We are at wits end with our 6yr old boy. He is currently in the 1st grade and excells academically. He can be a very sweet boy with alot of energy. He can usually be contained in public to some degree, but we don't go out much because of his behavior. We have several children and he is about in the middle.
He can't stand to have anyone do anything better than him or not his way - very perfectionistic. Also, very impulsive. When disciplined he will call himself "stupid", you "stupid" and no matter what privileges are taken away, it doesn't have a lasting impact. He is usually only remorseful for a something if he gets caught, then he will say he didn't do it or he didnt mean to. He can't sit still and even in the psychologists office was almost literally bouncing off the walls. You can repeat his name many times any eventually he will say "what?" answer your question briefly or change the subject. He can play on the computer for hours with great intent as long as everything goes his way.
We were told he might have an anxiety problem, however, there is no indication that he is nervous or worried about anything, except if he gets caught. The only other medical issue he has ever had is febrile seizures.
Urinating all over the bathroom or his bedroom is a favorite impulsive move. Punching one of his brothers or another child at school for a minor offense is a close second. At this point we don't know what to do, any suggestions?