Nail Biting – Tourettes/Anxiety/Stimulants?

Question:

There has been quite a bit of recent dicussion on nail-biting behaviors.  I have read somewhere that nail biting may be associated with tics or tourettes.  I imagine that there is also some correlation between nail-biting and anxiety.  Furthermore, stimulants may increase anxiety and/or tics in some children. Does anyone know whether nail-biting is a sign of a tic disorder?  If so, is it helped by medications commonly used for the treatment of Tourettes? As you all know, there’s a good deal of comorbidity between ADD/Tourettes/Anxiety.  It would be interesting to see whether we can identify any patterns. I’m ADD (H-) and have been a nail-biter since before the age of 5.  I haven’t noticed any marked changes in my nail-biting due to stimulant meds. -yoav

Response:

Does anyone know whether nail-biting is a sign of a tic disorder?  If so, is it helped by medications commonly used for the treatment of Tourettes? As you all know, there’s a good deal of comorbidity between ADD/Tourettes/Anxiety.  It would be interesting to see whether we can identify any patterns.

Well, for the first survey entry:  I’m ADD and a nail biter.  And both of my grandsons have Tourettes.  Just started on Ritalin but haven’t noticed that it’s increased my nailbiting (though I don’t know how it could — nails are already bitten back to the knuckles.)  In fact, it seems to me that the Ritalin has lessened the nail biting — I’m less tense. Kathy Sargenti

Response:

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