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Onychotillomania is a compulsive behavior in which a person picks constantly at the nails or tries to tear them off. [1] It is not the same as onychophagia, where the nails are bitten or chewed, or dermatillomania, where skin is bitten or scratched.
More pathological forms of nails biting are considered an impulse control disorder in the DSM-IV-R and are classified under obsessive-compulsive and related disorders in the DSM-5. The ICD-10 classifies the practice as "other specified behavioral and emotional disorders with onset usually occurring in childhood and adolescence". [1]
The DSM-5 allows for diagnosis of the predominantly inattentive presentations of ADHD (ICD-10 code F90.0) if the individual presents six or more (five for adults) of the following symptoms of inattention for at least six months to a point that is disruptive and inappropriate for developmental level:
In North America and Australia, DSM-5 criteria are used for diagnosis, while European countries usually use the ICD-10. The DSM-IV criteria for diagnosis of ADHD is 3–4 times more likely to diagnose ADHD than is the ICD-10 criteria. [211] ADHD is alternately classified as neurodevelopmental disorder [212] or a disruptive behaviour disorder ...
ADHD can only be diagnosed by a licensed clinician, and the first step to do so is via screening with validated tools to screen for ADHD in adults. [10] [12] [13] The Adult ADHD Self Report Rating Scale (ASRS) is a validated screening tool recognized by the World Health Organization (WHO) with a sensitivity and specificity of 91.4% and 96.0% ...
[9] [10] The desire to self-harm is a common symptom of some personality disorders . People with other mental disorders may also self-harm, including those with depression , anxiety disorders , substance abuse , mood disorders , eating disorders , post-traumatic stress disorder , schizophrenia , dissociative disorders , psychotic disorders , as ...
ICD-10 is the 10th revision of the International Classification of Diseases (ICD), a medical classification list by the World Health Organization (WHO). It contains codes for diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases. [1]
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.