I didn't read all the responses (Just woke up), but the hitting himself and outbursts when he isn't perfect reminds me more of the autism spectrum (Asperbers kids can be brilliant) than any sort of conduct disorder. My son is on the Spectrum and used to slap himself, but he had a lot of interventions and doesn't do this, or the outbursts, anymore. But the Obsessive Compulsive Disorder (OCD) is part of Asperbers too. I would suggest a neuropsychologist evaluation. The school isn't really qualified to diagnose this. Nor is a talk therapist. Although there are exceptions, kids with bipolar or mood disorders tend to do poorly in school, even if they're smart, and anxiety rarely stands alone. A child his age KNOWS it's inappropriate to have an outburst, even if he has anxiety. Pervasive Developmental Disorder (PDD) kids tend to have severe social problems and inappropriateness. For some reasons, Pervasive Developmental Disorder (PDD) red flags are popping out everywhere with this child. I have bipolar II and a mild form of Obsessive Compulsive Disorder (OCD) and anxiety disorder. It isn't fitting in there, at least not to me.
