[hrh]

I don't mean to ask the obvious question, but have you taken them to the doctor? It's very well possible that they literally can't "shut the hell up". You are frustrated, but they need your empathy.

If you have not taken them to a doctor (psychiatrist more specifically) please seriously consider doing so. My 14 year old adopted brother is going through similar issues and is embarrassed and afraid to take the steps he needs to take. I have to explain to him that if I could have this helped when I was 14 instead of 34...I sure as hell would have.

[austincheney]

Yes they are prescribed medicine and have weekly counseling from a counselor. We limit the medication for school and special events as it’s not perfect, has side effects, and they can become tolerant. The counseling is for prior trauma from neglect not for ADHD.

It seems your concern, while well intended, is about the missing sensitivity and bluntness of a phrase.