Sorry for Scaring You
I worked in a locked inpatient psychiatric unit for 5 years. I saw many things that scared me but the most bone- chilling patient I ever worked with was a handsome, charming 35 year old man we will call Mark.
On our unit, if you told your nurse you were actively suicidal, you were placed on a 1:1 meaning you had a staff person assigned to you at all times to be in any room you were in to make sure you didn’t hurt yourself. Mark nonchalantly came up to his nurse this particular day and stated he was suicidal and needed assigned a staff personal. Even though we knew (or so we thought bc you can’t be 100%) that he was lying, we had to provide him with a 1:1. I was the only available staff person and was therefore assigned to him. He asked me to walk “laps” on the unit with him. I said sure.
As we walked he asked seemingly meaningless questions about things like my favorite food or holidays I enjoy. I am always cautious about giving out information and felt his questions were harmless. About an hour into our walking he commented that He gathered I care deeply for others. Then took his head and smashed it through a glass window. Blood gushed from his face and glass was stuck all over his head. We had to transport him by ambulance to our emergency department.
Two days later he returned back to our unit, medically/ physically cleared. Upon coming back he came up to me to apologize for “scaring me”, winked, and walked away. I fully believe he caused pain to himself to put that ever terrible visual in my head and scare me into knowing that if he could so easily hurt himself, he could do the same for others. (parkerlou92)
I’ve worked with a few, the most disturbing one was an ex military guy. He had served time in Iraq in the early 2000s, and he had killed in the line of duty. He always seemed a bit off, but the story he told me that was like, “holy f**k he’s a sociopath” was when he told me about how he would do things like kill goats, because he could get away with that and some families there depend on livestock to survive. He also told me about making starving children fight over candy. […] Awful, scary stuff. This person is currently a free man.
The second was more of a “sterotypical” sociopath. He had been arrested for drug possession, and during the arrest attempt had stabbed himself a few times while trying to stab the arresting officers. He was very sharp, but intentionally choose the life of a drug dealer because it was violent. I don’t think he ever actually killed anyone, but he definitely abused people pretty horrifically. He dealt meth and enjoyed power tripping off messing with desperate addicts. He would make them do gross/painful/awful things to “earn” their fix. He was also the only antisocial person I’ve ever met who had a weakened pain response. He once stabbed himself with a pen to prove to me he “didn’t feel pain”. (PinkSkirtsPetticoats)
Young and Wild… and Free
I work in a residential substance abuse program. I don’t take offense to most clients behaviors; they were in the midst of their addiction and they’re trying to get better for any number of motivators (self-referral, family, probation/parole mandated, etc.). I’ve worked with convicted murderers whom were remorseful and great to work with, so whatever, let’s do some work together. But I’ll speak of one person whom I believe to have Antisocial Personality Disorder:
After approximately 30 minutes talking to him during intake, I could tell how well he might be able to manipulate those he believes are “dumber” than him, and he stated as much. He mimicked my language, posture, he spoke eloquently, and was charismatic as all hell. But something was just off. I take note, and move on; needed more data. And as he continued in the program it became apparent. Everything was someone or something else’s fault. Failed relationships, his addiction and particular drugs of choice, his inability to hold jobs; no accountability or responsibility. He even blamed his brother for getting upset that he (my client) stabbed his brother. After my client had stolen his brother’s car in the dead of night and drove it in a ditch and abandoned it; then he lied about it and stabbed his brother for being “annoying”. He manipulated other clients and staff, and was damn good at it, except for a few of us who would call him out in group sessions or through behavioral contracts.
He was my individual client and during a session, I was challenging him because there were inconsistencies in something he shared. Then he finally came clean. He is HIV+ (I was aware of this). He contracted HIV by cheating on his partner or sharing a needle (he and the person he cheated with shared needles). He had discovered he was HIV+ prior to his partners return, as they were gone for an extended period of months. He got on treatment, and then… didn’t tell them at all. Still hadn’t at the time I stopped working with him, and I believe they are still together. [….]
He completed treatment by going through the motions and is now out in the community. He is young. I have a strong feeling that at some point he will move to even more malicious acts, and I wouldn’t be surprised if he kills someone in the future. (throwingitaway987654)