What do these conditions suggest.

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There is someone in my grade (16 years old, male) who sometimes yells out random (sometimes vulgar) words. He will sometimes start shacking the person he is speaking to or doing reptitive actions such as drinking from a water bottle (non-stop until he finishes it) when someone says something to him (not necessarily a bad thing, but just anything). He is extraordinarily intelligent (top of the class) and clearly has a disability. I am not sure what he has and I am nearly certain that he is either undiagnosed or does not have an IEP. He often gets into fights as a result of this, a lot of people try to provoke him and it is painful to watch. I am not sure what he has, but how do you approach a situation like this? Does anyone have a guess as to what he has?

What your friend is yelling is important. If it's just vulgarity for no reason then that/sounds like Tourette's. If he's yelling at others to make a point and win an argument its indicative of narcisstic personality disorder. My money's not on bipolar because I haven't heard you say anything about him being depressively down in the dumps or excessuvely high on life. There are things that makes me think he's not aspie (his aggressiveness). There's definitely some personality issues but it could be relate to something else, like a troubling family life.