Body-focused repetitive behavior
The main BFRB disorders are:
- Trichotillomania, compulsive hair pulling
- Onychophagia, compulsive nail biting
- Excoriation disorder, compulsive skin picking
- Trichotemnomania, compulsive hair cutting
BFRB disorders can also include Dermatophagia (compulsive skin biting), biting the insides of the cheeks, lip picking, blemish squeezing, and Rhinotillexomania (compulsive nose picking). BFRB disorders are not generally considered obsessive-compulsive disorders.
BFRBs most often begin in late childhood or in the early teens.
BFRBs are among the most poorly understood, misdiagnosed, and undertreated groups of disorders. BFRBs may affect at least 1 out of 20 people. Trichotillomania alone is believed to affect 6 million people in the United States.
- Scientific Advances in Trichotillomania and Related Body-Focused Repetitive Behaviors, November 4, 2004, National Institute of Mental Health
- AAMFT Consumer Update - Hair Pulling, Skin Picking and Biting: Body-Focused Repetitive Disorders, American Association for Marriage and Family Therapy
- Trichotillomania (TTM) & Related Body-Focused Repetitive Behaviors (BFRBs), The Center for Emotional Health of Greater Philadelphia
- Teng et al. (2004), "Body-Focused Repetitive Behaviors: The Proximal and Distal Effects of Affective Variables on Behavioral Expression", Journal of Psychopathology and Behavioral Assessment
- ABC News 20/20 Hair Pulling, 2006
- Families & Health, American Association for Marriage and Family Therapy
- Diefenbach, G.J., Reitman, D. & Williamson, D.A., (2000). "Trichotillomania: A challenge to research and practice". Clinical Psychology Review 20 (20): 289–309. doi:10.1016/S0272-7358(98)00083-X. PMID 10779896.