User:Mr. Ibrahem/Body-focused repetitive behavior

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Body-focused repetitive behavior
Other namesBody-focused repetitive behavior disorder (BFRBD)
cheek chewing[1]
Differential diagnosisHair pulling disorder, skin picking disorder, stereotypic movement disorder, self-harm, normal habits[1][2]
TreatmentCounselling, medications[3]
MedicationSSRIs, N-acetylcysteine[3]

Body-focused repetitive behavior (BFRB) is a group of

cheek chewing.[1] People are unable to stop these behaviors despite trying to do so.[3] Complications may include nail damage.[3]

It is within the category of

obsessive-compulsive and related disorders.[1] In the DSM-5, body-focused repetitive behavior disorder (BFRBD) is only diagnosed if the symptoms are not better explained by hair pulling disorder or skin picking disorder.[1] Other sources; however, include those two disorders as types of BFRBD.[4] Diagnosis requires the behavior to occur to such a degree that functioning is impaired or distress occurs.[3][2] Additionally the behavior must be unrelated to efforts to change ones appearance.[3]

Treatment may include counselling, such as cognitive behavioral therapy, and medications, such as SSRIs or N-acetylcysteine.[3] Cognitive behavioral therapy may involve increasing awareness around when the behavior occurs, efforts to avoid triggers, and attempts to replace the specific behavior with something else like knitting.[3] While these behaviors have been described throughout history, it was in the late 1800s that they were named as health problem.[5] Hair pulling disorder was first included in the DSM in 1987 while skin picking disorder was officially included in 2013.[5]

References