There is no short way to tell my story, so here goes! My 14 year old daughter lacks empathy, she does not feel like she does anything wrong when she hurts peoples feelings by being nasty to them. I have 3 children, 14, 10, and 6 years old. My daughter is the oldest then 2 boys. She had never engaged with them, she never wants to spend time with us.Sur has always felt (before teenage years) that spending any time with us was torture, and nobody would enjoy being together with her. So sadly we do things without her, she is delighted with this, but I wish we could include her. She spends all of her time in her bedroom with no human contact. She has always been difficult, growing up no consequence worked. Despite my relentless explaining of things, feelings, empathy, love, care, family, she still doesn’t understand what I’m talking about. She constantly belittles us all, using memes or just generally laughing when we make mistakes. 2 years ago my eldest son almost died, it was an accident, however it was ultimately my daughters fault, she still to this day does not show any empathy about it at all. She lied to the police about what happened too. She feels like she is ‘broken’ because she doesn’t care, and can’t feel empathy. She is exceedingly accademic, top of her class, and she aspires to be a surgeon. However this contradicts how she treats people her lack of caring, her lack of empathy. None of my friends understand. I have had her at a counselor, and my daughter would just crack jokes, and be confindent, and after 2 months the counselor told me that my daughter did not need to go back. I got her a referral to our local psychological team for teenagers. My daughter was diagnosed with anxiety, and given some self help methods to use at home. Living with her is very very different to how she makes herself appear at these sessions. I don’t know how else to help us, as a family, help my daughter. My boys, my husband, myself (I’m a carer) do not act anything like her, so I believe that there is something going undiagnosed. But I do not know what. Can anybody help?