This study examined the outcomes of a competing activities intervention to decrease skin picking exhibited by a 9-year-old student with comorbid diagnoses. Results of an ABCBAB design revealed that the use of student-selected manipulatives resulted in reduced skin picking. (Contains 1 figure.)

Noting the high incidence of attention deficit hyperactivity disorder (ADHD) in programs for children with emotional disturbances or learning disabilities, this article reviews evidence that comorbid diagnoses affect outcomes differentially and that psychopharmacologic treatments may be superior to behavioral interventions, depending on this…