Is my 5 yr old a sociopath?

[ashfeather]

My 5 yr old boy has been diagnosed with ADHD, and PDD. I have no idea if these diagnoseses are correct, but my son seems to be sadistic. Every minute of every day, he is so mean to me and his sister. His baby sister and i have to lock ourselves in a room at times because he is spitting and kicking. He thinks it is funny to hurt us. This isn't new. He has been this way since he learned how to talk. He is very emotionally disturbed, i know. But this behavior only is with me and others he lives with. i have tried to sit with him and give him more and more attention. he, out of the blue, kicks his baby sister in the head and laughs. he has a therapist, a docter, and med reviews. He is on resperdal, which doesn't make it any better. He has tried other meds that make it worst, or don't work. His psychologist says he has anger issues with me. I don't know why. these behaviors aren't "when he is mad". they come out of nowhere. i am scared of him. today, he thought he would wake me up by sitting on a pillow on top of my face. I don't let him watch scary movies, I am a stay at home mom. is he truely sadistic? He says he is going to pee on me. He won't go to his rm when i tell him time-out time. We used PECS pictures because of verbal delays. But i seem to think he is just thinking it is fun to be meant to us, no matter what. Please, help. He is too young to go into a hospital for treatment, but he is a danger to himself and others.

[Cleveland Mom]

Your son's behavior is unmanagable and he is a danger to himself and others i.e. kicking your baby in the head, you both locking yourselves in a room to shield yourselves from his aggression. It is not uncommon for children with Pervasive Developmental Disorder to have difficulites with behavior but what you describe is in the extreme.  You need to make contact with those who are caring for him as soon as possible and notify them of his unmanagability.  As koukla has stated it is quite possible that the most sensible solution would be for your son to be admited to a inpatient facility for evaluation and treatment.  You are placing yourself, your baby and your son at risk if you do not act to have your son's issues remedied.  

Best wishes...

[koukla29]

He is not too young to go to a hospital for treatment.  You could Baker Act him to a hospital where he will be held for 72 hours and they will monitor his behavior and stabilize him on meds.  This is a step that is usually taken by parents who realize that the behaviors their children are showing are homicidal or suicidal in nature, medication is not working, and they don't know what else to do.  

But before you even CONSIDER this step, I would sit down with both his therapist and psychiatrist and explain what you are dealing with at home.  They can give you the best direction as they are the ones treating your son.  They may reccomend the hospital - especially if he is displaying suicidal or homicidal thoughts or behaviors. If I were you, I would seriously sit down and figure out why the psychologist says your son has anger issues with you, and find out how you can work on these issues.  Does she/he also do family therapy where you are in the session with your son?  This might help as well.  Are the psychologist and psychiatrist communicating about your son as well? They should be - it will be of help to him if they are able to work together on his treatment plan.  Best wishes