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Could it be Asbergers?
My 11 yr old grandson, has always been extemely OCD, since he was 1 1/2.  Thru the years I have noticed a number of differences between he and his twin.  He is extremely bright, good grades, but corrects the teachers, seems to have no respect for anyone.  Makes several types of noises when spoke to, rolls his eyes.  Talks back to teachers or whomever.  Still throws tamtrums, starts fights by mentally pushing.  I know boys will be boys, but I worry.  2 years ago he began to have an uncontrolable twitch, it lasted for over a month until he got glassess.  I raises these boys until they were 3 then thier mom (lived w/ me too) moved in with the boys father.  This as a very emotionally, verbally, no interactive fathering and he watches them every night while she works.  I know this doesnt help, no structure that he seems to crave.  Has no friends (boys) all girls.  
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Take him and have him tested - I work for a Mental Health company in Indiana and at his age it should be pretty easy to diagnose.

:) Good luck!
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