re: Child psychologist/psychiatrist in BR

Sounds like he will be perfect on wall street or silicon valley. They need to support him 100% and tell him he is built to take on 2020s and beyond America with that attitude.

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Problem is that certain pathooogies are not recognized on the Axis for “children”. If they are that concerned , they may want to inquire with some who specializes with these pathologies as opposed to “children”.

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Point well taken and I think they are realizing someone more qualified than a MC/LPC, is needed.

You are looking for an LCSW or LPC whose specialty is working with children. Seek a therapist trained in trauma-informed treatment. Depending on what this child’s past is, a therapist trained in EMDR may be effective. This therapist would have an affiliative relationship with a Psychiatrist if medication is considered.

If the situation is as dire as you present there is virtually nothing this family can do therapeutically. The only option is to placate this child as best possible until he removes himself from the home. Limit anything and everything that would incentivize the child to stay beyond age 18. Encourage the child to enlist in the military.
Having said that be very careful not to create an incriminating medical record that would preclude military enlistment.

This coming from someone with personal experience in the way of a sibling and an offspring. Likewise from a person with professional qualifications.

You might want to attempt Christian counseling utilizing the temperament model. Understanding a person's temperament is critical to raising that person as a child.

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We're going to have a heavily medicated youth in the next few years

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Medication doesn’t work for sociopathic kids so good try.

Unfortunately, it takes time (which means $$) for the kid to "gel" with their counselor. If the kid is hard headed, manipulative, etc. then you might want to consider Dr. Thomas Fain. My buddy had tried several "feel good" counselors (for his teenage son) before heading to Dr. Fain. He tells it like it is and does not put up with BS.

Given all that, may I suggest the parents go to a competent marriage counselor and get them to recommend a few people for their son (given the profile you described).

Dr. Thomas Fain

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Parent: did you pick up your room?
Kid: yes
Parent: *checks room and it’s not picked up* You said you picked up your room and it hadn’t been.
Kid: oh, I did that yesterday and just got confused


Parent: can you pick up your glass off the counter?
Kid: that’s not my glass
Parent: you were the only person here, it has milk in it and you have a milk mustache
Kid: I didn't put it there


Parents: the other kids said you pushed your brother down while playing, what happened? *multiple people, not just the kids, saw what happened*
Kid: I didn’t push him, he tripped and is just blaming it on me.
Parents: that’s not true, other people saw what happened.
Kid: they’re just trying to get me in trouble.

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These makes him sound like a normal kid that has just grown resentful towards parents due to lack of attention or perceived less attention compared to siblings. Maybe they should try family therapy?

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The kid has some pathological behaviors that need to be addressed such as lying, manipulation, lack of empathy, no remorse

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I was like this as a kid, and my parents would always tell me that I’d make a good lawyer or politician someday. Turns out they were right.

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Probably so. From what I gather, there’s not much there in regards to
serious misbehavior other than the lying part. They frequently lie about little things, like completing chores or leaving things laying around or the details of an event than happened. For example:
Parent: did you pick up your room?
Kid: yes
Parent: *checks room and it’s not picked up* You said you picked up your room and it hadn’t been.
Kid: oh, I did that yesterday and just got confused


Parent: can you pick up your glass off the counter?
Kid: that’s not my glass
Parent: you were the only person here, it has milk in it and you have a milk mustache
Kid: I didn't put it there


Parents: the other kids said you pushed your brother down while playing, what happened? *multiple people, not just the kids, saw what happened*
Kid: I didn’t push him, he tripped and is just blaming it on me.
Parents: that’s not true, other people saw what happened.
Kid: they’re just trying to get me in trouble.

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Guess I need to send every one of my fricking kids to therapy, and tell my friends to send theirs.