difficult child 1 is still picking at his upper arms, and now one of his knees has scabs on it from picking. Something jogged my memory about a medication he was taking up until the start of the summer which was right around when the skin picking took off. We dropped the Elavil (a tricyclic) he was taking for his IBS because I wanted to see if he'd do o.k. without it now that the stress of school was over. I never even thought about the possibility this medication could have been helping him in other areas. I'm going to ask the psychiatrist, but do you think that just that low dose (10mg) of Elavil he was on could help curb the picking? He was on it for a little over a year. I don't recall him picking before then (except for a looong time ago before he started Lexapro (which was changed to Celexa this summer). Just wondering out loud. And FWIW, when we had him on a low dose of imipramine in early elementary school for enuresis, he did GREAT. His irritability went away and he was less anxious. Maybe that could just be a better class of medication for him.... More to chew on.