I saw an older thread on this but wondered if there was new information or treatment options. My dev delayed daughter has what appears to be Obsessive Compulsive Disorder (OCD). When she was younger this seemed to manifest in repetition - things that were a pattern had to remain a pattern (always sitting in the same chair or car seat, getting out of the bathtub in the same order, etc.). She also began some picking behaviors that we attributed to sensory processing disorder (SPD) - she couldn't and still can't stand to have skin sticking up, any fingernails growing past her fingers, scabs, etc. She has picked at eyebrows, bit her fingernails to bleeding and pulled out uneven toe nails (I mean completely exposing the nail bed). She was diagnosed at 5 with seizure disorder, went on Lamictal and had immense relief from these behaviors, although not completely gone. Fast forward to 9 1/2... she is at the very beginning of hormone stuff, the Obsessive Compulsive Disorder (OCD) is back in full force, she is pulling out hair in nether regions, and now is also pulling her teeth out. So far these are baby teeth, but she has yanked 9 of them that were not loose to the touch, 3 of which had roots on them (dentist confirms they likely would have been a year or more from now). We think she feels the pressure of the adult tooth much earlier than other kids and then hyperfocuses on getting it out of her mouth quick. She also has incredibly high pain tolerance and seems to be phased out while this is occurring. They bleed a ton, but she doesn't care. Psychiatrist started her on Luvox at the beginning of the summer with poor processing speeds as a result, so we changed to Prozac in July - 6 weeks later the dosage has been stair stepped up. We are aren't seeing much if any improvement and just in the last two days she pulled 2 more of the teeth. I have no idea how she even gets a grip on the teeth - she has no finger nails because of how she has them all bitten down. I have no idea what will happen when she runs out of baby teeth... She was focused on the tooth fairy but the pediatrician wrote a note to the TF today telling her she wasn't allowed to leave presents or money anymore if my daughter pulls her own teeth out... Any thoughts?