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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. [3] It was named by Jan Alkiewicz, a Polish dermatologist. [4]
[3] is a compulsion disorder of gnawing or biting one's own skin, most commonly at the fingers. This action can either be conscious or unconscious [4] and it is considered to be a type of pica. Those affected with dermatophagia typically bite the skin around the nails, leading to bleeding and discoloration over time.
There have been many different theories regarding the causes of excoriation disorder, including biological and environmental factors. [10]A common hypothesis is that excoriation disorder is often a coping mechanism to deal with elevated levels of turmoil, boredom, anxiety, or stress within the individual, and that the individual has an impaired stress response.
The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), is the 2013 update to the Diagnostic and Statistical Manual of Mental Disorders, the taxonomic and diagnostic tool published by the American Psychiatric Association (APA). In 2022, a revised version was published. [1]
In children nail biting most typically co-occurs with attention deficit hyperactivity disorder (75% of nail biting cases in a study), [2] and other psychiatric disorders including oppositional defiant disorder (36%) and separation anxiety disorder (21%). [2] It is also more common among children and adolescents with obsessive–compulsive disorder.
The Diagnostic and Statistical Manual of Mental Disorders (DSM; latest edition: DSM-5-TR, published in March 2022 [1]) is a publication by the American Psychiatric Association (APA) for the classification of mental disorders using a common language and standard criteria. It is an internationally accepted manual on the diagnosis and treatment of ...
The cause of BFRBs is unknown. [citation needed]Emotional variables may have a differential impact on the expression of BFRBs. [5]Research has suggested that the urge to repetitive self-injury is similar to a body-focused repetitive behavior but others have argued that for some the condition is more akin to a substance abuse disorder.
Biting your nails is no picnic for your teeth, either. "Constant biting can lead to poor dental occlusion," says Richard Scher, M.D., an expert in nail disorders, "so the biter's teeth shift out ...