The therapist and I are concerned that difficult child is exhibiting more antisocial personality traits than Asperger's. We can't tell if it's the medications (he's been off of Abilify for 10 days, and he had smoked pot, so he had some awful behaviors where the two drugs mixed) or if it's typical teen X 100, or if he's becoming more entrenched into his way of thinking. The therapist said time will tell. Of course, I'm reading every stupid thing out there ... but my gut reaction is that difficult child's manipulation is too blatant and stupid to be sociopathic. He is not smooth. He is pushy. And he gets taken advantage of by "Friends," but won't admit it because he wants to fit in. That does not sound sociopathic. But he really couldn't care less about other people's feelings, i.e. anyone at home, incl the dogs ("Get out of my way"). When he does something spectacularly nice, like when he texted me that he was sorry about my dad dying, I am thrilled, but a part of me is suspicious. Then again, what would he gain by saying something nice like that? It's not like I'm going to buy him a video game because he said he was sorry my dad died. So many of the traits are so similar. Especially the fundamental lack of impulse control. Anyway, here's an interesting link I found, when I should have been cleaning my office or weeding the garden ... http://healthland.time.com/2012/04/...tism-and-antisocial-personality-in-the-brain/ I also found this discussion: BACKGROUND: There is an overlap between the symptoms of psychopathy and autism spectrum disorders. AIM: To contribute to an adequate differential diagnosis of these disorders. METHOD: We reviewed the literature with the help of PubMed, using as key words: 'empathy', 'psychopathy', 'autism', 'aggression' and 'antisocial' for the period 1980-2004. We also consulted papers listed in the bibliographic references for these articles. RESULTS: Empathic deficit is a core symptom of both disorders. In psychopathy there are signs of an emotional empathic deficit, an inability to feel along with another person (insensitivity). Research into autism spectrum disorders points to a cognitive empathic deficit, an inability to take the perspective of another person (innocence). The antisocial behaviour that can accompany both disorders might be due to the type of empathic deficit. In psychopathy the antisocial behavior often involves insensitive manipulation and exploitation of another person. In autism spectrum disorders there is sometimes antisocial behaviour which could be caused partly by incorrect evaluation of social situations. In both psychopathy and autism spectrum disorders dysfunctioning of the orbitoftontal cortex and the amygdala is often mentioned as a possible cause of empathic deficit. CONCLUSION: An accurate diagnosis of the type of empathic deficit involved could help to differentiate psychopathy from autism spectrum disorders. Good diagnostic tools are not yet available.