I thought this was an interesting recent comment on an older post that deserved to be read:
I've reached the point where I'd like to get some help for my impulsive traits. I'm' saying "impulsive" rather than "psychopathic" because I'd like to focus on what I see as the problem.
You could say that I'm a high-functioning psychopath. I'm Machiavellian, narcissistic and psychopathic.
I've apparently got enough impulse control (and intelligence) to get me what I need. But I sense that there's a gap. I'm missing something.
In the past, I wouldn't have done this because I was too proud. I wasn't able to admit that I was behaving "badly" or had a problem. And I was young enough that I was substantially getting what I wanted.
Now that I'm middle aged, that isn't happening. Perhaps because I'm not getting what I want, I can see I've behaved anti-socially, and it has cost me. E.g. I'm heading into old age, and no matter how optimistic I'd like to be, it is clear that it is going to get harder and harder to have sex with women in their twenties. And eventually I will die, no matter how much I fight it.
Have any commenters, motivated by the same sense of "oh shit I'm screwed" sought help? How'd it go?
Like many life situations, I can sort of tell how old someone is by their attitude about things -- even younger and older sociopaths. I think that a lot of sociopaths eventually hit a wall of ceasing to be functional in whatever life they've set up for themselves. Some react by just riding it out until it's gory conclusion, to be taken out in a blaze of glory without ever having to have compromised whatever it is that they didn't want to compromise about themselves or their lifestyle. Others adapt. I hit mine really early, I think, my very early twenties. I think that makes my experiences a little different than most -- more like Magic Johnson's HIV and less like orphans' in Africa -- i.e., my symptoms have never had much of a chance to flare up and allow me to flame out. I am not an obvious sociopath to strangers, the way that maybe my grandfather was with his scarred face and philandering and scamming ways. You probably wouldn't even notice something was wrong with me, unless you are one of the ~2% of the population that does. But it is interesting to think what would have happened if I hadn't encountered such early opposition and had to change. Would I be hitting my wall right about now?