|Adult ADHD Home||Organization Skills||ADHD in Women|
|Signs & Symptoms||ADHD Jobs||ADHD in College|
|Relationship Problems||Time Management||Young Adults|
|ADHD Apps & Tools||Health, Sleep, Stress||ADHD Adult Blogs|
|ADHD Parenting Home||Parenting Strategies||Talking About ADHD|
|Oppositional Defiant||Health & Nutrition||Sleep|
|Discipline Problems||Organization Skills||Routines That Work|
|ADHD Teens||Social Skills||Parenting Blogs|
|ADHD Treatment Home||Treating Your Child||Adderall|
|ADHD Medications||Side Effects||Daytrana|
|Alternative Treatments||Treatment Options||Strattera|
|The ADHD Diet||Medication Reviews||Vyvanse|
|ADHD/LD School Home||Organization Skills||Behavior at School|
|Teachers’ Guide||Sports & Activities||Working with School|
|School Accommodations||Learning Disabilities||High School|
|IEP/504 Plan||Homework Help||Working Memory|
|ADHD Diagnosis Home||ADHD Self Tests||Learning Disabilities|
|Signs of ADHD||Executive Function||Related Conditions|
|Types of ADHD||Getting a Diagnosis||ADHD Myths|
|Hypersensitivity||ADHD in Women||Anxiety & Depression|
|Find a Professional|
|Give a Gift|
Side Effect or Compulsive Behavior?
"Is it common for children on methyphenidate and Paxil to pick their cuticles, nails, skin, and so on, to the point of bleeding?"
Approximately 50 percent of children and adolescents with ADHD also have Obsessive-Compulsive Disorder (OCD). One possible characteristic of OCD is picking cuticles, nails, skin, or sores.
Paxil is one of the medications used to treat OCD. If the picking started after starting the stimulant, it is possible that the stimulant brought out latent OCD behaviors. In this case, stopping the stimulant will stop the picking.
The other possibility is that the OCD behaviors were present prior to treating the ADHD. Here, both disorders must be treated. The stimulant will help the ADHD. Paxil along with a specific type of behavioral therapy will help the OCD.
Larry Silver, M.D., is the author of Dr. Larry Silver's Advice to Parents on AD/HD and The Misunderstood Child: Understanding and Coping with Your Child's Learning Disabilities. He is also a clinical professor of psychiatry at Georgetown Medical Center in Washington, D.C.