Wow, thank god you came along. I'm in the same position you were in. I'm contemplating going to see a therapist. I have a terrible time with empathy (and probably always will), and my relationships suffer because of it. Don't get me wrong, my mask is well crafted for professional and short-time relationships. But I'm not as adept in long-term relationships. People notice, and I can't have that. They say that psychopaths get a lot better at crafting their masks through therapy, which would be super. (And help with impulse control lest I go through with some less than legal desires.) But I'm concerned about confidentiality issues with therapists. I've heard from different parties that therapy is very confidential and no one but the patient and therapist will know the diagnosis (except in extenuating circumstances like legal issues and danger to self/others). I've also heard from other parties that confidentiality is all a lie. I have high aspirations and can't afford to be labeled by a scarlet letter. So, how'd therapy go for you? I know your situation was different due to court orders and whatnot. But did it help you any? Was it worth it?
And I definitely know where you're coming from when you describe the callousness and periods of lacking motivation. I can't understand horror. Some days, I would love for a 1984-like dystopia to consume the world just so I have a reason to rebel it, destroy it, set the cities ablaze, and still be deemed an anti-hero.