Reply to Middle schooler who intentionally annoys his peers

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Medication might help if this is the result of OCD and repetitive intrusive thoughts. A thought might go “Neil sounds like peel. Bananas have peels. They’re icky and sticky. Oh no, now I can’t stop thinking about icky sticky banana peels when I see Neil.” So then, the child blurts out something to Neil to allieviate the pressure that accompanies the intrusive thought. “Icky Sticky Neil Peel.”

I had three young men like this in the past two school years. Two went on medication for OCD, but due to other behaviors (eyelash pulling, paper tearing, object arranging, etc). Both experienced a dramatic decrease in intentionally annoying peers. The third persisted all year long, even after being physically attacked at the bus stop area by a fed up peer.[/quote]

Would this ever be the case in the absence of other OCD symptoms?[/quote]

Intrusive thoughts are often overlooked by parents or kids don’t mention them. I remember a parent insisting that her son just had low self-esteem. On the questionnaire, he was scoring normal to high for self-esteem, but he often had an intrusive thought “I’m a bum.” He knew it wasn’t true, but it plagued him. He never developed rituals or audible tics. It came out when he took AP Psych class as a senior.[/quote]

That's interesting, thanks. I'm a NP, and my 8 year old often seems to get stuck on annoying behavior that was funny at first, but his friends have moved on and  now it's just annoying. So this is another thing to think about, as we begin the ADHD evaluation. [/quote]

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