She said his eyes are dark and empty. She has a very strong religious background but I'm not entirely sure which religion. Ukrainian Orthodox or something. Which is ok. I totally respect that but it just puts us in such a bad position. Now it's the ethical dilemma of do you tell the family this happened?
Anyway....he was brought in with a question of psychosis, after going to school with a knife and threatening to stab a girl who had apparently insulted his "girlfriend". He's not psychotic but is certainly odd and really focused on dark things. He has a documented recent history of killing/ dismembering a couple of cats and there's been a big community threat assessment done against him due to his threats of violence at school. He writes a lot about killing things. Family history of violence and parents who reportedly minimize and have poor follow through. He's almost an asperger's kid but not quite. He doesn't seem to have a lot of empathy and isn't caring too much about consequences.
So...we rule out psychosis and then look at any other symptoms and try to determine his level of cognitive ability, functioning, other mental health diagnosis and family/ community supports and issues. So is he a psychopath or is he a low functioning kid who is angry and focused on violence as a way of expressing himself? Odd enough that he's created a fantasy world and now he can't get out? We'll have forensics look at him too since he's been charged with uttering threats.
It's one of those cases that you really cross your t's and dot your i's because the risk level is high. He's actually not certifiable and we will likely have to let him go this Friday, as his family is pushing for it.