enough, America. This Has to STOP!

“It is my firm belief that we have a very different job than most parents. CD, left unchecked, can turn into psychopathy. Not all children with CD grow up to have psychopathy, but many will. I am a very blunt person, and as such, my own personal preference is to refer to children with CD as having the “potential to develop psychopathy.” I do that for several reasons. A child under the age of 18 cannot be labeled with psychopathy. Also, I dislike the term CD because quite frankly I do not think it sounds serious enough. This is just about the most serious “psychiatric” condition out there for kids. There are so many syndromes and disorders these days; this is just one more in the alphabet soup – often to the point where people roll their eyes at yet another “disorder.” I think using the term “potential to develop psychopathy” makes everyone, including yourself, take the condition as seriously as it needs to be taken. As parents of people with the potential to develop psychopathy, it is our job to do the best we can to see that our children do not go on to develop that label of psychopathy once they reach adulthood, or, at the very least, do what we can to lessen their psychopathy (if they develop it) once they are legally an adult.”

~Excerpt from the Welcome Packet for Parents of Children with Conduct Disorder

There is a cancer in the world, America. Not just in America, but the whole world. I think if we are going to consider ourselves the “leaders of the free world” we need to start acting like it.

If you have cancer in your body I presume you would not just ignore it and hope it goes away. Or decide you “don’t want to think about it.” I further presume that you would not think that cancer is a “private matter” discussed only with family and close friends. And finally, I presume you would not be ashamed of your cancer, or think it is your fault, or allow anyone to shame you for having cancer.

Yet we do this every day with the most serious condition there is. One that is far-reaching and wreaks havoc on not just those with the condition, but those surrounding those who have it. If cancer spread and harmed the community? How would you react then? If cancer were contagious? You’d take it pretty seriously.

More to the point, if your child had cancer? You would do something, right? Especially if that cancer could harm other children. For instance, we vaccinate our children against childhood diseases, because those childhood diseases can harm or kill.

We might not be able to vaccinate against cancer but we can treat it. Yet, there is another harmful condition some children have that we do nothing about. This condition can have potentially deadly results at worst, and at best will “only” cause psychological harm to those close to the child, and later adult. This condition can be passed down to children or grandchildren.

This condition causes untold damage to untold numbers of people. Just one person can leave behind millions of dollars’ worth of damage in their lifetime. This is only counting the monetary costs and not the physical or psychological ones.

This condition is called Conduct Disorder (CD), and those who have it have the potential to develop psychopathy. Current science seems to suggest that psychopathy is a condition one is born with the predisposition for, and that the brains of people with psychopathy are very different from our own. Dr. Robert Hare once described people with psychopathy in two words: without conscience.

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If I told you my child had a medical condition that could harm other people, continuously, for the rest of his life, even potentially kill your child, and that this medical condition could potentially be cured, or at least mitigated by proper treatment, I’m sure you would no doubt insist that proper treatment should immediately be given to my child.

My guess is that you are a good person and you would likely insist on treatment for my child anyway. You don’t want a child to suffer. But on a more self-serving note, you would want to protect your child from potential harm at the hands of my child’s condition.

If you learned that that condition was responsible for the deaths of 17 children just last week, all in one fell swoop, you would be outraged. You would be calling your lawmakers, your news outlets, posting on social media, calling for the free and instantaneous treatment of these children immediately before anyone else died. Before anyone else was harmed. Before anyone else had to suffer.

But no one is doing this. I ask myself why, every single day.

Every week I hear from yet another parent whose child with Conduct Disorder has tried to kill their sibling. I ask myself why no one cares about these kids besides their parents. Every time I hear about another animal killed, or maimed, I ask myself why these kids are not immediately placed in residential treatment facilities and kept there until they are safe to be around.

I know you would take your child to a cancer treatment center. I know if you found out your neighbor had a child with cancer and they did not take that child to the doctor you would be screaming bloody murder. But you are silent about the child who manipulates, lies, steals, and rages around the house destroying it, often from ages younger than three.

We tell ourselves that all children are born perfect. But this is not true. I have a dear friend whose daughter was born with a congenital heart defect. She got the appropriate surgery for her daughter, who is now thriving. Every few years her daughter has to go in for another surgery. And her daughter continues to thrive.

We do not blame this mother (nor should we) for her shortcomings or tell her it is her “parenting” that caused this condition in her daughter. Nor do we insist that her daughter was born perfect and pure and could only later suffer from a medical condition if she were not a perfect parent.

Yet we do this every day to parents of children with Conduct Disorder (CD). We insist that their children (all children really) are born perfect little angels and that it is only poor parenting that causes children to be plagued with this condition.

This is patently false.

Are there conditions under which children can be turned cruel, callous, unemotional, vengeful, and uncaring of anyone else’s welfare (and sometimes even their own)? Of course. But in my experience, this is not the majority of children with CD. In my experience, the majority of these children were born that way.

Regardless of the origins of CD, the important thing to know is how prevalent it is. In fact, children with CD may actually outnumber children with autism!

Follow me here while I do some very quick (and very basic) math:

According to this Medscape article from 2016, the incidence of children with CD in the United States is anywhere from 2%-9% of the population.

The CDC reports 1 in 68 children have autism. Yet, two percent is 1 in 50. If we go with the much higher rate of 9%, this means that nearly one in ten children have Conduct Disorder.

Regardless which data you use, this means whichever way you cut it, more children have Conduct Disorder than have autism.

According to the Annie E. Casey Foundation, there are 74.2 million children in the United States. 2% of 74.2 million is 148,400. 9% is 424,800.

We have somewhere between 148,000 and 424,000 children in the United States alone who need treatment for CD. Go ahead and guess how many treatment facilities we have. Go ahead. Guess.

We have one. We have one treatment facility with 29 beds that specializes in this particular condition. Somewhere between 148,000 and 424,000 children who need treatment and 29 beds.

Let me repeat that one more time. Somewhere between 148,000 and 424,00 children who need treatment and 29 beds.

On Valentine’s Day just a few short weeks ago, Nikolas Cruz walked into a school and slaughtered 17 of his classmates. His history reads like a worst-case scenario playbook for CD. Obviously, I am not a doctor, and I am not diagnosing him, but I would be utterly shocked if he did not have CD as a child. I would be even more shocked to discover he is not diagnosable with psychopathy.

Now, I want to be clear, not all children with CD who grow up to be psychopaths will end up doing things like this. As I mentioned in I am the Frog, the percentage of people with psychopathy who are killers is very small indeed, or none of us would be alive if that were the case.

But, as anyone who studies psychopathy for a living can tell you, the wake of emotional, psychological, financial, and sometimes even physical devastation these people leave behind them is prolific.

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Everyone knows the key to combating any condition is early diagnosis and treatment. Yet it is nearly impossible to get a diagnosis of CD for a child because no one wants to “label” the child. Could you imagine if doctors refused to diagnose children with cancer because they did not want to “label” the child? You would be outraged. So would I.

Cancer funding is in the billions of dollars annually. I couldn’t even find a budget for Conduct Disorder.

I will repeat again. Somewhere between 148,000 and 424,000 children who need treatment and 29 beds.

The more callous among you might say, “So what? What does it matter if your child doesn’t have treatment options? They are a monster.”

To those people I would say this:

It matters because my child might grow up to hurt your child. Heck, if my child goes to school with your child, they might hurt your child now. But for sure, any child with CD who grows up to have psychopathy, leaving my hopeful “potential” word behind will hurt someone.

They might not kill anyone, in fact, statistically speaking, they likely will not. But they will hurt someone. This is not a “perhaps,” this is not a “maybe.” This is 100% set in stone. People with psychopathy harm others and don’t care.

The only questions are: Who will they harm? How many will they harm? What kind of harm will they cause? When will they harm? How many years will they continue to harm others before they are caught and jailed? Will they ever be caught and jailed at all?

That’s just off the top of my head.

Let’s not even think about my two most dreaded questions: Will they have children and pass this on? How many more generations of people with psychopathy will be born? Because let’s face it. As a whole, people with psychopathy are not responsible. They don’t care about consequences for themselves, let alone children.

I come at the issue of Conduct Disorder and Psychopathy from a public safety and harm reduction standpoint. Those of us with children who have the potential to develop psychopathy are trying desperately to keep everyone else safe. We are trying desperately to keep our children with the potential to develop psychopathy from actually developing psychopathy. But we cannot do that alone. We cannot do that with only 29 beds.

I know you, America. You are the world leader. Let’s start acting like it.
We need your help in urging our lawmakers to push for funding for more treatment facilities like Mendota Juvenile Treatment Center. No parent can afford the ten to twelve thousand dollars a month these places cost. We need no cost access to these facilities.

We need these treatment facilities to be available to children before they are arrested for hurting people, because, as you see so well, waiting until Nikolas Cruz killed people was not an effective strategy.

We need to bring awareness to the issues of psychopathy, and advocate for treatment options for these children before they cause serious harm. Remember, just because someone has the potential to develop psychopathy doesn’t mean they will.

Our awareness campaign is just starting, and we will post action items and articles as they come up. But we need you to join us. We cannot do this alone. We need to you stand up and raise your voices with ours and say, “Enough is enough! This has to STOP!”

Conduct Disorder and IEP’s

This article will cover Special Education law in the United States and how it relates to children with Conduct Disorder. Because people reading this will come with varying degrees of knowledge about the Special Education system, I have chosen to cover the basic workings of the system, laws, and IEP’s. I begin with a background on Special Education, then move onto what an IEP is, and then onto how to refer your child for Special Education services. I finally move onto how Special Education relates to Conduct Disorder, as well as a few other sections. If you already have a basic understanding of Special Education, feel free to skip the first three sections. You can always come back to them if you don’t understand something.

In this article, you may encounter many new terms. It may look like what we love to call “alphabet soup;” that is, an endless list of acronyms that swim about the page like, well, alphabet soup. All of the abbreviations are used when dealing with Special Education. Therefore, to help you learn these terms as we use them, once I have briefly introduced each acronym, I use it exclusively throughout the rest of the document. You can also find a glossary of all terms at the bottom of this article.

If you are looking for local help within the United States you can find your local Parent Center here:  http://www.parentcenterhub.org/find-your-center/

Disclaimer: Everything in this document is my own personal understanding of the laws and IEP process. This is an OVERVIEW. I am not a lawyer. These are my own personal recommendations. They are not a substitute for doing your own research and due diligence or consulting with an attorney. I am from California, please check your own local IEP timelines as they may vary. In other words (and because I hate disclaimers) if you follow these recommendations and things don’t go well, please don’t sue me, m’kay?

Background on Special Education

Navigating Special Education (SpEd) can be trying at the best of times, even when you have an “easy” diagnosis that no one disputes and is clearly spelled out as qualifying for services under the federal law known as the Individuals with Disabilities Education Act (IDEA). But when your child has a diagnosis of Conduct Disorder (CD) this already difficult task can become downright Sisyphean in nature.

First and Foremost, you need to know that as crazy as it sounds, schools DO NOT use the Diagnostic and Statistics Manual (DSM) criteria when they are assessing a whether or not a child qualifies for SpEd services, and if so what those SpEd services might be. Which means that your medical diagnoses mean exactly diddly-squat to the school district. The district does not care what the clinical definition of your child’s medically diagnosed condition is. They care only how they, the district, define your child’s needs in an educational setting.

The school district has a legal obligation to identify, locate, assess, and serve ALL children residing in their district who might qualify for SpEd services. This process is also known as Child Find or Search and Serve. It is the district’s responsibility to locate all children residing within their district and offer them SpEd services whether or not that child is attending a public school.

The school districts are responsible for providing support as it relates to the child’s education. They are not responsible for the child’s medical care. Therefore the definition of a child’s disability is not a clinical definition, it is an EDUCATIONAL definition.

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The very nature of an Individualized Education Plan (IEP) is that each educational plan is individualized. It’s right there in the name (more on what, exactly, an IEP is later). The services provided and support given in the classroom are based on NEED, not diagnosis. For instance, just because a child has been diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) doesn’t mean they automatically get to sit up front to keep them being distracted. It is based on need alone. Not all children with ADHD need to sit up front in order to access their education.

One of the tenets of IDEA is the Least Restrictive Environment (LRE). What this means is that before we throw our SpEd students into a Special Day Class (SDC) and throw away the key (I can actually remember when this used to be done), we must exhaust all other avenues of support first. We must first start with a General Education (Gen Ed) setting (Gen Ed is a “normal” classroom setting). If the child is still not able to access their education in a Gen Ed setting (remember that term: “access their education,” because you will use it a LOT when dealing with SpEd), the next step is to add in SUPPORT in the classroom, such as a Resource Specialist Program (RSP), which is a pull-out model wherein an RSP teacher will pull the child out for specialized instruction for a minimal amount of time during the week.

The very first thing that needs to be tried is Gen Ed, so in essence, if you are new to the IEP process, once your child has qualified for services, nothing should have changed except that your child will now have a legally binding document on his or her side. Once your child has an IEP, putting your child into another classroom such as an SDC is considered a change of placement, and that cannot happen unless you agree to it. If one party changes the placement of a student without the other side agreeing to it, it is called a unilateral change of placement.  Only you can make a unilateral change of placement. The district cannot!

Students with CD are typically treated by school districts as Gen Ed students. There are a few different ways to go about getting services for your child with CD which we will go into in a little bit, but first I will explain what an IEP is.

What is an IEP?

You will hear the term IEP bandied about. It stands for Individualized Education Plan.  The term IEP can refer to a number of different things, though, as if the alphabet soup of Special Education wasn’t already enough to confuse you! An IEP can be the plan itself, arrived at and agreed upon by the school district and the parents, eg:  “I don’t know what to do when X happens in the classroom.” “Are you following the IEP?”

IEP can also refer to the actual physical document that both you and district sign.  THIS IS A LEGALLY BINDING DOCUMENT, SO DO NOT SIGN IT UNLESS YOU UNDERSTAND AND AGREE TO EVERYTHING IN IT. Eg: “I’m going to take the IEP home with me. I want to read it over line by line and digest it for before I sign.” (Note: School Districts will often try to bully you into signing right then and there at the meeting by saying something like, “Remember, we can’t start services until we get your signature.” They may even tell you you cannot take the document home without signing it. DO NOT LET THEM BULLY YOU INTO SIGNING UNTIL YOU HAVE READ IT. They are banking on you wanting to get the services started ASAP because the process is so lengthy. Yes, the process takes too long. But I promise you, when it takes as long as it does, a few more days isn’t going to make an appreciable difference. If your child is old enough to be in the room with you for the process, this is a great thing for them to learn. No one should ever sign a legally binding document without reading and understanding it.)

Finally, the term IEP can also mean the formal meeting where you sit down with the teachers, school psychologists, principal, RSP teacher, and/or district representatives (or any combination of these folks) to decide what will go into your child’s plan. Eg: “I plan on recording the IEP. Please make note that I am giving you more than 24 hours’ notice of my intention.” (Note: Nowhere in the law does it say that if a parent records the IEP meeting that the district also MUST record the meeting. I have, however, never come across a school district that did not also insist on recording if you do. My child has been through five different districts.) Always record the IEP meetings.

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You might also hear the term IEP process, which will generally be referred to in exactly that way and therefore can be easily distinguishable from the other ways in which the term IEP might be used. This is used to refer to the process as a whole, from the first referral for services to the completed document and implementation of services.

Remember that IEP’s are always about an access to education issue.  If you remember only one thing, remember to reframe every issue as an access to education issue. Your child has CD? Great! What is the issue affecting his or her education?

Another important piece of the SpEd puzzle is a Free and Appropriate Public Education (FAPE). It is what the school district MUST provide to all SpEd students.

  • Free: Just what it sounds like. It cannot cost you money to educate your child.
  • Appropriate: This is not so simple and is often where parents end up arguing with the district. Appropriate means what is appropriate for the child in question, not what is appropriate for other students with the same diagnosis. For example, it might be appropriate for a child to receive copies of a teacher’s PowerPoint presentation in certain circumstances.
  • Public/Education: Both exactly what they sound like as well.

Always ask if the IEP constitutes FAPE. Always.

SpEd and IEP’s are not just about grades. They cover behaviors as well. (Note: This applies only to behaviors the child exhibits at school. If your child is a perfect angel at school and then comes home and is a holy terror, sadly, the district does not need to assess for behaviors.) Especially with children like ours who tend to have a myriad of negative behaviors, it is perfectly okay to ask early on in the process for a Functional Behavior Assessment (FBA) if you have concerns about your child’s behavior as it relates to his or her education.

As with everything in the IEP process, you want to request the FBA in writing. You want a paper trail. Back when I was a Realtor, my old Broker used to say leaving a paper trail was just like potty training a dog: DO IT ON THE PAPER!

This is your new mantra with anything SpEd related!

DO IT ON THE PAPER!

If the school district tries to tell you you don’t need an FBA just yet (and they will!), make sure you request a denial in writing! They will likely have a very different approach once they have to put it writing. For a more in-depth look at FBA’s, check out this article from Behavior Advisor.com: http://www.behavioradvisor.com/FBA.html

Once you have submitted your request they will call in a Behavior Support Specialist (BSS) to complete the FBA to assess for and create a Behavior Intervention Plan (BIP). If they try to get you to agree to a Behavior Support Plan instead, don’t.  You want the BSS to come out to assess the situation and create a BIP. They are specially trained to do this. Anything less is just the blind leading the blind. Because let’s face it, if the teacher knew how to handle your child’s behaviors in the first place, your child’s behaviors wouldn’t be an issue!

Now that you know the basics behind what an IEP is, let’s cover how you refer your child for services.

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Referring Your Child for SpEd Services

Remember your mantra? DO IT ON THE PAPER!

Everything, everything, EVERYTHING goes in writing. You want to create a paper trail in the event the school district does not do what they are supposed to do (and believe me, they will fail to meet legal requirements all the time). If you have a conversation with your child’s teacher, send them an email reinforcing what you talked about earlier.  Eg: “Thank you so much for taking the time to speak with me after school today. I appreciate your concerns about my child, and I agree. As we discussed, you will be keeping a closer eye on Ethan during lunch.  I really appreciate your willingness to do that.”

I highly recommend picking up a composition book and keeping notes in it of every interaction with every school district employee, no matter how small, for your own records. NEVER tear a page out of it. If you need to cross something off, go ahead.  Write everything front to back, in chronological order, dating and time stamping everything, leaving no blank pages. In the event you ever need to go to court, a composition book like that will hold up as evidence in a way that a computer document cannot (computer documents can be altered). I once had an issue settled almost immediately because I pulled out two composition notebooks containing over 160 pages of chronological notes!

When writing a letter requesting your child be assessed for SpEd services, keep it as simple as possible. You could even write simply: “Please assess my child for an IEP under IDEA.” This is not the venue to vent all of your upset. Do not turn this into your sob story! The less information you give them in the letter, the less they can use it against you later as reasons why your child is not performing.

If your child has behavior issues as well (and I’m guessing most of our children with CD will have behavior issues) you could keep it as simple as: “Please assess my child for an IEP under IDEA and perform an FBA to assess for a BIP.”

A 504 plan is like the little brother of an IEP.  It’s not legally binding on the school district though, so I try to steer toward an IEP whenever possible. If your child is denied for SpEd services under IDEA, then a 504 Plan might be a second option. Because the process to determine eligibility under IDEA is so lengthy, it is best to request an assessment for a 504 at the same time as you request one for the IEP. Just add, “Please also assess for a 504 Plan” to either of the examples above.  For more on 504 Plans vs. IEP’s, check out this link: https://www.understood.org/en/school-learning/special-services/504-plan/the-difference-between-ieps-and-504-plans

Your child may also receive SpEd services under 504 if the 504 team agrees. (This may or they may not happen with regularity, I don’t know how common it is, I only know that it is possible.)

If your child has ADD/ADHD, be sure to mention that in your referral letter. That will help to qualify them under OHI (we’ll talk about that in a minute).

Please remember that each child is unique and you want the district to assess ALL AREAS of your child’s suspected disability. These items will be individual to your child. Remember that what the district is looking for is a severe discrepancy between ability and achievement. If you know which IDEA category your child might fit into, list all of those categories when you refer. For example, if you know your child has a learning disability, you could include the category Specific Learning Disability (SLD). If you don’t know, that’s fine and you can just use the templates above, or use the sample letter at the bottom of the page, courtesy of Community Alliance for Special Education (CASE).

If you are using a doctor during this process, you need to have the doctor reframe his or her diagnosis toward eligibility for services. Get a copy of the SpEd eligibility criteria to your child’s doctor and have them go beyond a diagnosis of CD and address the issue of how your child’s behavior is interfering with his or her education.

You want them to frame the diagnosis as “The child has CD (or whichever other diagnoses you are referencing) which makes him unable to see how his actions affect others, THEREFORE, you need to…”

You need to connect the CD with SpEd and how it is impacting your child’s education.

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Once you have given the school the letter asking them to assess your child, the district then has 15 business days in which to get you a written assessment plan. If 16 days pass and you still do not have a plan, you can choose to file a Compliance Complaint with your state Board of Education (Board of Ed). Usually, with something like this, the school district knows that even if you file a Compliance Complaint against them, the Board of Ed has 30 days in which to investigate the matter, and that even if they are found to be out of compliance (and they will be) that is still an additional 30 days to drag their feet: because if at day 29 they have given you the assessment plan to sign off on, the Board of Ed will consider it resolved and move on.

Once you have the assessment plan, do not just sign it and send it back. Read it, make sure you understand it, and feel free to add in anything you think they missed. I did this just a few months ago. They called and asked why I had added the other assessments, but in the end, they did everything I added.

The district is also legally required to give you a copy of the school psychologist’s reports detailing the results of his or her assessments of your child prior to the meeting. I have never been in or even heard of a district that did not take this to mean they could hand you the documents as you sit down to the meeting. The law only says they have to give it to you prior to the meeting, but it doesn’t define that term.

As with everything, DO IT ON THE PAPER. Submit your request in writing for a copy of the document prior to the IEP meeting. Be sure to include enough lead time for you to digest it. Eg: “Please provide me with a copy of the School Psychologist’s report no later than five days prior to our IEP meeting on X date.”

Do not assume that just because you are dealing with SpEd teachers they know the law and will follow it. I have never been in an IEP meeting with school district employees where I was not the one who knew the most about the law. Not even the heads of SpEd for the entire district were present!

Conduct Disorder – How Does It Fit Into IDEA?

While there is no specific designation under IDEA for children with CD, there are a number of ways to look at it so that your child could qualify for an IEP. Remember that it is far less important why your child qualifies than it is that they do qualify.

If your child has any learning disabilities they may qualify under the Specific Learning Disability (SLD) criteria. For more in depth information on that, visit this link: http://www.asha.org/advocacy/federal/idea/04-law-specific-ld/

While it does happen that children with CD can have CD and only CD, it is far more likely that our children will have some other type of designation as well (also referred to as comorbidity or comorbid conditions), so it’s okay to focus on getting them qualified for SpEd services under their other disabilities.  A fairly large percentage of children with CD also have ADHD, as just one example. Remember also that children who act up in the classroom very well may have an underlying issue leaving them unable to process the information given to them in the classroom, so always be sure to assess for Learning Disabilities (LD). Again, each child is an individual so you will need to engage in some detective work to find out which letters in the alphabet soup of SpEd apply to your unique child.

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Other Health Impaired (OHI) is probably the most likely way your child with CD will be qualified for SpEd services. It tends to be kind of a catch-all for qualification. This is a really great link to information about OHI, though I don’t know why they say there are 14 categories under IDEA. There are not.  There are only 13. I will assume it is a typo:  http://www.parentcenterhub.org/repository/ohi/

Notice that in section (i) of the OHI definition it says: “Is due to chronic or acute health problems such as…”

This makes the OHI category very broad.  The inclusion of the term “such as” in the legal language opens that whole category up to interpretation, and you should feel free to make use of the broad, non-specific language in the law.

The other option for qualification for services under IDEA that might apply to a child with CD is the designation of Emotional Disturbance (ED). One of the criteria of ED is “inappropriate behaviors under normal circumstances”: http://www.naset.org/fileadmin/user_upload/Forms_Checklist_Etc/IEP_Committee/Eligibility_Criteria_Chklt_Emot-Disturb.pdf

The school district might argue that CD differs from ED based on our children’s conscious decision to engage in these behaviors (Eg:  Rather than lashing out in the moment at another child they perceive has wronged them, our children might very well plot and plan their revenge for a later time.) I would actually argue that that constitutes “inappropriate behaviors under normal circumstances.” If you want to get right down to it, you really could argue that that is a perfect description of psychopathy in general. Pretty much everything they do (especially the children who have yet to develop any self-control) falls under the “inappropriate behaviors under normal circumstances” category.

The school district might try to tell you that you do not want to pursue an ED designation because you don’t want your children in a classroom with “those” children. This is nothing more than a scare tactic. Remember back to our Least Restrictive Environment (LRE)? A designation of ED does NOT mean your child will be placed in a Special Day Class (SDC) for ED children. In fact, the school district is required by law not to place them in an SDC unless all other avenues have been exhausted.

Congratulations! Your Child has Been Found Eligible for SpEd. Now What?

Now that your child has qualified for SpEd services, your job is not over. The IEP will need constant tweaking. Issues will come up. New and escalating behaviors will happen. When they do, remember to focus on the emotional side of the behavior PLUS the impact it is having on your child’s education. Always ask yourself, “What is the adverse effect this behavior is having on my child’s educational performance?”

Again, any unwanted behavior is the manifestation of an underlying emotional issue, so when looking at these behaviors you need to ask why the behavior is coming up. Is your child bored? Are they frustrated because they are having a hard time understanding the material and feel stupid? (This was a big one for my child, he would constantly ask why he was so stupid.)

If you frame it in that manner all of the time, the school district will have a very hard time indeed trying to convince you your child’s disability is not impacting his or her education and that therefore the school doesn’t need to do anything about it.

The school district may try to pull a fast one on you and tell you that your child is not holding up their end of the bargain. Do not let them do this to you. I have had to remind many a room full of district employees of this. “I am doing my best to get my child to hold up his end of the bargain. But whether or not he is doing what he is supposed to be doing, you are still required to follow this legally binding document. You are legally required to help him access his education. Whether he chooses to access it is a different matter entirely. You must still follow the law.”

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Post Script

One last note about our children. For those of you who read my last blog post, No Quarter, remember that for our children it is imperative that consequences from people other than mom and dad happen! Whatever the IEP says the consequences for behaviors are must be followed to the letter. Our children must learn early that their behavior has consequences. MAKE SURE THIS IS IN THE IEP! 

If the school district does not follow through on consequences, file a compliance complaint. Do this every single time they do not follow through with what is in the IEP, in regards to following through on consequences. (Pro-tip: keep a stack of mostly filled out compliance complaints filled out and on hand – just add the date and details and you are done!) If our children learn they can behave any way they want and there will be no consequences, then they will behave any way they want.

If you have read No Quarter and don’t have time right now (I promise I’m not offended, it’s long) the basic gist is to never give our kids any slack. No second chances. Not ever. Our children can be manipulative and often worm their way into being given “a break.” Don’t let them. Just trust me on this one. You can go back and read No Quarter later for more information as to why that is.

Resources

A wonderful handbook is available for purchase, produced by the Community Alliance for Special Education (CASE) out here in California. They were kind enough to consult with me on issues of CD and IEP’s. Any mistakes in this blog are mine, I assure you. Their handbook got me through many an IEP meeting. I cannot recommend it enough. http://www.caseadvocacy.org/handbook.html

CASE Sample Letter

Date

Victor Verde

Director of Special Education

Local Unified School District

Address

City, State, Zip Code

Re: Max Bleu

Dear Mr. Verde:

I am writing to refer my son, Max, for assessment to determine if he is eligible for special education services and support. He is not progressing in school. He is 7 years old and attends Harvey Milk Elementary School (child’s school of attendance).

**If you believe that your child may be eligible in particular categories, especially Other Health Impaired, Emotional Disturbance or Autistic-Like, you should specifically say so and ask that the assessment address those conditions. A standard special educational assessment looks at cognition, psychological processing, and academic achievement, none of which may be deficient in a student qualifying in one of the above three categories.**

(If you have specialized knowledge or know specific tests, you might add:

I request that the Local Unified School District (your District) conduct the following evaluations of my son:

(1) A psychological evaluation to determine his learning potential, using instruments designed for non-oral children such as the Leiter International Performance Scale-Revised or the Hiskey Nebraska Test of Learning Aptitude;

(2) An evaluation by a non-oral communications specialist. To my knowledge, the district does not have on staff any experts in this field. I have been recommended to Barbara Blanco, Ph.D. in non-oral communication, and unless the district has a comparable expert, I am requesting that you contract with Dr. Blanco to do the non-oral communication evaluation of my son.

(3) An occupational therapy assessment

Note: In every request for initial assessment, you should include a paragraph requesting that your child also be evaluated under the provisions of Section 504 for any “disabling condition” which would require service accommodations and/or services that will allow the child to benefit from public education to the extent that students without disabilities do. (However, do not agree to substitute a 504 assessment for a special education assessment.)

Such a paragraph might read as follows:

I also request that my son be evaluated under Section 504 of the Rehabilitation Act of 1973 for the presence of any educational service need which may require any accommodation or program modification not available under special education or if my child is not found eligible for special education. I also request that the Section 504 Coordinator for Local Unified School District be present at the initial IEP meeting to discuss the results and recommendations of the Section 504 Evaluation.

I look forward to receiving an assessment plan in 15 days. I hope that these evaluations can be completed promptly. Thereafter, we can have an IEP meeting to discuss the results of these evaluations and plan for John’s continued education. Please ensure that I get copies of the assessment reports one week before the IEP meeting.

Sincerely yours,

Yolanda Bleu

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Alphabet Soup – AKA Glossary

ADD: Attention Deficit Disorder

ADHD: Attention Deficit Hyperactivity Disorder

BIP: Behavior Intervention Plan

BSS: Behavior Support Specialist

CD: Conduct Disorder

DSM: Diagnostic and Statistics Manual (currently on version 5, aka DSM-V)

ED: Emotional Disturbance

FAPE: Free and Appropriate Public Education

FBA: Functional Behavior Assessment

Gen Ed: General Education

IEP: Individualized Education Plan

IDEA: Individuals with Disabilities Education Act

LD: Learning Disabilities

LRE: Least Restrictive Environment

OHI: Other Health Impaired

RSP: Resource Specialist Program

SDC: Special Day Class

SLD: Specific Learning Disability

SpEd:  Special Education

No Quarter

When I began my journey with Conduct Disorder (CD) roughly four years ago, right after our son was diagnosed at the age of 13, I consulted with experts all over the globe.  They all said the same thing. Nothing helps.  There is no existing intervention or parenting strategy that is helpful if you have a child with Conduct Disorder. The only hope is that your child bumps up against the Juvenile Justice System. Sometimes it works, sometimes it makes them worse. No one knows why. This is the story of how I made due with “nothing works” and cobbled together a strategy of my own.

Years ago, in doing my own research, I developed a theory. One I tested on my own child. Based upon current circumstances with our son, it seems to be working.

Upon receiving my son’s diagnosis of CD, I did what I always do: read every book I could find on the subject. Knowing that CD is a precursor to psychopathy (also sometimes incorrectly called sociopathy), I devoured everything on psychopathy (and sociopathy) and CD I could get my hands on. As I read these books and articles, I began to see a very painful truth.

If I was in any way to become effective as a parent, I needed to come to terms with the fact that my child will hurt people, lie, cheat, attack, lash out, steal, and manipulate the way other children smile, share, play nice, get gold stars, and Student of the Month awards. I would never have a normal child. And I would never have friends the way other parents do. Because one by one my child would make sure to alienate all of my friends and family.

So my husband and I came face to face with the terrible truth. We were, and would always be, completely alone in this.

Once we faced this terrible realization, one we had always felt deep down on some level but never put a name to, we needed to take some time to grieve for what we had hoped our child might be. My husband more so than me because he could not reconcile the fun and wonderful person our son could sometimes be with the terrible person he often was. It broke my husband’s heart every time the beautiful parts of our child would melt away into the nightmare of CD. And it broke my heart to watch his heart break. That was actually the worst part of this whole thing for me. Watching my husband’s heart break over and over and over again every time his hopes were dashed by CD.

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Aside from the near constant heartbreak, my husband’s biggest struggle was feeling like the things our child did reflected poorly on HIM. In this day and age where a parent is considered responsible for everything their child does, it is very easy to take every little screw-up by your child personally. This is something my husband struggled with immensely. He took the vast bulk of our son’s suspensions, thefts, or attacks on other children very, very personally.

My husband has always been more concerned with societal constraints than I am, so he was far more caught up in what other people would think. He took every failure by our child to follow the rules as though it meant he was a failure as a parent. Every time other parents or teachers met us with disapproval or upset, he reacted emotionally and blamed himself, as though he had been the sole cause of our son’s constant screw-ups.

I’ve always thought the notion of parents being able to “control” their children, as though the children were not independent beings with a mind and will of their own, was a laughable one. So I was far less bothered by what people might think about me when my child would misbehave, no matter how society tells me I “should” feel as a parent.

But when you have a child with CD, no matter how free-thinking you are, this notion of how it reflects on your character as a person and your efficacy and worth as a parent is magnified to an extent you cannot possibly believe if you don’t have one of these children yourself. Not only do you blame you, others blame you. Often very vocally. So, when your child screws up (yet again), your immediate reaction is an emotional one.

When a child with CD screws up, they REALLY screw up. It can be darn near constant.

Parents of children with Conduct Disorder are left with a PTSD response surrounding their children. It is an automatic fear-based reaction. It is pure dread. Every time the phone rings, you jump, certain it is the school demanding you come pick up your child. Again. You know that the teachers are going to look at you and think (or even outright say) it’s your fault.

The fear is everywhere. Every time you make a new friend at the park, you wonder how long it will take before this new friend finally decides that your child is a bad influence on their child and stops returning your calls for play dates (like they always do). Every time you drop your child off with aftercare you wonder if your child will get kicked out of yet another program because of the way they behave. When they are older, every time you hear a police siren you immediately check to see where your child is to see if they are the reason for it. And on the days your child happens to be locked up in juvie and you hear a police siren, you turn to your spouse and say, “Well, at least we know it’s not our kid!”

We, as a society, are caught up in looking good. What do the neighbors think when the police car is in front of our house (yet again)? How will other parents perceive us when our child acts up (yet again)? How will the school officials view us in light of our child’s horrific behavior (yet again)?  What will our families think when our child acts up at a family gathering (yet again)?

The harsh reality was that the only way for us to effectively parent a child with CD was to completely give up the notion that we would ever look good as parents. Everyone would always judge us. It would always be our fault. Nothing we do would ever be right because nothing we could ever do would cause our child to behave. Our child would always be “that” kid. Until he turned 18, we would be stuck paying for every single criminal act he committed. We would forever be judged as if we ourselves had committed these acts, and would be shunned accordingly.

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Oddly, once we came to terms with that, there was a sort of freedom in it.  Once we realized that nothing we could do would ever be enough or make us look good to our community we could stop trying. And then it stopped ruling our lives.

It was a lonely sort of freedom, but it was a kind of freedom nonetheless. In that freedom, we suddenly had the space to tell the truth.

But before we could get to that place of freedom, we both had to be on the same page. Like I said, my husband took all of these circumstances and our son’s misbehavior far more personally than I did. In fact, I had to wait for him to catch up to where I was. To be okay with the harsh judgment we would forever face every time our son screwed up. To expect it, anticipate, and plan for it.

As you might expect, planning parenting strategies all on my own while my husband was still reacting emotionally didn’t go very well. So I had to wait until my husband could find his own way to a space of being okay with the constant judgment. Then we could plan for it together. But I had to wait for him to get there on his own, rather than simply because I told him that’s where he should be. That is a huge part of being in a partnership: waiting for the other person to be on the same page with you. There were many days I had to manage his feelings as well as our son, and be patient about it (I wasn’t always), but eventually he got through it and was ready to face the truth with me.

The truth is that we were completely alone in this process, and would always be blamed for everything that went wrong with our child. No matter what we did, it would always be our fault. But now, we had our freedom.

Since it would always be our fault no matter what, it didn’t really matter anymore. We would always be “those” parents. Suddenly it didn’t matter what anyone thought.  What did it matter if they knew our child would potentially be labeled with psychopathy somewhere down the line? Magically, it no longer mattered if someone found out. In fact, we started telling them.

If you are parenting a child with CD, raise your right hand and repeat after me:  “I solemnly swear to tell the truth, the brutal truth, and nothing but the brutal truth, so help me.”

When you have a child like ours, the truth must be brutal. We had a child with the potential for psychopathy on our hands, and even though we didn’t sign up for it, our job became to do everything in our power to ensure he didn’t grow up to have psychopathy. Our entire life became about Harm Reduction for the community. I was no longer acting out of love for my child, or even a desire for him to grow up to be happy. I’m not saying I didn’t love him, I’m simply saying I was no longer primarily acting out of love for him. My overriding motivation in my parenting was how to keep him from hurting other people. Let me tell you, that is a shitty place to come from as a parent: to be more concerned about what your child might do to other people than you are for what might happen to your child.

But since 40% of children with CD grow up to have psychopathy that meant, statistically speaking, we had a sixty percent chance he would not grow up to have it. And that’s not nothing. That’s better odds than a coin toss.

We made sure everyone around our child knew he had CD and provided them with a reasonable understanding of what that meant: that left untreated, he could grow up to have psychopathy. We told them to give him no slack. No quarter. No mercy.

We told them our child must learn NOW that the world has consequences when he misbehaves. While, of course, there must be (and were) consequences in our own home, real-world consequences must be given out by someone other than mom and dad, too.  Otherwise, if we were the only ones handing out consequences, our child would continue to spend the rest of his life blaming mom and dad for all his problems. Because, of course, the only reason he was ever in trouble was that we kept handing out consequences. “The only reason I’m in trouble is because you keep handing out consequences. You just want to get me in trouble.”

He needed to see that consequences could come from someplace other than mom and dad.

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We told everyone around us that our child could be given NO slack. None. No second chances. At all. Not ever. Charges should always be pressed. Always. That the consequences needed to come hard and fast every time he screwed up. He needed not to be able to blame his problems on what other people did. He needed to get the message that HE was doing this. To himself.

The disheartening part was that mostly they did not listen.  It took years before our plan was implemented by the school, the court, and probation all at the same time. Though I know we will never know what might have been, I would love to know how different our lives might have been had everyone listened earlier.

When a child has CD – everyone and I do mean everyone – MUST be on the same page.  Our kids cannot be given any slack, not by anyone. Without everyone working together our children are doomed to fail.

We knew there was a chance this would make our child worse. After all, no one knew what made it worse or what made it better. We knew there was always that possibility of failure. But in that case, it would most likely end up in our child being locked up more permanently, and, while he is our child and we love him, sometimes, when you are coming from a space of harm reduction for the community, that is the best thing for everyone involved.

Early on when I was trying to figure out what to do about my child, I binge-watched the TV show Dexter. Not because I really wanted to watch it (I didn’t), but because I had heard of something called “Harry’s Code.” In the TV show, Dexter, who has psychopathy (the gruesome kind), is raised by his father, Harry, who sees Dexter for who he is. Recognizing Dexter and his nature, Harry comes up with a code for Dexter to live by that allows Dexter to live in society while still honoring his nature. It’s a sick show, one that was painful to watch (not to mention just plain gross), but I learned a lot watching it. I didn’t get the “psychopathy parenting tips” I had been hoping for, but I did learn rather a lot about the nature of a psychopath, as well as what the heck the rest of the world actually *thinks* a psychopath is, even if it isn’t true. I learned enough that when I am explaining my child’s condition to a new person for the first time, I know to say, “We’re not talking Dexter here. That’s not reality.”

The reality is that most kids with CD do not go around slicing up animals, and do not go on to become serial killers. Remember my statistics from the last blog, I am the Frog? If 4% of the population have psychopathy, and all people with psychopathy turned out to be serial killers I don’t think there would be enough people on the planet to sustain their killing sprees.

So, we’re not (for the most part) dealing with serial killers here. We are trying to stop Antisocial Personality Disorder (ASPD) from developing. As the only way to stop someone with CD from growing into an adult with ASPD – at least that we knew of at the time – was to have our child bump up against the very real-world consequences of his actions.

The problem with that is that law enforcement has now been trained to cut an enormous amount of slack to children in order to avoid criminalizing them for the misdeeds of youth. Even in the face of constant physical attacks on their parents, repeated shoplifting, destroyed walls and doors, threats of harm to others, and begging by parents to arrest the child.

I absolutely understand why we have become this way in the area of children and criminality. I don’t even necessarily disagree with the changes or why they were made. Of course, we should not criminalize children for acting out when their brains are not fully formed. Of course, we should not ruin a child’s adult life with a criminal conviction that will follow them for the rest of their life. Of course, we should not teach children the revolving prison door and institutionalize them. Of course, they should be given second chances.

Of course – that is – for normal children.

But not for ours. Our kids need to stop being thrown a life-preserver every time they end up in deep water. Our children need to drown every time they put themselves there.  Without exception. Otherwise, they will never learn not to do it. Children with CD need to face the consequences of their actions.

As a parent, the only solution is to stop throwing them a life-preserver every time they screw up. Say it with me: LET. THEM. DROWN.

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For those of you who are staring open-mouthed thinking, “Wow, that’s HARSH.”  Yes. Yes, it is. It is very harsh. But then, so can people with psychopathy be. Better they learn it now than cost millions of dollars in criminal damage years down the road.

I’ve come to terms with who my son is. I see him very clearly. Quite frankly, I think my ability to do that is in large part why we have been so successful with him.

What do I consider a “success”? Well, for starters, my son sits in a treatment facility that he chose for himself at the age of 17, realizing he was never going to change his behaviors if something didn’t get interrupted.

For years we had been begging everyone involved with him not to cut him any slack.  He doesn’t show up for school on time? Give him that detention you have been threatening. He doesn’t show up for detention? Suspend him, just like you keep telling him you will. He gets suspended from school? Violate his probation: follow through with the consequences you continually insist will happen “next time.” Put him back in Juvenile Hall when you say you will.

Side note: for nearly a year after his diagnosis at age 13, having been told by treatment professionals that our son’s only hope was to have Probation crack down on him, we called the police constantly, trying to get him into the system somehow. Every single time he got picked up for shoplifting we would BEG the Loss Prevention people to press charges. (They won’t, by the way, they are only interested in the $500.00 fine they are legally allowed to charge parents every single time a child is caught stealing something even if they recover the merchandise, and even if the merchandise is only an undamaged, unopened candy bar.)  Every single time he would bust a door or put another hole in the wall in our house, we called the police. Every single time the police came we would ask them if they could arrest him now. And every single time they would refuse. Finally, we got lucky and his own stupidity got him caught doing something in another county, one where they DO go after juveniles. We will forever count that as one of the luckiest breaks to happen to us as parents.

So now we had him on Probation. We were thrilled. We would finally have some help! We told them to violate his probation every time he stepped out of line. For years, no one listened to us. Everyone wanted to give him second chances while they complained to us about how he was the most frustrating youth they had ever worked with in their entire careers. (No, I’m not making this up. Every. Single. Adult. Said. This.) As you might imagine, cutting him slack never went well. In fact, some of the last words I said to his (latest) probation officer were, “I keep begging you and begging you and begging you until I’m blue in the face. You can’t cut him slack, ever. Until you start listening to me, nothing is going to change. Not ever.”

Finally, and oddly all at once, everyone seemed to start taking us seriously and finally began listening to us. Our son finally started getting detention every time he didn’t show up to school on time (or at all). He finally started getting suspended. He finally started having his probation violated for getting suspended and going back to juvenile hall. (These were not the only problems with him, far from it. But they were the only ones for which any legal consequences could be handed out). It started happening often enough that our son saw, FOR HIMSELF the pattern that was going on. He came to the realization that the cycle was just going to continue if nothing changed. And he finally wanted that change for himself.

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I don’t know how things are going to turn out. I don’t know if the interventions at the treatment facility will work or not. I don’t know if, in eight months’ time, my child will go from having CD to having ASPD, or if we will breathe a sigh of relief that we were one of those lucky parents in whose child the potential for psychopathy didn’t end up actual psychopathy.

But I do know that during his IEP meeting today, I found out my son, for the first time in his life, has a 4.0 GPA. I do know that for the first time ever in his life, he has gone a whole month now with consistently good behavior.  My whole life as a parent, all I have ever heard about my child during an IEP (or any school meeting for that matter) is that he is disruptive, disrespectful, distracts other students, and refuses to do any work. Today I was told the exact opposite. He is studious, volunteers to read out loud, encourages other students, is respectful, and does all of his work. I never thought I would ever hear that my son was one of the “more mature, hardworking, and respectful young men” in school.

I’m reasonably certain that it was the consistency and frequency with which the consequences kept happening, and from all fronts, that caused this change in our son. I’m reasonably certain that it was our constantly explaining what CD was to everyone, what they needed to do, and how they needed to respond to him (sometimes until we were blue in the face) that caused everyone to finally start taking actions to help our son, even if it went against their desire to “be nice” and “cut the kid some slack.” I’m reasonably certain they finally began to see they were not doing this kid any favors by cutting him slack because this kid was different.

And I’m reasonably certain that if this worked for us, it might work for other families too. “All” you need to do is get everyone on the same page. Which I know is easier said than done.

For quick reference, here is a list of bulleted steps we took to help our son:

  • Take time to properly grieve for the child you will never have
  • If you are married or have a partner, make sure you are on the same page
  • Realize there is nothing you can say or do that will properly “control” your child
  • Stop trying to look good to the outside world, you are always going to be the parent of “that” kid
  • Start telling the brutal truth about your child to anyone involved in his or her life: explain CD, what it is, and that if left untreated, it will turn into psychopathy/ASPD
  • Explain (and explain and explain and explain) that your child cannot be cut any slack and must have immediate consequences without fail every time they step out of line
  • Explain it again
  • And again
  • And again until everyone gets it and starts acting accordingly

I am the Frog

“It’s always the mother’s fault, ain’t it?” she said softly, collecting her coat. “That boy turn out bad cause his mama a drunk, or she a junkie. She let him run wild, she don’t teach him right from wrong. She never home when he back from school. Nobody ever say his daddy a drunk, or his daddy not home after school. And nobody ever say they some kids just damned mean…”

― Lionel Shriver, We Need to Talk About Kevin

Of all the things I have ever done, starting this blog and support group is by far the scariest. I know anyone else out there parenting a child with Conduct Disorder knows why.

Let’s face it. It’s always the parents’ fault.  Always.

When the Columbine shootings happened, I asked myself the same questions everyone else asked. Where were the parents? Where was the mother? How could she not see this coming? Now I wish I could go find that mother, give her a hug, and tell her I get it.

All parents harbor great hopes for their children when they are born.  You want them to grow up to be happy, loved, loving, kind, and fulfilled. You love them with more of your heart and soul than you ever thought possible. You hurt when they hurt, you laugh when they laugh, and sometimes you rejoice more over their accomplishments than your own.

Such it is to be a parent. You love your children more than anything, and you would do anything to help them. Or, at least you do if you are a good parent. And I am a good parent.

I splashed in the rain with my son on rainy days. I encouraged every interest he ever brought up even when it didn’t excite me. I woke him up with smiles and tickles. I painted with him, rode bikes with him, and played sports with him, even though I’m not into sports.

When I found out our son had disabilities that were making it difficult for him to learn, I researched them. Not only did I learn about the disabilities, I studied hundreds of pages of Special Education law, and took a nine-month course on navigating Special Education, so I could make sure he was getting the help he needed from the school. I became involved in the local Community Advisory Committee on Special Education, eventually becoming a Board Member, and even holding office.

When I needed to choose the right middle school to be able to deal with his disabilities (we lived in a large city with a choice of over 120 middle schools), I designed spreadsheets for the gathering of information, toured schools, and even sat in on classes. This was a process that took over a month of my time, full time. I put in more working hours per week than most workaholics do at their actual job.

Finally, when my son was being bullied in the carefully chosen middle school, I pulled him out and homeschooled him. We found a great group of homeschoolers to hang out with, and I tried every version of homeschooling I could think of, from ready-to-go curriculums, to ones I carefully designed specifically for my son. We even tried unschooling. In short, I tried everything a reasonable parent might have tried and then some.

When you are reading books on what to expect as a parent, among the lists of milestones and danger signs, the one thing missing from those books are the warning signs of Conduct Disorder.

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To be honest, until a year ago, I didn’t even know such a thing existed.

My child is charming, sweet, funny, and poignant. He’s not all bad. But he has always been difficult to parent. He is defiant, aggressive, and impulsive—that’s on a good day. But his defiance, aggression, and impulsiveness go far beyond those experienced with a normal child. Like any good mother, I tried to encourage the good behaviors while not rewarding the bad. I will get into all the various things I have tried over the years in another post but believe me when I tell you that with the exception of beating our child, we have tried everything.

We even moved out of the big city to the suburbs to keep our son away from criminals and drug addicts. Ironically, our son never touched a drug until we moved out to where it was supposed to be “safe.”

It pains me to write this, but my son has never treated me well. Sure, there were wonderful moments, but overall, throughout his whole life, he’s been pretty terrible to me. From the time he was small he bit me, kicked me, head-butted me, and laughed about it. Now that he is older, it’s a good day if I don’t get called a bitch. We have holes in our walls, we have had to replace doors, and I have been a victim of psychological warfare. I have been told by professionals, “You are his mother, he feels safe around you, that’s why he’s always lashing out at you.” It is clear to me now those people were utterly full of shit. Or just ignorant. It was Conduct Disorder.

If I had a dollar for every time one of my son’s few friends mentioned how awesome I was and how they couldn’t believe the way he was treating me, I could put our son in one of those expensive wilderness camps. As one of his friends from back in the city put it when introducing me to a new friend, “And this is his awesome mother who he treats like shit.” No joke. Actual quote.

There is an old parable about putting a frog in a pot of water. If you put the frog in the pot when the water is cold and gently turn up the heat, the frog will be so used to the gradual rising of the temperature that it won’t jump out even when it starts to cook. When I look back at everything I realize I am the frog.

Believe me; I tried not letting him treat me like shit. I tried many different tactics to get him to stop. I got angry and yelled; I got sad and asked him why he would say things like that; I was unemotional in delivering consequences, and I ignored the hurtful things he did and rewarded only good behaviors. This is by no means an exhaustive list of the things I have tried.

Fast forward to our move to the suburbs. He is now in high school, but he’s still having trouble with school work. Hoping to get him the help he needs, we take him to a therapist that comes highly recommended. During this time I began to see his behaviors in a new light – one that only shines on the face of a young man (who is getting much bigger than me) and not a little boy.

“I think my son my might be a sociopath,” I tell our therapist, “or at least he might become one if something isn’t interrupted.  He behaves like an abusive husband.”

I couldn’t have been more right.

After some observation, she came back and confirmed what I already knew deep down.

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There were a few technical things I was not aware of like terminology. You cannot diagnose a minor with sociopathy. It is called Conduct Disorder (CD). Once they are 18 it’s called Antisocial Personality Disorder (ASPD). (As a side note, the term I really wanted was “psychopathy” but I would not learn this for a while).

There is some debate in the psychiatric community about whether to use the term sociopathy or psychopathy. Depending on which books you read they may or may not be refers to as the same thing. As of this writing, both currently get lumped under the umbrella of Antisocial Personality Disorder.

If you read The Psychopath Whisperer, by Dr. Kent A. Kiehl, you will learn that sociopathy and psychopathy are essentially the same behavioral outcomes as an adult, only people with psychopathy have a biological predisposition to the condition, whereas people with sociopathy develop this by exposure to environmental factors such as war, gangs, abuse, etc.

Though it is not entirely accurate, a good way to remember the difference is: psychopathy is BORN, whereas sociopathy is MADE,

(Quick side note: both terms, sociopath or psychopath, conjure up images of Dexter, John Wayne Gacy, or Ed Gein – the inspiration for the main character in Psycho. I assure you these people represent an infinitesimal portion of people with ASPD.  The same goes for Conduct Disorder. We are not (usually) looking at serial killers here. If you are looking up the diagnostic criteria for Conduct Disorder, please be aware that the behaviors of setting fires and harming animals do not need to be present for a diagnosis. I can’t tell you how many times the person doing an intake would ask if my son ever set fires or hurt animals only to look puzzled when I said no.)

According to Martha Stout in her 2005 book The Sociopath Next Door, 4% of the population is Sociopathic. That means that with a world population of 7.125 billion people, there are 285 million people out there with the condition. (Though I will be using the terms Antisocial Personality Disorder/Sociopathy/Psychopathy interchangeably throughout the blogs please note the term Conduct Disorder applies mainly to juveniles, and thus is not typically used interchangeably with the other terms).

Let’s now assume each of these 285 million people have two parents. That means there are 570 million parents out there who are impacted by this condition and could use some support. That is a LOT of people. There are over half a BILLION parents out there who need to find each other! That is why I am writing this. More than a half a billion parents are dealing with this right now, but no one is speaking up.

If so many people are affected by this condition, why is no one speaking up?

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I’ll tell you why. Remember my Lionel Shriver quote in the beginning? Everyone always blames the parents.

I spent a long time coming to terms with my son’s condition. I blamed myself for a long time. I kept running over everything in my head. If only I hadn’t done this, or if only I had done that instead. I even spent some time wondering what the hell I had unleashed on the world. After all, I gave birth to him. I brought him into the world.

If you are reading this and you are the parent of a child who could potentially develop psychopathy (only 40% of those diagnosed with Conduct Disorder actually go on to be diagnosed with Antisocial Personality Disorder), I am here to tell you it is not your fault. From what I have read so far, it looks like there are brain anomalies and many other factors that are genetic in origin. You might as well say it’s your fault that your child has brown eyes.

I will share some words of wisdom from some of the various professionals I have spoken to.

“There is nothing you could have done.  Some people are just born this way.”

“Your child cannot be controlled. Please don’t take this to mean YOU can’t control him. He cannot be controlled by anyone.”

Remember my words from earlier? “I think my son my might be a sociopath. Or at least he might become one if something isn’t interrupted. He behaves like an abusive husband.”

Knowing what I know now, I would amend that statement. He doesn’t simply behave like an abuser. He is an abuser. Which is a terrible thing to have to come to terms with in your own child.

If you had a friend who was in an abusive relationship, you would tell them to leave. At least, I hope you would. You would tell your friend they didn’t do anything to bring on the abuse, nor did they deserve it, and you would tell them they are not to blame.

This is no different. Except for one tiny little thing. You are legally responsible for your abuser. You cannot leave. You cannot kick them out. Indeed, you are legally responsible for providing them with food, clothing, and shelter until they turn 18—in some states, beyond 18. Where I live, we can’t just kick him out when he turns 18; we have to serve him with a 30-day notice first.

Our son turns 15 in four days. So, unless something changes and we can find an effective treatment for him, it will be three years, one month, and four days until we are free from his abuse. The police can’t do anything. Even though they want to help. So far, there are no effective treatment options I have been able to find.

My hope in writing this blog is that other parents like me will be able to find each other and know that we are not alone, we are not to blame, and hopefully get the support we so desperately need. I also hope that the treatment professionals will take note and figure something out. No one is helping these kids. Treatment professionals don’t want to treat people with psychopathy. Law enforcement doesn’t have any teeth when it comes to juveniles. A juvenile with Conduct Disorder? Forget it.

This demographic of people with psychopathy is by FAR the most destructive and costly to our society. If we can find a way to effectively treat them and halt their psychopathy, the benefits would far outweigh the cost. According to this article “How to nip antisocial personality disorder in the bud”, published a few days ago in The Guardian, the cost of just ONE case of chronic criminality is estimated at 3-4 MILLION dollars.

I am not a treatment professional. I am just a mom who finally got so fed up with the lack of resources for these kids that I decided to tell my story, in the face of my nearly crippling fear of being “that parent” publicly.

But someone has to do something. Someone has to open up that dialog, and publically. Someone finally has to say out loud to the world about their own very real child: We need to talk about Kevin.