How can sadistic personality disorder be treated?
Patient: My parents have said many times that i m cold blooded because i don t feel sad or pity when people die in terrorist attack like they do , i really don t understand why i should, it s not me. I tried to drown my sister out of jealousy but i played the victim so I didn t get punished. I like to break friendships up and make my friends hate each other. I like to wreck other people s groups. I like to twist people s words to make them feel bad and apologize/ comfort me. I only want to become a surgeon when i graduate because i want to operate on people not because i want to help them and my mother always say that of me, but even though that is not my goal, they are still helped in the end, so what s the problem? I once ran away from home for a while so that my parents can get worried and be punished. I pretend to be the innocent and lovely person around other people . I once accidentally poisoned a cat but i dont feel regret. I was happy when my baby cousin had a hole in his heart because he was born near my birthday and he took the spotlight away from me. I was mad my granddad died a week before my birthday so my family wont celebrate my birthday cause they are greiving. I fantasize about murdering or torturing people that has wronged me , but i wont do it cuz i will get a criminal record . I wasnt brought up in a abusive family and i have never had a traumatised childhood. I dont know what s wrong with me. Doctor: Hello and Welcome to ‘Ask A Doctor’ service.  I have reviewed your query and here is my advice.  This occur generally in Bipolar personality disorder. It is treated by Oxcarbamazepine, Aripiprazole and Clonazepam.  Hope I have answered your query.  Let me know if I can assist you further.