I have a 14 year old daughter who lacks empathy. We have believed this since she is very young. If I was sick, she was terrible to me and would become very angry because her needs were not being quickly enough to satisfy her. This is still true today. She has difficulty with other children in the sense that she claims to not really like her friends. I am a single mom and caught in this cycle where nothing is ever enough. She has discovered drinking and pot this summer which worried me greatly. She barely eats. I have brought her to the children's hospital after she had a huge fit of anger and the nurse said she had never seen such a controlling child and kept her overnight. We then went to the adolescent clinic for eating disorders. She started eating again slowly. I live in Quebec Canada and at age 14, you cannot oblige children to go to therapy. She has no interest in going. She claims to be always sad and that is why she is 'mean' and rude to me. Her father was diagnosed with antisocial personality disorder in prison. I really don't know what to do anymore. She refuses to talk about what she does wrong, refuses to apologize or admit like she does anything wrong and acts like I am the problem. I love her so much but I need to raise her to be a well-balanced adult and I am at wit's end. I have also had trouble getting her to school since she is young. When she was a little, she used to make herself throw up not to go and now she just ignores me, makes me late and have to take a cab to work which isn't really something I can afford as often as it happens. She doesn't have much of a filter either or respect for authority. I honestly believe that she doesn't understand why what she said was hurtful and it feels like if I don't tell her why she should be sorry, she won't understand. I have modelled the opposite of this behaviour her entire life. Sometimes I wonder if it's just because she dislikes me and it hurts me terribly. She picks at me all the time (my clothes, my decisions) and is just really condescending. When I finally get mad after calmly setting limits multiple times, she seems to enjoy it. Has anyone gone through something similar and does anyone have any advice?