Our 15 year old son has struggled getting along with others since a toddler. He can be sarcastic, teases, and says hurtful things to family members and friends. He doesn't seem to understand the effect his words and actions have on others. His relationship with his siblings is strained and he is losing the few friends he has. As his parents, we seem to continually be scolding and correcting him. Consequences don't seem to have an impact. He also struggles academically, and lacks motivation. He does have an ADHD diagnosis, but is not on medication. At times, he is a very compassionate and tenderhearted boy, but is most often offending others. We need help in helping him.