Thank you. Yes, impulse control speaks to me as well... Eventually, it seems to me kids develop the ability to make quiet their inner dialog and to control the impulse to say what pops in their head (is this a chemical? a physical maturation?) ... This does seem related to that. He's having trouble controlling the impulse to imagine and keeping what should be inner dialog in his head. As well as the EF issue of being able to shift. Obviously if he were not so imaginative it wouldn't be as big of a problem... which is where the creativity is contributing to the problem as well.

Well, at least I am reassured at this point he is not psychotic and probably not having seizures smile