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Onychotillomania can be categorized as a body-focused repetitive behavior in the DSM-5 and is a form of skin picking, also known as excoriation disorder. It can be associated with psychiatric disorders such as depressive neurosis, delusions of infestation [ 2 ] and hypochondriasis .
CBT for Dermatillomania: Lochner C, Roos A, Stein D. Excoriation (Skin-Picking) Disorder: A Systematic Review of Treatment Options. Neuropsychiatric Disease and Treatment. Neuropsychiatric Disease ...
Body-focused repetitive behaviors — compulsively pulling or picking at your hair or skin, unable to stop yourself even if the behavior leads to scabs, scars and bald spots — affects about 5% ...
Episodes of skin picking are often preceded or accompanied by tension, anxiety, or stress. [6] In some cases, following picking, the affected person may feel depressed. [ 5 ] During these moments, there is commonly a compulsive urge to pick, squeeze, or scratch at a surface or region of the body, often at the location of a perceived skin defect.
This research may offer relief for people with repetitive body-focused behaviors — such as skin picking and hair pulling — that can affect their mental health.
In more severe cases, the motions may become harmful to the individual, and may involve things such as ripping, tearing, or chewing at the skin around one's fingernails, lips, or other body parts to the point of bleeding. Psychomotor agitation is typically found in various mental disorders, especially in psychotic and mood disorders.
Dermatillomania (picking of the skin) of the knuckles (via mouth), illustrating disfiguration of the distal and proximal joints of the middle and little fingers Body-focused repetitive behavior ( BFRB ) is an umbrella name for impulse control [ 1 ] behaviors involving compulsively damaging one's physical appearance or causing physical injury.
Blisters in particular can cause a feeling of desire to pull or bite off the affected skin and nails (since the skin is dead, thus easily pulled off), which could be detrimental, causing infection. Another disorder, known as excoriation disorder , the repetitive action of uncontrollably picking at one's skin, can sometimes accompany dermatophagia.