Okay I guess I found a "hacker" way to get this to compile. I just made a backup of the one I didn't what it to use and just made a link there to the one I wanted it to use.
$ mv /usr/local/include/gaim/ /usr/local/include/gaim.bak/
$ ln -s /usr/include/gaim/ /usr/local/include/
Then gaim-otr compiled and installed without a problem. After that I just removed the link and moved the backup back where it goes.
$ rm /usr/local/include/gaim
$ mv /usr/local/include/gaim.bak/ /usr/local/include/gaim/