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[quote=Anonymous][quote=Anonymous] OP here. Thank you to those posters who have contributed meaningful comments regarding how medication might help and how OCD and impulse control issues could be at play here.  My challenge is now figuring out which medication to pursue. Is it an ADHD or an OCD issue?  We are already on an SSRI and that does not seem to be helping.  And for those who thought it was no big deal the example provided were just one of many examples. He also says inappropriate things in public where his friends are literally saying you can’t say that in public and he continues to do it to gain the attention I suppose.   So there are many daily examples of how this impacts his life. [/quote]

You probably need to get a psychological evaluation to figure out the root cause of the behavior.  By itself, it doesn't sound like OCD.  It sound more ADHD and impulse control, so I'd talk to your psychiatrist about ADHD medication.

ADHD kids often have poor social skills and are less mature than their peers.  This becomes a huge problem in middle school, where other kids are maturing rapidly while the ADHD kid is still thinking and acting like a 4th grader.  He just may not know how to act, so he is essentially clinging to juvenile behaviors that no longer work.  A social skills group may help.  [/quote]

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