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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Random Rude Comments, Loud Uncontrolled Laughter, Extremely Intelligent, Beats Himself. Mental Disorder?

Hi! So there is a boy in my class and I am very curious about what his disorder is so I can be more understanding of his outbursts. Sometimes, he will make random comments, have loud, uncontrollable laughter, or be quiet and rock back and forth. He doesn t have friends but is extremely intellegent and can hold an intellectual conversation. Although, today he was punching himself in the face. Do these symptoms lead up to any disorders? Please let me know. Thank you.
posted on Mon, 22 Oct 2012
Twitter Mon, 22 Oct 2012 Answered on
Twitter Tue, 23 Oct 2012 Last reviewed on
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Psychiatrist,  's  Response
hi..well this may be an impulse control disorder, a form of seizure disorder or a rare disorder called Tourette syndrome..whatever it is, he requires a detailed evaluation by a psychiatrist or neurologist..because these are curable although jeopardizing..you can talk to him about the issues if he is ready to listen..thus you can help..thanks
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Psychiatrist,  Dr. Gourav Monga's  Response
hello

welcome to health care magic

According to the details given by you, he could have -

1) Attention Seeking Behaviour
2) Bipolar disorder
3) Attention Deficit Hyperactive Disorder
4) Conduct Disorder
5) Psychotic disorders like schizophrenia/schizoaffective disorder
6) Personality disorders

For proper diagnosis, consult a psychiatrist as self harming is an alarming sign

Good Luck

Thanks
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General & Family Physician,  Dr. A K M Wasim Rahman's  Response
Yes the symptom may lead up to a multiple diagnosis-
1. Impulse control disorder
2. OC spectrum disease
3. Tourette disorder
4. ADHD-Hyperactivity type
5. PANDA
But to come to any definite diagnosis your information is not adequate here. A detailed examination and interview is needed.
You may advice his parent to consult a psychiatrist if possible. Inthis way you can help him.
Thanks for approaching.
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Random Rude Comments, Loud Uncontrolled Laughter, Extremely Intelligent, Beats Himself. Mental Disorder?

hi..well this may be an impulse control disorder, a form of seizure disorder or a rare disorder called Tourette syndrome..whatever it is, he requires a detailed evaluation by a psychiatrist or neurologist..because these are curable although jeopardizing..you can talk to him about the issues if he is ready to listen..thus you can help..thanks